HomeMy WebLinkAbout07/02/1996, A3 - APPOINTMENT RECOMMENDATION TO CULTURAL HERITAGE COMMISSION (CHC) APPI N FOR APPOINTMENT❑REM-. ,, MENT
TO A CITY ADVISORY BODY
NAME OF APPUCANT Advisory Body Applied For.
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RESIDENCE STREET ADDRESS CITY ZJP
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DAY PHONE EVENING PHONE
(INTERVIEWS ARE iff FOR EACH CHOICE).
Registered voter of the city? YES NO
How long have you lived in the city.W
Present Occupation/Employer.
Education:
Membership in Organizations: l�.r�S�1i�Jd. s /f��'
Please explain why you would like to serve (usereverseside for additional information):
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Previous service on SLO advisory bodies (names/dates):
PLEASE NOTE: If appointed to the Planning Commission, Architectural Review Commission, or the City Housing Authority,
you are required by State law to file a Statement of Economic Interest disclosing all reportable interests held.by you at the
time of appointment A copy of this form Is available from the City Clerk.