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Boards and Commissions 11 5 01VACANCIES AND APPLICATIONS FOR CITY OF DUBUQUE BOARDS AND COMMISSIONS For Council Meeting of Monday, November 5, 2001 6:30 P.M., Public Librarl/ Auditorium APPLICANTS ARE INVITED TO ADDRESS THE COUNCIL ON THEIR POSSIBLE APPOINTMENT CiViC CENTER COMMISSION 1 Unexpired term which will expire 6-29-04 (Term of Sesterhenn) 1 VACANCY APPLICANTS: Susan M. Blasamo, 2770 Van Buren Mark M. Nauman, 540 Heritage Dr. Bryce Parks, 186 Bluff Katie Peterson, 2123 Key Way APPOINTMENT TO THIS COMMISSION TO BE MADE AT THIS MEETING TV CABLE REGULATORY COMMISSION 1 Unexpired Three Year term which will expire 6-30-04 {Vacant) 1 Three year term which will expire 6-30-04 {term of M. Pratt) 2 Vacancies APPLICANT: Michael Pratt, 2600 Renaissance Dr. CITY OF DUBUQUE BOARDS AND COMMISSIONS * Denotes Chairperson For Information: 589-4120 REVISED 10-16-01 AIRPORT COMMISSION -4 Yr. Term Meet 3rd Monday 4:00 p.m - Airport John Markham (Council Member) 01-15-02 Rick C. Goodin 09-14-02 Teri Goodmann 09-14-04 *Douglas Brotherton 09-14-05 Jim O'Neill 09-14-05 AIRPORT ZONING COMMISSION 6 Yr. Term - Apptd. 1996 Steve Horsfield (Appt) 01-03-02 Jeffery S. Gaber (City) 01-03-02 Linda Lucy (County) 01-03-02 Janet Reiss (County) 01-03-02 Jeff Stiles (City) 01-03-02 AIRPORT ZONING BOARD OF ADJUSTMENT 5 Year Term - Meet on Call (Apptd.) James Bauerly (City) 02-15-01 Vicki Bechen (City) 02-15-01 Darlene Burds (County) 02-15-01 Ron Koppes (County) 02-15-01 BOARD OF APPEALS - BUILDING CODE Appt. 3 Yr. Term - Meet on Call Ronald D. Jahns (Jrny. Carp.) 08-01-01 F. James Kolf (Arch/Engr.) 08-01-01 Steven J. Gudenkauf (At Large) 08-01-02 Chuck Carr (Gen. Cont.) 08-01-03 Richard G. Luchsinqer (At Large) 08-01-03 BOARD OF REVIEW Appt. 6 Yr. Term - Meet May 1-30 John F. Ganshirt 01-01-02 Ruth Ann Hanson 01-01-02 Donald Lochner 01-01-04 Robert Schaub 01-01-05 Greg Hutchinson 01-01-05 CIVIC CENTER COMMISSION Appt. 3 Yr. Term - Meet 4:30 p.m. 3rd Monday at Five Flags Gary P. Dolphin Cynthia A. Fuller Steve Sesterhenn *Michael Brannon Rod Bakke 06-29-03 06-29-03 06-29-04 06-29-04 06-29-04 CIVIL SERVICE COMMISSION Appt. 4 Yr. Term - Meet on Call * Loras Kluesner 04-06-02 Richard Wertzberger 04-06-04 Merle J. Duehr, Jr. 04-06-05 COMMUNITY DEVELOPMENT ADVISORY COMMISSION Meet 3rd Tues. Library 6:00 Harry Neustadt (Housing) 02-15-02 *Michael J. Kelley (C. Tr. 2) 02-15-02 Dan Shireman (C. Tr. 5) 02-15-02 Walter Pregler (At. Large) 02-15-02 Charles Isenhart (Cs. Tr. 1) 02-15-03 Thomas Wainwright (At Large) 02-15-03 Jim Giesen (At Large) 02-15-04 (C. Tr. 3) 02-15-04 Paula Maloy SVM (C. Tr. 10) 02-15-04 ELECTRICAL CODE BOARD 3 Year Term; Meet Every 3 Months *James Dixon (Elec. Con.) 05-21-02 Dan Hammel (Jour/Maint) 05-21-02 Kevin Pfohl (Jour/Main) 05-21-02 David A. Pregler (At Lg) 05-21-02 Elaine L. Reiss (Elec. Engr.) 05-21-02 ENTERPRISE ZONE COMMISSION 3 Year Term Meet On Call Bill Baum (IDED) 2-15-02 Daniel White (NICC) 2-15-02 Mike Van Milligen (Council Rep) 2-15-02 Doug Buswell (At Large) 2-15-03 Dan LoBianco (At Large) 2-15-03 Doug Stillings (At Large) 2-15-03 Charlotte Kamm (Workforce Ctr.) 2-15-04 * Rick Stein (Long Range Comm) 2-15-04 Dave Baker (Int'l Labor) 2-15-04 ENVIRONMENTAL STEWARDSHIP ADVISORY COMMISSION - 3 Yr. Term Meet 1st Tues. 4:00 p.m. City Hall Annex Briana Tully (Youth) 06-01-02 William L. Niemann 10-01-02 Art Sunleaf 10-01-02 Leslee Spraggins 10-01-03 David B. Czarnecki 10-01-03 *Michael J. Buelow 10-01-04 John S. Bennett 10-01-04 HISTORIC PRESERVATION COMMISSION Appt. 3 Yr. Term, Meet 1st & 3rd Thursday, 5:00 p.m., Library Audrey Henson (Old Main) 07-01-02 *Terry L. Mozena (Langworthy) 07-01-02 Christopher J. Wand (Arch/At Lge) 07-01-02 Kenneth C. Kringle (Cathedral) 07-01-03 Jim Gibbs (At Large) 07-01-03 Pamela Bradford (W. 11th) 07-01-04 Suzanne M. Guinn (Jackson Pk) 07-01-04 HOUSING COMMISSION 3 Yr. Term, Meet 2nd Tues. 4:30 p.m. 1805 Central Harry Neustadt 08-17-02 Paula Stenlund 08-17-02 Thomas P. Swift II 08-17-02 Danise R. Miller (Sec. 8) 08-17-03 Dorothy Culbertson 08-17-03 * Jim Holz 08-17-03 John J. Plein 08-17-03 Char Eddy 08-17-04 John L. Henning 08-17-04 David J. Kapler 08-17-04 HOUSING ADVISORY TRUST FUND LCOMM TTEE - 3 Yr. Term - Meet 6x a Year Harry Neustadt (Frm Hsg.) 09-08-02 Doris M. Hingtgen (At Large) 09-08-03 John V. Walsh (At Large) 09-08-04 John Henning (Frm. Hsg.) 09-08-04 * Jim Holz (Frm. Hsg.) 09-08-04 HOUSING CODE APPEALS BOARD 3 Yr. Term - Meets 3rd Tuesday Thomas A. Hannan 01-11-02 Robert L. Sampson 01-11-02 David Althaus 01-11-03 Thomas G. Swift 01-11-03 * Robert Schaub 01-11-04 William J. Kinsella 01-11-04 Edward A. Swift 01-11-04 HUMAN RIGHTS COMMISSION 3 Yr. Term, Meets 2nd Mon. 4:15 Annex Kathy Blau 01-01-02 *Thomas Determan 01-01-02 Ruby Sutton 01-01-02 Marty O'Shea 01-01-03 Charles F. Ryan 01-01-03 Katherine V. Stevens 01-01-03 Raydora Drummer 01-01-04 Judith Haley Giesen 01-01-04 Evelyn E. Jackson 01-01-04 INVESTMENT OVERSIGHT ADVISORY COMM SS ON - 3 Yr. Term - Meet Quarter y Charles Spielman 07-01-02 *Paul Lassance 07-01-03 Hiram Melendez 07-01-03 Gary Ruden 07-01-04 Stephen V. Reisdorf 07-01-04 LIBRARY BOARD OF TRUSTEES 4 Yr. Term, Meets 4th Thurs. 4:00 - Library Sue Lindsay 07-01-03 Kevin Lynch 07-01-03 J. L. Felderman 07-01-05 Michael Shubatt 07-01-05 * Kristen L. Smith 07-01-05 Mary L. Strom 07-01-05 Thomas A. Tully 07-01-05 4/7/95 Dock Bd. Deleted LONG RANGE PLANNING ADVISORY COMMISSION, Meets 3rd Wed., 7 p.m., Lib. Roy D. Buol (Council Member) Terry Duggan (Alt. C. Member) Michael E. Portzen David Rusk Richard Stein *Mary Lynn Neumeister Floyd Schneider Charles Winterwood, MD 07-01-02 07-01-02 07-01-02 07-01-02 07-01-03 07-01-03 07-01-04 07-01-04 MECHANICAL CODE BOARD 3 Yr. Term - Meet on Call Harlan J. Willenborg (Pipefitter) Paul Brashaw (Refrig. Con.) Robert K. Bush (Refrig. Wkr.) (Engr.) *David W. Grothe (Sht. Metal Wkr.) Tom W. Giese (Sht. Metal Wkr.) Todd Geisler (Pipefitter) PARK AND RECREATION ADVISORY COMMISSION 3 Yr. Term - Meets 2nd Tues. 4:30 03-16-00 03-16-01 03-16-01 03-16-01 03-16-02 03-16-02 03-16-03 Library Tom Blocklinger *Thomas J. Schrobilgen Kim Daykin Chuck Duggan Karen C. Lyness Gary L. Harjehausen Paul Hoffmann, D.D.S. PLUMBING BOARD 3 Yr. Term - Meet on Call 06-30-02 06-30-02 06-30-03 06-30-03 06-30-04 06-30-04 06-30-04 Paul Papin (Jrnyman) 11-02-00 (B.S.Degree) 11-02-01 Stanley G. Gonner (Master) 11-02-02 Harlan J. Willenborg (Master) 11-02-02 Dan Harris (At Large) 11-02-03 TRANSIT BOARD OF TRUSTEES, 3 Yr. Term, Meet B month y, 2nd Thurs. L brary. George T. Enderson 07-30-02 Joel Lightcap 07-30-02 Michael W. Sand 07-30-02 *H. J. Bemis 07-30-03 Don Stedman 07-30-04 TV CABLE REGULATORY COMMISSION 3 Yr. Term, Meets 2nd Wed. 5:30 Annex Michael W. Pratt 06-30-01 Ronald Tigges 06-30-02 Walter Webster 06-30-02 *Charlie Ellis 06-30-03 06-30-04 TV CABLE COMMUNITY TELEPROGRAMMING COMMISSION 3 Yr. Term, Meet 1st Tues. 5:30 Annex Anthony Allen 06-30-02 David A. Wanamaker 06-30-02 Sr. Carol Hoverman 06-30-02 06-30-03 06-30-03 Jennifer L. Tigges 06-30-03 Paul R. Kohl 06-30-04 ZONING ADVISORY COMMISSION Yr. Term, Meets 1st Wed. 6:30 Library Martha E. Christ 07-01-02 Richard J. Schiltz 07-01-02 Ron Smith 07-01-02 Stephen Hardie 07-01-03 Ben Roush 07-01-03 Eugene J. Bird, Jr. 07-01-04 *Jeff Stiles 07-01-04 ZONING BOARD OF ADJUSTMENT 5 Yr. Term; Meet 4th Thurs. Library Frederick R. Beeler Jim Urell William M. Gasper *Michael A. Ruden Randall J. Klauer 03-25-02 03-25-03 03-25-04 03-25-05 03-25-06 NOTE: On 2/6/98 Mary mentioned that with the new state Code re: Civil Service Comm. that I should show them all expiring on 3/31/98. Then the appointments will be for a I yr, 2 yr, & 3 yr. NOTE: Mary asked to check @ the liaison staff person from Zoning to Long Range; Kay said in 12/97 it should now be Bob Nagle. 2/99 Mary said that we have to include the Enterprise Zone Comm. so I added that. 4/7/99 With the resignation of K. Eipperle on Hist. Pres. & the need for Architect, we switched that to D. Plisek who is also an architect, thus opening up an At large position. Going to present Al Smemo's app at the 4/19 Cuoncil Meeting. 4/12/99 in March Council adopted an ORD. re: having one new Housing Comm. from Sec. 8. That would be a 10th one. Today Mayor said to make it a 3 yr. term expiriing 8-17-03. 9/5/00 Deleted I space on Long Range Planning - Zoning Liaison, supposedly for I year then review; 5/30/01 Talked to Rick Engelken (Assessor's Office). He stated that Board of Review terms of Ganshirt & Hanson should be I 01 02 rather than 01. 7/16/01 Council declared Teply's seat vacant in Housing Comm.- only attended one meeting. 8/6/01 Council changed Long Range Planning Comm. - deleted I 3 Yr. term which would have expired 7 I 02 (term of Chris Curfman who only attended 2 or 3 meetings; also Council appointed Floyd Schneider & Charles Winterwood MD to 3 yr terms (replaced G. Mills & vacant seat of Cooper), The Council Member & Alt. terms were updated to 7 I 02 per JFS. 8/01 Merrill Crawford said that Craig Schaefer had moved out of town & his term expired so we do a Certificate of Apprec. and his position is vacant; also Mike Pratt has only attended a couple of meetings and his term is also ending. Will declare it vacant too. Merrill had sent them both a letter @ renewal etc. 8/01 - Per Itr from David Harris re: Housing Trust Fund Committee: Harry Neustadt selected to fill unexpired term of B. Bisenius expiring 9/8/02 Jim Holz & John Henning from Housing selected for new 3 yr. terms expiring 9/8/04 CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: 10/26/01 ADVISORY BOARD/COMMISSION APPLYING FOR: Five Flags Commission NAME: Susan M. Balsamo ADDRESS: 2770 Van Buren BUSINESS:Dbq Cty Soil & Water Conservation District ADDRESS: Epworth, IA OCCUPATION: POSITION WITH COMPANY: 563 876 3418 HOME PHONE: 563 582 8213 BUSINESS PHONE: 563 876 3418 EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: Degree in Human Resources, 9 Year Restaranteur (Tollbride Inn) Carpentry Cerfificate, Construction/Contracting Experience, YM/YWCA Board Member 10 Years; NICC Foundation Board - 9 Years, Grant Writing & Experience. WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: I have a variety of Professional Experience and a strong interest in the future of Dubuque. LIST TWO REFERENCES: NAME: Rod Bakke ADDRESS: 3030 Karen NAME: Tom Buelow ADDRESS: 1141 Rosedale Ave. Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the appropriate Staff or Legal Staff. Are you currently serving on a City Board or Commission: No SIGNATURE: /s/ Susan M. Balsamo If questions, contact the City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA 52001. Phone (563) 589 4120. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. CITY OF DUBUQUE, 10WA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play an important role in advising on matters of interest to our community and its future. © The City Clerk's Office, City Hall, accepts applications for any Board and/or Commissi&' at y time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment(s) will be made at a later meeting. Applicants will be notified as to the outcome of the Council's action. If not appointed at that time, this application will continue to be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested). NAME: ~~ [~,~Z~ ADDRESS: ~770 ~~ BUSINESS:~. ~y ~/~ ~ ~=~r~.=~c~ADDRESS: ~; I~ occu. o.: .osmo. HOME PHONE: ~G~/~3 BUSINESS PHONE: ~?(-~/~ EXPERIENCE, EDUCATION AND TRAINING WHICH YOU FEEL QUALI~ YOU FOR THiS BOARD/ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING) / /+~¢~ /) ~.~z/.~ry ~F ~ ?~,;~=~ ~?r~f~ ~ ~ ~ LIST TWO REFERENCES: NAME: ~v~ .~.~ ADDRESS'~?~¢~ _~, NAME: 77'"6~ /g ~,(~ ~ ADDRESS: Specific attention should be directed to pos. Bible conflict of interest. For further clarification, if a situation arises, contact the appropriate Staff personnel or Legal Staff. Are you currently serving on a City Board or Commission: If questions, contact the City Clerk's Office, City Hail, 13th & Central, Dubuque, IA 52001 Phone: 589-4120; ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. SIGNATURE CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: 4/3/01 ADVISORY BOARD/COMMISSION APPLYING FOR: Civic Center Commission NAME: Mark M. Nauman ADDRESS: 540 Heritage Dr. BUSINESS: Nauman Nursery Inc. ADDRESS: 4101 Pennsylvania Ave. OCCUPATION: Landscape contracts POSITION WITH COMPANY: Vice-President HOME PHONE: 588 1016 BUSINESS PHONE: 588 2276 EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: Direct involvement in events (participation in adult hockey) daughter's participation in ballet performances). Attendance of events (Saints Season ticket holder for five years, ballet and symphony performances, concerts, and other special events). WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: My personal observations and business related experience would help me offer a positive insigh in maintaining the civic center as a first class facility for all recreational, entertainment and business events. LIST TWO REFERENCES: NAME: Arthur Gilloon ADDRESS: 535 Heritage Drive, Dubuque NAME: James Hemphill ADDRESS: 1015 Prince Phillip Dr., Dubuque Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the appropriate Staff or Legal Staff. Are you currently serving on a City Board or Commission: No SIGNATURE: /s/ Mark M. Nauman If questions, contact the City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA 52001. Phone (563) 589 4120. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. CITY Of DUBUQUE, IOWA BOARD/COMMISSION APPLICATION Individuals serving on Boards and Commissions play an impo~ant role in advising the on ma~e~ of inter~ to our communi~ and i~ ~ture. The City Clerk's Office, City Hall, accepts applications for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this 'particular commission. Applicants will be advised when the application is being presented. Appointment(s) will be made at a later meeting. Applicants will be notified as to the outcome of the Council's action. If not appointed at that time, this application wiii continue to be resubmitted, as needed, as long as the app|ication is active (unless the applicant advises they are no longer interested). DATE: ADVISOR(BOARD/COMMiSSION APPLYING FOR: ,/~'~'L,'~,~;.- ~.. -~-'f-~- OCCUPATION:/-~,~/~:_~,~,~'~,_ ~~.ROSITION WITH COMPANY: HO~4E PHONE: ..~a,~/~/~ BUSINESS PHONE: ~'-~ ?_.'7_~-'2~.~' ' ' EXPERIENCE, EDUCATION AND TRAINING WHICH YOU FEEL QUALIFY YOU FOR THiS BOARD/ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING).j~? ~,=_~ / ,-~~ ~,.~-~T~-~. ~' .~R~ g~ ~-~ LIST TWO REFERENCES: ,~.~ Z)/~-;C~:..,..- ~b,~O~,-/"~ ' NAME: '~. ~,~..s-'- j.,./,,o.~,,,~/~.~'~. Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the appropriate Staff personnel or Legal Staff. Are you currently serving on a City Board or Commission: If questions, contact the City Clerk's Office, City Hall, 13th & Central, Dubuque, IA 52001 Phone: 589-4120; ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. SIGNATURC~----~,.~~ .... CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: 10/19/01 ADVISORY BOARD/COMMISSION APPLYING FOR: Civic Cente rcommission NAME: Bryce Parks ADDRESS: 186 Bluff BUSINESS: Dubuque 365.com ADDRESS: 186 Bluff OCCUPATION: Media Design POSITION WITH COMPANY: President HOME PHONE: 563 590 3840 BUSINESS PHONE: 563 590 3840 EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: I have eextensive experience creating and coordinating civic events as well as a history of active civic involvement. I am also a professional medica designer and communications /Public Relations Specialist. I also draw from numerous experiences working with the center. WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: Dubuque is in a transitioning period in regards to tourism and downtown redevelopment. I am in a uniquely well informed position to help create a vision for a new emphasis and direction for the civic center. LIST TWO REFERENCES: NAME: Thom Determan ADDRESS: 2685 Kaufmann, Dub. IA 52001 NAME: Gary Olsen ADDRESS: 2745 Andrew Ct. Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the appropriate Staff or Legal Staff. Are you currently serving on a City Board or Commission: No SIGNATURE: /s/ Bryce Parks If questions, contact the City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA 52001. Phone (563) 589 4120. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. CITY OF DUBUQUE, IOWA Q BOARD/COMMISSION APPLICATION FORM O~ ~_~ Individuals serving on Boards and Commissions play an important role in advising tt~ ~)uncl~ on matters of interest to our community and its future ~ ~c.. The City Clerks Office, City Hall, accepts applications for any Board and/or C,ommiFs~t a~ til~, and that application stays active for one year from the date of receipt in the Clerk s Office. ~ At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment(s) will be made at a later meeting. Applicants will be notified as to the outcome of the Council's action. If not appointed at that time, this application will continue to be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested). ADDRESS: POSITION WITH COMPANY: "USINESS PHONE: ~ ~ EXPERIENCE, EDUCATION AND TRAINING WHICH YOU FEEL QUALIFY YOU FOR TH~ BOARD/ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING) ': U ~' , ~' ~ ' " LIST TWO REFERENCES: ~e~. t Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the appropriate Staff personnel or Legal Staff. Are you currently serving on a City Board or Commission: If questions, contact the City Clerk's Office, City Hall, 13th & Central, Dubuque, IA 5;2001 Phone: 589-4120; ALL NAMES Vy~'t~BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. SIGNATURE CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: 10/23/01 ADVISORY BOARD/COMMISSION APPLYING FOR: Five Flags Civic Center NAME: Katie Peterson ADDRESS: 2123 Key Way BUSINESS: ADDRESS: OCCUPATION: Retired POSITION WITH COMPANY: HOME PHONE: 556 2569 BUSINESS PHONE: EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: I worked for the Center for almost 11 years and observed the operations in all aspects. WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: I applied because I feel that having worked there that I would be able to offer some valuable insight as to how the facility could operate in a most cost efficient manner. LIST TWO REFERENCES: NAME: Eileen Leland ADDRESS: 2124 Keyway NAME: Gail Lock ADDRESS: 786 Stone Ridge Pl. Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the appropriate Staff or Legal Staff. Are you currently serving on a City Board or Commission: No SIGNATURE: Katie Peterson If questions, contact the City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA 52001. Phone (563) 589 4120. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. CITY OF DUBUQUE, IOWA BOARD/COMMiSSION APPLICATION FORM Individuals serving on Boards and Commissions play an important role i'n advising on matters of interest to our community and its future. · '__.~ ~ ~. The City Clerk's Office, City Hall, accepts applications for any Board and/or Commis~o~at a~y time~ and that application stays active for one year from the date of receipt in the Clerk's Office.~ At the appropriate regularly scheduled council meeting, applications will be submitted to the CiW Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to se~e on this particular commission. Applicants will be advised when the application is being presented. Appointment(s) will be made at a later meeting. Applicants will be notified as to the outcome of the Council's action, if not appointed at that time, this application will continue to be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested). BUSINESS: ~ ADDRESS: OCCUPATION: ~'~ POSITION WITH COMPANY: HOME PHONE: ~ ~ ~ ~ BUSINESS PHONE: EXPERIENCE, EDUCATION AND TRAINING WHICH YOU FEEL QUA ~ LI~ YOU FOR THIS BOARD/ CO M,SS ON: // WHAT CONTRIBUTIONS DO.~-OU FEEL YOU C~AN MAKE TO THIS ADVISORy BOAI~D (OR STATE REASON FOR APPLYING) ~C- ~.~ ~ j. Te,~.~ ~ ~E_~ ~ ~/ ~~ ~,~ LIST TWO REFERENCES: NAME: &~l ~~ ADDRESS: ~ ~,~% ~/, Specific attention should be directed to possible conflict of interest. For fu~her clarification, if a situation arises, contact the appropriate Staff personnel or Legal Staff. Are you currently serving on a City Board or Commission: ~ .If questions, contact the City Clerk's Office. City Hall, 13th & Central, Dubuque, IA 52001 Phone: 589-4120; ALL N.~ WILL BE DROPPED FROM THE LIST AFTER A ONE .YEAR PERIOD CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: 8/28/01 ADVISORY BOARD/COMMISSION APPLYING FOR: TV Cable Regulatory NAME: Michael W. Pratt ADDRESS: 2600 Renaissance Dr. BUSINESS: American Realty ADDRESS: 2115 JFK Rd. OCCUPATION: Realtor POSITION WITH COMPANY: Sales HOME PHONE: 585 0639 BUSINESS PHONE: 556 4577 EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: 30 Years experience in telecommunications WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: Knowledge of cable systems and their function. LIST TWO REFERENCES: NAME: Walter Webster ADDRESS: 3509 Asbury Rd. NAME: Charles Ellis ADDRESS: 373 Grandview Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the appropriate Staff or Legal Staff. Are you currently serving on a City Board or Commission: Yes (TV Cable Reg.) SIGNATURE: /s/ Michael W. Pratt If questions, contact the City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA 52001. Phone (563) 589 4120. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPUCATION FORM Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W 13th St, Dubunue IA acce-* .... "----' ..... · - ' ' '~ , FL= aPi,~;;~ltlOn mr any uoara anchor Commission at any time, and that application stays active for one ear from receipt in the Cler, k's Office. Y ,, the date At the appropriate regularly scheduled council meeting, applications wilt be submitted to the City. Council for their review and applicants are encouraged to address the. Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised .when the application is being presented. Appointment to the Board or Commission ..,W, ili be made at a later meeting. Applicants will then be notified as to the outcome of the Council s action, If not appointed.at that time, this application will be resubmitted, as needed, as Ion._cl as the aoolication is active (unless the applicant acivises they are no longer interested) * ' ADVISORY BOARD/COMMISSION APPLYING FOR: OCCUPATION:. HOME PHONE BUSINESS: /~.x/r~; c~/t ~.~'~£ 7',?- ADDRESS: ..Z' ~'~o ADDRESS: 2 ! / v POSITION WITH COMPANY: BUSINESS PHONE: EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: LIST TWO REFERENCES: NAME: _ E~ " ADDRESS:~.~ Specific a~ention should be di~t~ to possible conflict of interest For fu~her clarification, if a situation ari~s, con.ct the appropriate Staff or Legal Are you currenUy se~ing on a Ci~ Board or Commission: If que~ions, contact t~ CiW Clerk's Offi~, Ci~ Hall, 50 W. ~ 3~ St., Dubuque, IA 52001. Phone (563) 589 41~. ALL NAMES WILL BE DROPPED FROM THE LIST A~ERA ONE YEAR PERIOD