HomeMy WebLinkAboutDavis Application 19841„D1,Ift)3E"'"
1, f DD,f3Thq Df Ed icati)n ,33d Exessicces:
s 8,
( /a/
1)/ "";
" r ', 4 » 4 1 4 ,t I „ ,;0"/ 4'
6, Ate yet a registered Voter?
7- Resident of City. ter 12. months or: longer? Yen. No
8, DO you. hold. a. onblit offiehB
9, Are, yon. employed. by the, City? Yes. No
,
Yes tot No.
At thie prenent timei do you, serve on. a. City Board? Yes
11- Nene of City Sourd Yee. Are Interested In Serving 01
Besatlfication Beard.
Board ot Adjustment*
Code Enforcement hoard:*
Libruoy Board.
_ . . . . . . . .
Planning and Zoning Board*
Reereetion Board
1 -I re go ,t1± t 1 0(1 to terw.,11tht FIOdIQ
13, W"DfOld, yon consider serving' on. another. Beard other than tbe one yse.
stb''
Ns
so
s el seted aho
0teUerUte.-----Yt0
t
OU Appireutioe, effeetite fox one year from. date. of oompletion
GS) It yee, have, any questions ce. the abovet please. sail, the
ot City Clert, Telepbene 783-1100
*Fineruial Disclosure Fere muei,, be coTnTd1tf211, eacb priox to, J.1...)ly 15, by.
mestere, ot these Betr4s,