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BOARD/COMMISSION/COMMITTEE APPLICATION <br />The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris <br />community to serve on its standing boards, cominissions, and committees. In general, it is the City <br />Council's policy to appoint persons to a maximum of two consecutive fu11 three-year terms on a given <br />body. In addition to the general qualifications listed in the certification below, other gualifications inay be <br />inandated by statute, City Charter, ordinance, or resolution. Please complete the infonnation requested <br />below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas, 75461. <br />Board/Commission/Committee of Interest <br />❑ Airport Advisory Board ❑ Municipal Band Commission <br />❑ Building & Standards Commission ❑ Paris/Lamar County Board of Health <br />❑ Civil Service Commission ❑ Planning & Zoning Commission <br />❑ Economic Development Corporation ❑ Public Library Advisary Board <br />~ Historic Preservation Commission ❑ Traffic Commission. <br />❑ Housing Authority Board of Commissioners ❑ Zoning Board of Adjustment <br />~ Main Street Advisory Board <br />Candidate lnformation <br />Name: I\I 1~ ►IC Q I* on(1 f a", <br />r <br />Address: iNQi t,:,:i i~ 21 7 ~ k~ aL - Y-~15 <br />Work Phone: S~ _ Home Phone: <br />Fax <br />E-mail Address: )0q r` G~~ n ri C\s 61,~ hIg r).(. f rrj <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 />~ o <br />\ \ . <br />~T ~~r e~Te a~, 1 vo ~ Q Q\ e Y' o'Y0 t w."4 G~ P\cv:i ro.'~ wi n Cl~ v- es <br />AS~110 5 le ~,xA4`aATrn~,a 2QytUI.S I~~ \Arris. ~X_a~1~ri~I~Cr~ <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 laws of the <br />State of Texas regarding nepotism and conflicts of interest of appointees to City boards, eommissions, and committees. I also <br />certify that if appointed 1 will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness <br />to the City during my term. I understand that the number uf positions on a given board, conunission, or committee is limited <br />and fhat I may not be appointed; however, if I am not appointed, 1 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 correct and any false <br />information or misrepresentation is sufficient grounds for disqualification. 1 authorize the City of Paris to verify all <br />information provided in this application. In accordance wnth Section 552 of the Local Government Code, 1 understand that <br />infonnation provided in this application~may be available to the public upon request. <br />Signature of Candidate:~ Date: <br />For City Clerk's Use Only <br />Conflict of Interest: Y/ N Indebtedness: Y% N Nepotism: Y /N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 <br />City of Paris <br />Re.vised 02/19/08 <br />71 <br />