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CITY OF FALCONHE GHTS <br />COMMISSIONAPPLI TION <br />• <br />.] <br />r~ <br />U <br />DATE: ~ - ' ~S <br />NAME: ~ -~ ~ ~~~. ~~ V ~ <br />ADDRESS: I~ 15 `~,LLVV~., ,' ~~ <br />PHONE: (H) ~~~~~' LP <br />EMAIL ADDRESS: ~~f.h qOq,~/,~ ~ ~ ~ cOWIC <br />HOW LONG AT ABOVE ADDRESS? <br />IN WHAT CAPACITY DO YOU WISH TO SERVE? <br />l/~~h~lM r S5 _~ <br />REASON YOU WISH TO SERVE ON ABOVE: <br />PRIOR PUBLIC (OR RELATED) SERVICE: a d~ ~- <br />r <br />~'~~S ~-~~-C Environment <br />~~~~~ I~~~~. ~ <br />196 <br />I~AY ~ p 2005 <br />r7t S-~ ,'i ~'lQ <br />OTHER RELEVANT BACKGROUND (OR COMMENTS): i C: (/~,V Y C. v..+~ h <br />