HomeMy WebLinkAbout1998-10-21 PACKET 04.D.REQUEST OF CITY CQUNGIL ACTIOiV COUNCIL AGENDA
YVIEETING ITEf� #
DATE 10/21l98 4 ,
PREPARED BY Public Works John Fredrickson
(JRIGINATING DEPARTMENT STAFF AUTHOR
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COUNGI� ACTION REQUEST
Appointment of Erin Gebhart as Youth Representative to the Parks, Recreation and Natural
Resources Commission
BUDGET IMPLICATION $
BUDGETED AMOUNT
$
ACTUAL AMOUNT FUNDING SOURCE
ADVISORY COMMlSS10N ACTION:
DATE
❑ PLANNING
❑ PUBLIC SAFETY
❑ PUBLIC WORKS
❑ PARKS AND RECREATION
❑ HUMAN SERVICES/RIGHTS
❑ ECONOMIC DEV. AUTHORITY
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SUPPORTING DOCUMENTS:
❑ MEMO/LETTER:
❑ RESOLUTION:
❑ ORDINANCE:
❑ ENGINEERING RECOMMENDATiON:
❑ LEGAL RECOMMENDATION:
� OTHER: Application
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REVIEWED
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APPROVED
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DENIED
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City ,4dministratar Date
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cc�u�c�L �c�rra�v T,��E�: ❑ aP��o�r�D L; ���i�a ❑ oTH�R
C17Y OF COTTAGE GROVE
APPLICATION FOR APPOINTMENT
TO CITIZEN ADVISORY COMMISSION
NAME �� � � � �-��
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Piease rank in order, from 1 to 6, tha commission on which you would like to sene (�eave blank any on which you do
not wish to serve): . . .
Historic Preservation Planninp
�_ Human ServicesMuman Riphts �— Public Safety, Health & Weifare
i Parks, Recreation & Naturai Resources Pubiic Works
Other
Do you have any speciai qualifications that You fee� wouid heip You be particularly effective on a commission (i.e. work
experience, volunteer experience, education, hobbies, etc.)? ,
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l I,.,, �. r.� . nr.f�°� �mf��L ,(1� . LiA �/�iM Sill(�.;r'Y.'�. G11 �`(��i I�����-����, C� �,`� 1
List two or three poals that you would tike to see accomplished during your term on a commission.
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fiow did you become interested in servinp on a commission?
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THIS APPIICATI.ON WILL BE KEPT ON FILE FOR ONE YEAR AFfER DATE OF SUBMIT"fAL