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Janice Ellis <br />From: support@civicpius.com <br />Sent: Thursday, February 24, 2011 5:27 PM <br />To: Janice Ellis; Denene Taylor <br />Subject: Online Form Submittal: Application for Boards / Committee / Commission <br />If you are having problems viewing this HTML email, click to view a Text version. <br />Application for Boards / Committee 1 Commission <br />q13AlftatiQr1$ ~be M,4hd1+F~t$1~ by aQxtauf3, Lml uflal"{Qr, QFQ1T}aI1ce, G?T. ffJ.`"~L„11UUY7fi. <br />First Narrie* <br />ffee, <br />~ <br />Z$Wh '.ast,. , Sa <br />. <br />N6me* <br />POdress" . <br />City* <br />29~ Hut~bai'd' <br />F'aris" State` TX Zip'" (X). 7~fl ' ~ <br />, , <br />~ ~ T546~ <br />( ) 754G~ <br />Tslephorae . <br />(903)517-759 $ <br />23=4567'"" <br />(903)1 <br />Riryaort Advisoxy Brsard-_. <br />[ 1 Wnici p~l E3ahd c ~t~+~s,`~qn <br />, <br />' <br />Areas of tFt#er'est <br />[Xj Bwltdirri8r Staritlard$ <br />i~t ~~arc1 Qf <br />Pait~slt.arr~a~' Coc <br />j j GSe~~ CoMmissten <br />H"fth <br />Pla~tn~n~ & Zonri~g Commiss~on ' <br />~1.. Ecanc>rrtic C~evvetapmer►#. <br />'a <br />C ] p!~t,Ite t~lafary At~utsot~i ~aarc~ <br />T►~ ~ <br />, . <br />, <br />dor) <br />C~rp4~ <br />h r l <br />Z°"~'uxg &iarcl of nf <br />ic FreserYafion C*inrrti~io <br />{ ] Htstori <br />. <br />[ ] . Housipg. Au~rity Bt~'d taf <br />GOtT1YCltSulO(16fS ; <br />r <br />c3i...~e ...,4a ~n"c~.ci,isnial.~rnnwlrat(na a,c~i►r`atieyn [Sr <br />revtot~s merntier.of e°F34~jIdici9 <br />A5 a t3 <br />ar~,d Sterru~4t~is: Gommiss~t~, l <br />_ <br />disqualifcab4n I att#hpdze ttto City.af Pari& to verify ait inforrnatlon prdatded:fh th+5`;gPRIrCa#iorr ira acburdanr,e w O~W o e <br />Locat Govemmerrt Cade; l understand`that in#ormitian pravided 'in tliis apoEon m~y b~ ~u~~l~bl~: to th~ publi~ uPQ~ r~~tes#,* <br />tXI AgreE [ ] Disagree <br />* indicates required fields. <br />1 <br />11'7 <br />