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Commission Appointment Application <br />City Clerk's Office • 650 N. La Cadena Drive, Colton, CA 92324 • PH: (909) 370.5032 • FX: (909) 370-5154 <br />Complete and submit this application to the City Clerk's Office RECEIVED <br />Applying as a member of <br />An h I In <br />Ca M -M i a l a)� <br />AUG 0 6 2008 <br />Name rraxv ml+wl <br />City Clerk's Office <br />Address 1), 1�d Y 4mw <br />Home Phone V7- 8 Business Phone �6-00,4 Fax <br />Registered voter in the City of Colton 'Yes ❑ No Resident in Councilmanic District µ 1 µ2(µ13µ 4 µ 5 <br />Occupation N"0106 C0 "w f+QHt <br />Education (List highest year completed and all degrees) <br />U. 0k., /qD,2 , ;1-(-[ Uti, 6t Clwdu P S ;v, %ku, hw, ,,9 <br />Are there any workday evenings you could not meet? µ Y9 <br />If so, please list below: <br />Why are you interested in this appointment? <br />Aeg000l qwm4twof 4ij dM -all q,4&)� .6� -A"*— <br />N MM <br />What do you consider to be your major qualifications? <br />1, wkwwl,[ P100- <br />References (Name — Address — Phone No.) <br />�Cfvi� -rot-d, -I / 66OW144dLA, ®r �[ f 6 NO - <br />2. �' I, fir' (� i � L✓ wt^G� G(a UIPM <br />3 1 11x1 f'� Ddu r AuCAQ afaw.�bw d 0— �'�t%D%3 <br />Signature: Date: 5— <br />Please adich a w' n statement containing any additional information you feel would be useful to the City <br />Council Attachment YES NO <br />Rev: 030601:se(Commission apt ap!) <br />