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17-Resolution appointing members to the various Boards, Commissions and Committees
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17-Resolution appointing members to the various Boards, Commissions and Committees
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CITY CLERK
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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 />cominunity to serve on its standing boards, coinmissions, 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 />inandated by statute, City Charter, ordinance, ar 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 lnterest <br />❑ Airport Advisory Board <br />❑ Building & Standards Commission <br />❑ Civil Service Commission <br />❑ Economic Development Corporation <br />❑ Historic Preservation Commission <br />❑ Housing Authority Board of Commissioners <br />❑ Main Street Advisory Board <br />Candidate Information <br />❑ Municipa] Band Commission <br />❑ ParislLamar County Board of Health <br />~ Planning & Zoning Coimnission <br />❑ Public Library Advisory Board <br />❑ Traffic Commission <br />Zoning Board of Adjustment <br />Name: y <br />Address: c' ~ <br />Work Phone: 1C" ~ 07 V l.,~ ,.!L Home Phone: 2 -!f' 1 ` 51Z 3 <br />Fax: E-mail Address: <br /> <br />Please note any special knowledge, education, or experience you have that is applicable to the function of <br />ihe 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 />27' ~ / /"i-:i <br />IR (z ~ / d'r% C~ <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 conflict-, of interest of appointees to Ciiy boards, commissions, and committees. I also <br />certify that if appointed I will atCend at least 75 percent of all regular meetin};s 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, conunission, or committee is limited <br />and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future <br />notifieation of topics of interest. I certify tliat the inforniation given by me in this application is true and correct and any false <br />information or misrepresentat' sufficient grounds for disqualification. I authorize the City of Paris to verify all <br />information provided in this applicat' n. In accordance with Section 552 of the Local Government Code, 1 understand that <br />information provided in this a licat' ay be available to t Ic upon re st. <br />Signature of Candidate: Zzli~ Date:LZ Wz-, 1 f <br />- / <br />For Cit Clerk,s Use Onl <br />Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 12 3 4 5 67 Previous Service: 0 12 3 4 5 6 <br />Cit,y of Paris <br />MAY 12 2011 <br />. . 1J7 <br />Revised 02/19/08 <br />
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