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BOARD/COMMISSION/COMMITTEE APPLICATION <br />The Paris Gity Council is seeking committed individuals who are dedicated to the well-being of the Paris <br />community to serve on its standing boards, commissions, and committees. In general, it is the City <br />Council's policy to appoint persons to a maximum of two consecutive full three-year terms on a given <br />body. In addition to the general qualifications listed in the certification below, other qualifications may be <br />mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested <br />below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. <br />Board/Commission/Cammittee of Interest <br />❑ Airport Advisory Board <br />❑ Building & Standards Commission <br />❑ Civil Service Commission <br />❑ Economic Development Corporation <br />XHistoric Preservarion Coxnmission <br />❑ Housing Authority Board of Commissioners <br />❑ Main Sh-eet Advisory Board <br />Candidate Information <br />❑ Municipal Band Commission <br />❑ Paris/Lamar County Board of Health <br />❑ Planning & Zoning Commission <br />❑ Public Library Advisory Board <br />❑ Traffic Commission <br />❑ Zoning Board of Adjustment <br />Name: PA U L (L , DE NN F Y <br />Work Phone:_ (~01s) Home Phone:~~~~'8~-~0) ~ <br />Fax:C03a3 , 78 5' 2, 3~ E-mail Address: 1=L I~A&L!NQ.v <br />Please note any special knowledge, education, or experience you have that is applicable to the function of <br />the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list <br />dates of service on any City boards, commissions, or committees. <br />MNs-rE2 vF aee14ITEe,'tuRE DF612Et= - TµE LjtJIV. . <br />OF TEx~s &I ACt_.1V46?ON - 12E41ST_EJ2,E;D A2eH s7Ec.~.. <br />T- - - <br />jN"j'M)2109 nE516NE2 !N YNE 5ME oF TEXA5 7548 <br />-p ioe sO . M I NE_Ho P,s • - <br />Certification and Authorization <br />By signing below, I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the ]aws of the <br />State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committeES. I also <br />certify that if appointed I will attend at least 75 percent of all regulaz meetings and shall not have any delinquent indebtedness <br />to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited <br />and that I may not be appointed; however, if 1 am not appointed, I agree to be placed in a database for possible future <br />notification of topics of interest. I certify that the information given by me in this application is true and coaect and any faLse <br />information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all <br />information provided in this application. In accordance with Secrion 552 of the Local Government Code, I understand that <br />information provided in this appli tion may be available to the public upon request. <br />Signature of Candidate: Date: <br />For Citv Qerk?aJ.JeSE9l.'Y ~ <br />Conflirt of Interest: Y / N lndebtedness: Y/ iJ Nepotism: Y/ N Dist.: 12 3 4 5 6 7 Previous Service: 0 12 3 4 3 6 <br />City of Paris Revised 08/19/08 <br />0 ('1.C'.~n <br />