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Boards and CommissionsVACANCIES AND APPLICATIONS FOR CITY OF DUBUQUE BOARDS AND COMMISSIONS For Council MeetinR of Monday, July 21, 2003 6:30 P.M. Public Library Auditorium APPLICANTS ARE INVITED TO ADDRESS THE COUNCIL ON THEIR POSSIBLE APPOINTMENT COMMUNITY DEVELOPMENT ADVISORY COMMISSION Term which will expire 2 15 04 (from Low/Mod Income Area) Term which will expire 2 15 05 (from Low/Mod Income Area) VACANCIES APPLICANT: FROM LOW/MODERATE INCOME AREA David Oliver, 622 Lincoln Ave. HOUSING COMMISSION 1 Unexpired Three year term which will expire 8 17 05 (vacant - was T. Swift II) 1 VACANCY APPLICANT: Gina Bell, 3115 Ideal Lane TRANSIT BOARD OF TRUSTEES I Three year term which will expire 7 30 06 (Term of H. Bemis) I VACANCY APPLICANT: Harry J. Bemis, 2530 Crissy Dr. CITY OF DUBUQUE BOARDS AND COMMISSIONS AIRPORT ZONING COMMISSION (npptd.) James Bauerly (City) 02-15-0~ CIVIL SERV]CE COMMISSION Appt. 4 Yr. Te~m. Meet on Call COMMUNITY DEVELOPMENT I ADVISORY COMMISSION Meet 2nd Wednesday, 7 P.M. at SL Mark's Jim G[esen (At Large) 02-15-04 (Low/M icc Area} 02-15-04 Paula Naicy, SVM /~t Large) 02.1504 (Low/M lnc Area) 02-15-05 Harry Neustadt {Housing) 02-t 505 Davkl Shaw (Low/M Inc Area) 02-15-05 *Walter Pregler (At. La~ge) 02-t5-05 T~omas Wainwright (At Large) 02-t 506 [ ENTERPRISE ZONE COMMISSION J (Youth) 06.01-06 Revised 7 8 03 Michael Coty (Cathedral Dis.)) 07-01-06 Chricfine Olson (At Large) 07-01 ~6 r PARK AND RECREATION HOUSING COMMISSION I .I~V~ORY COMMI,~iION / * David J. Kapicr 08-17,04 I PLUMBING BOARD J 1Term, Meet Bimonthly, 2nd Tnurs-Ubrar~. I I TV CARLE REGULATORY COMMISSION 1 INVESTMENT OVERSIGHT ADVISORY I ZONING ADVISORY COMMISSION 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: 7 3 03 ADVISORY BOARD/COMMISSION APPLYING FOR: Community Development Advisory NAME: David Oliver ADDRESS: 622 Lincoln Ave. BUSINESS: Eagle Country Market ADDRESS: 1800 Elm St. OCCUPATION: Dairy Clerk POSITION WITH COMPANY: Dairy Clerk HOME PHONE: 563 557 1060 BUSINESS PHONE: 563 583 8585 EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: Presently live in low/moderate income area & currently attending NICC and majoring in business. WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: I feel I can bring the much needed younger point of view and ideas this community needs. And live in the low/moderate income area. LIST TWO REFERENCES: NAME: Tom Wainwright ADDRESS: 1788 Lori St. NAME: Mel Maas ADDRESS: 1745 Sarah St. 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/ DAvid Oliver 7 3 03 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 in advisi~ on matters of interest to our community and its future. 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 will continue to be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested). DATE: FOR '~'~ ~ ~,~ ADVlSOBY BOARD/COMMIS.SIO. OCCUPATION. EXPERIENCE. EDUCATION AND ~RAIN ~G WHICH YOU FEEL QUALI~ YOU FOR THIS BOARD/ . . / WHAT CONTRIBUTIONS DO YOU FEE_~.L. YOU CAN MAKE TO THIS ADVISORY BOARD {OR STATE REASON FORAPPLYING) ~ ~e~[ _~ C~LF'~ ['~r~-H~c /¥1c~ r~{3~-~oc~ [/c~c4fl~ ,' '~ ~ ' t J ' " - / I ,. . ' ....... / : - LIST TWO REFERENCES: ADDRESS: ADDRESS= / / , 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. m~ c~ Are you currently serving on a City Board or Commission: Cg~- c_ ~ questions, contact the City Clerk's Office, City Hall, 13th & Central, Dubuque,~ 52001~ :}~ IIIhone. 5894120, ALL NAMI~S WILI~ BE DROPPED FROM THE LIST AFTER A ONE ~EAR~,ERIO~. ORDINANCE NO. 42 -2003 AN ORDINANCE AMENDING THE CODE OF ORDINANCES, CITY OF DUBUQUE, IOWA, CHAPTER 15, COMMUNITY DEVELOPMENT SECTION 15- 46 RELATING TO MEMBERSHIP OF THE COMMUNITY DEVELOPMENT ADVISORY COMMISSION. NOW, THEREFORE, BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF DUBUQUE, IOWA: Section 1. Section 15-46 of the City of Dubuque Code of Ordinances is hereby amended to read as follows: # Section 15-46 Created: Composition There is hereby created a Community Development Advisory Commission whose primary purpose shall be to provide for citizen participation in the development and evaluation of the City of Dubuque's Community Development Block Grant ("CDBG") program. The Commission shall comprise nine members, four (4) members shall be residents of census tracts and block groups where at least 51% of the residents are Iow/moderate income persons as determined by the United States Department of Commerce, Bureau of the Census; four (4) members shall be residents of the community at large; and one (1) member shall be that member of the Housing Commission designated by the Housing Commission. Section 2. This ordinance shall take effect immediately upon publication , Passed, appr°ved and ad°pted this 19~'h day °f~?~003' Attest: 7'errance M. Dugg~jayor ~/'Jeanne F. Schneider, City Clerk F:\Users~AKRAMER\CDBG\CD\CDAC Membership Ord.doc COMMUNITY DEVELOPMENT § 15-48 corporation counsel whenever it is determined that such waiver would be in the best public interest. (1976 Code, § 111/2-127) Sees. 15~38-15-45. (Reserved) ARTICLE IV. COMMUNITY DEVELOP- MENT ADVISORY COMMISSION Sec. 15-46. Created; Composition: There is hereby created a Community Devel- opment Advisory Commission whose primary purpose shall be to provide for citizen participa- tion in the development and evaluation of the City of Dubuque's Community Development Block Grant CCDBG") program. The Commission shall consist of nine (9) members; five (5) of which shall be residents of one of each of the five (5) census tracts with the lowest median household inc6me as determined by the U.S. Department of Commerce, Bureau of the Census; three (3) of which shall be resi- dents of the community at large; and one of which shall be a member of the Housing Com- mission designated by the Housing Commission. (Ord. 83-92, 11-2-1992; Ord. 88-95, §5, 12-18-1995, elf. 1-1-1996) Sec. 15-47, Application And Appointment Process: The process of appointment to the Commis- sion by the City Council shall include at least the following elements: (1) Submission of an application form con- taining the requested information on the qualifications and expectations of the applicant; and (2) Notice to and an opportunity for the general public to comment, in wr/ting, on the qualifications of each applicant; and (3) A formal interview by the City Council to determine the applicant's qualifications and ability to serve effectively on the Commission. Individuals who, by their professional or personal experience or interest, are knowledge- able of the development needs of the community at large and of low and moderate income per- sons in particular shall be considered qualified to serve on the Commission, subject to City Council review and consideration of other appli- cable information. (Ord. 83-92, 11-2-1992) Sec. 15.48. Term; Filling Of Vacancies; Compensation: The term of office for a Commission member shall be three (3) years except as set forth be- low. The initial terms of the Commission shall be as follows: (1) For each of the five (5) residents of the five (5) census tracts with the lowest median household income as determined by the U.S. Department of Commerce, Bureau of the Census; one shall be ap- pointed for an initial term of one year, two (2) shall be appointed for an initial term of two (2) years; two (2) shall be appointed for an initial term of three (3) years. (2) For the three (3) community at large residents; one shall be appointed for an initial term of one year, one shall be appointed for an initial term of two (2) years, and one shall be appointed for an initial term of three (3) years. (3) For the one member of the Housing Com- mission designated by the Housing Com- mission, the initial term shall be one year. A Commission member may be removed at any time with or without cause by a vote of two- th/fda (2/3) of all members of the City Council. Supp, No, 29 941 § 15-48 DUBUQUE CODE A vacancy occurring on the Commission caused by resignation or otherwise, shall be filled by appointment of the City Council for the remainder ef the unexpired ~e~m. Members of the Commission shall serve with- out compensation except for actual expenses, which shall be subject to approval by the City Council. (Ord. 83-92, 11-2-1992) Sec. 15-49. Duties And Responsibilities; Generah The Commission shall have the following duties and responsibilities: (1) To conduct public hearings in accordance with the minimum standards established in the CDBG program's citizen participa- tion plan to ensure meaningful citizen input in the planning, implementation and assessment of the City's CDBG pro- (2) To provide for and encourage the partici- pation of low and moderate income per- sons who reside in designated areas of slum and blight and residents of low and moderate income neighborhoods, as de- fined by the City Council, in the plan- ning, implementation and assessment of the CDBG program; (3) To identify community development needs, particularly the needs of persons of low and moderate income; (4) To serve in an advisory role upon the request of the City Council in policy decisions regarding funding priorities and program development and implemen- tation; (5) To monitor and evaluate program activi- ties to advise whether identified commu- nity development objectives have been met; (6) To undertake public information efforts to educate the citizenry of the availabill- (7) ty of CDBG funded programs and to provide for a greater understanding of the City's community development ef- forts; and To assist in the preparation of the state- ment of community development cbjec- tires and projected use of funds, amend- ments thereto and required reports in- cluding, but not limited to, the annual grantee performance report (GPR) and the annual comprehensive housing assis- tance strategy (CHAS); (8) To serve in an advisory role to the City Manager in the review of complaints and grievances received in accordance with the procedures established herein in Section 15-52; (9) To support, upon request, the efforts of the City Council and other City commis- sions in the assessment of the general development needs of the community. The City Council shall have the authority to establish or revise the priorities of the Commis- sion. (Ord. 83-92, 11-2-1992) Sec. 15-50. Duties And Responsibilities; Grievance Procedure; Review Standards; Appeal Process: The Corer, lesion shall participate in the fol- lowing described grievance procedure estab- lished by the City Council for the community development block grant program. (1) All complaints regarding the community development block grant (CDBG) pro- gram shall be handled in accordance with the following described grievance procedure. a. Any aggrieved person shall file a grievance with the City Manager. Grievances shall be filed in a timely manner and must be received by the City Manager within one year of the alleged occurrence. No. 29 942 § 15-22 to educate citizens of the availability of Federal, State and locally funded hous- ing assistance programs; (10) To assist in the preparation of the hous- ing element of the City Comprehensive Plan and the annual Consolidated Plan; (11) To offer comment, as appropriate, on the consistency of proposed housing develop- ment with the Comprehensive Plan, Consolidated Plan and existing City housing strategies. (b)Any proposed low-rent housing project shall be subject to speci~c approval by the City Council and any project requiring a referendum as provided in chapter 403A of the 1979 Code cf lows shall be submitted to the voters of the City in accordance with such chapter. (c)The Housing Commission shall monitor the City's housing program and conduct hear- ings on grievances which arise out of the opera- tion of such program except in the area of hous- lng code enforcement. DUBUQUE CODE (c) Vacancy caused by death, resignation or otherwise on the Commission shall be promptly ~lled by the City Council for the Unexpired term of office. (d) At least three (3) members of the Commis- sion shall be selected specifically on the basis of experience in real estate development, banking, finance, accounting, funds management or other related areas of expertise. ~ (e) One member of the Commission shall be a person who is a recipient of tenant-based rental assistance under section 8 of the United States Housing Act ef 1937 (42 USC 1437f) whose name appears on a lease of section 8 property and who is eighteen (18) years of age or older. If such member ceases to be a recipient of rental assistance under section 8, the term of such .member shall be deemed terminated and a new member who meets the requirements of this subsection (e) shah be appointed for the re- .~ainder of the term. (Ord. 53-92, § 2, 7-20-1992; Ord. 69-92, § 1, 9-8-1992; Ord. 28-00, §§ 1, 2, 3-20-2000) (d) The Housing Commission shall under~ake such additional duties, with regard to the I-lous- ing Trust Fund, as are specified in Chapter 26, Article III of this Code. (1976 Code, § 11~/~-77; Ord. 53-92, § 1, 7-20-1992; Ord. 47-96, § 1, 10-7-1996) Sec. 15-23. Membership; Vacancies; Quail- flcations: fa) ~l~e Housing Commission shall be com- prised of a membership of ten (10) persons. (b) Current commissioners whose terms ex- pire August 17, 1993, shall continue to serve until such time, or until a successor is duly appointed. Three (3) commissioners shall be appointed for an initial term of two (2) years, and three (8) commissioners shall be appointed for an initial term of three (3) years. All subse- quent appointments .shah be for a term of three (3) years, or nntil a successor is duly appointed. Sec. 15-24. Meetings: (a) The Housing Commission shall hold at least one official meeting per month. (b) Members of the Comr. ission shah attend at least two-thirds (als) of all regularly sched- uled and held meetings within a ~welve (12) month period. If any member does not attend such a prescribed number of meetings, it shall constitute grounds for the Commission to rec- ommend to the City Council that said member be replaced. The attendance of aH members shah be entered upon the minutes of all meet- ings. (c) All meetings shall be held in conformance with the provisions cf the Iowa Open Meetings (d) The Housing Commission shall f~le with the City Council a copy of the minutes of each reKalar and special meeting of the Commission Supp. No. 46 940 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: July 7, 2003 ADVISORY BOARD/COMMISSION APPLYING FOR: Housing Commission NAME: Gina Bell ADDRESS: 3115 Ideal Lane BUSINESS: National Mississippi River Museum ADDRESS: 350 E. 3rd OCCUPATION: POSITION WITH COMPANY: Box Office Supervisor HOME PHONE: 563 556 3249 BUSINESS PHONE: 563 557 9545 EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: Agriculture/Community Development Volunteer - Peace Corps - Paraguay (12/00-12/02) B.A. International STudies & Spanish Pacific University - Oregon (8/96 - 5/00) Fluent in Spanishg WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: I believe serving on the Housing Commission will be a great experience an an excellent opportunity to actively participate in my community. I also bring energy and a youthful perspective and ideas to the commission. LIST TWO REFERENCES: NAME: John Markham ADDRESS: 1724 Geraldine NAME: Jackie Mulgrew ADDRESS: 1694 Catherine 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: SIGNATURE: /s/ Gina Bell 7 7 03 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. ~ividuals serving on Boards and Commissions play an important role in adv on matters of interest to our community and its future. CITY OF DUBUQUE, 10WA BOARD/COMMISSION APPLICATION FOR! ~_Cc, The City clerk's Office, City Hall, accepts applications for any Board and/or Commission at m,,., that application'stays active for one year from the date of receipt in the Clerk's Office. ,nd 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). DATE: - 4LY 7.r 2007 ADVISORY BOARD/COMMISSION APPLYING FOR: ~-~ L~,~('/,5 ~ ~C ,/q~/Vt, [ ~S~' ~i~ NAME: ~ ~L~ ADORESS: ~i[~ i~,~ ~/~ BUSiNESS:/~c'~'cr~ ~s~i~pi ~'~,' ,~u~REss: ~ ~. -~c~ OCCUPATION: POSITION WITH COMPANY: ~ ~ ~ ~ :ic~ ~ ~ ~qj~o~ HOME PHONE:~ ~- ~ BUSINESS PHONE: ~ ~ ~ -~ ~PERIENCE, EDUCATION AND TRAINING WHICH YOU FEEL QUALI~ YOU FOR THIS BOARD/ MMISSION:, WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO T, HIS ADVISORY BqARD (OR S~ATE R~SON FOR APPLYING) / ~/~ ~E~U~ ~/ ~2~ ~{~i~y LIST T~O REFERENCES: NAME: ~/~ ~~ ADDRESS: ~ ~~/~ Specific a~ention 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 currentl~ se~ing on a City Board or Commission: ~ questmns, contact the C~W Clerk s Office, Ciw Hall, 13th & Cen~al, Dubuque, I~001 ~one: 589-4120;~ALL NAMES WILL BE DROPPED FROM THE LEST A~ER A oNE:~AR ~10~ SIGNATURE ~ ~ ~ / §4643 DUBUQUE CODE issue a license to the applicant upon the pay- ment of five dollars ($5.00). Such license shall be in effect for the remainder of the calendar year. A license for every calendar year thereaf- ter shall be issued upon the payment of five dollars ($5.00) unless the license for the preced- ing year is in suspension or has been revoked. (b) The license shall be worn upon the cloth- ing of the driver. (1976 Code, § 38-43) Seca. 46-56-46-65. (Reserved) DMSION 2. TRANSIT AUTHORITY~ Sec. 46-66. Established: The City does hereby create and establish a Transit Authority in and for the City, effective July 1, 1975. (1976 Code, § 38-66) Sec. 46-44. Failure To Comply With City, State And Federal Laws: Every driver licensed under this Article shall comply with all City, State and Federal laws. Failure to do so will justify the City Manager suspending or revoking a license. (1976 Code, § 38-44) Sec. 46-45. Suspension And Revocation Of License: The City Manager is hereby given the author- ity to suspend any driver's license issued under this Article for a driver failing or refusing to comply with the provisions of this Article, such suspension to last for a period of not more than thirty (30) days. The City Manager is also given authority to revoke any driver's license for failure to comply with the provisions of this Article. Pr/or to the suspension or revocation, the driver shall be given written notice of the proposed action to be taken and shall have an opportunity to be heard by the City Council, which shall afl.nun or reverse the suspension or revocation. (1976 Code, § 38-45) Secs. 46-46-46-55. (Reserved) ARTICLE IlL ~SIT S~TEM DMSION 1. GENERALLY Sec. 46.67. Qualifications Of Trustees: The trustees of the Transit Authority shall qualify by taking their respective oaths of of- rice. (1976 Code, §38-67; Ord. 94-95, § 1, 12-18-1995) See. 46.68. Organization, Election Of Offi- cers; Adoption Of Rules; Terms: (a) The Board of Trustees of the Transit Au- thority shall organize for its transaction of business, elect from its own number a cha/rper- son and a secretary who shall serve for such terms a~ the Board shall determine, not exceed- ing their terms of office as members of the Board, and abide by ail rules and regu]atioas that govern the proceedings of the Board. (b) The Board of Trustees of the Transit Au- thority shall comprise five (5) trustees appoint- ed by the City Council. Three (3) of the initial appointments shall be for terms expiring July 30, 1984; one of the initial appointments ehall be for a term expiring July 30, 1983; and one of the initial appeintments shall be for 'a term expiring July 30, 1982. Thereafter, all appoint- ments shall be for a term of three (3) years or until a successor has been appointed and quail- fled. (1976 Code, § 38-68) Sec. 46.69. Quorum; Majority Vote Re. quh'ed For Action By Board: Three (3) members of the Board of Trustees of 1. See also Ch. 2 of this Code. Supp. NO. 29 2962 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: 09 - July 2003 ADVISORY BOARD/COMMISSION APPLYING FOR: Transit Board of Trustees NAME: Harry J. Bemis ADDRESS: 2530 Crissy Drive BUSINESS: Retired ADDRESS: OCCUPATION: Retired POSITION WITH COMPANY: HOME PHONE: 563 582 6856 BUSINESS PHONE: EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: 20+ years on the Transit Board WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: Aware of current problems and past experience can be helful. LIST TWO REFERENCES: NAME: Ralph Cigrand ADDRESS: 3427 Crestwood Dr. NAME: Paul Powers ADDRESS: 975 Kane St. 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 SIGNATURE: /s/ Harry J. Bemis 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 Beards and Commissions play an important role in advising the Council on matters of interest to our community and its future. 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 will continue to be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested). BUSINESS: OCCUPATION: HOME PHONE: ADVISORY BOARD/COMMISSiON APPLYING FOR: NAME: ,"~/~ ~_ ~ ¢ .~T-- ~ ADDRESS: ~ ~ ADDRESS: ~ POSITION WITH COMPANY: BUSINESS PHONE: ~ EXPERIENCE, EDUCATION AND TRAINING WHICH YOU FEEL QUALIFY YOU FOR THIS BOARD/ COMMISSION: ~,~ '~Y ~/< ~.~ ~.,~ 'Z~ ..~.-~, ~-~' ./~.~.~'~-. " WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING) LIST TWO REFERENCES: NAME: /~/~ d ~ ~' C ~c-/~.~ ~ ADDRESS: -~ ~¢ 7 ~.~ c = *-~ ~.-.~,~,> ~ Specific attention should be directed to possible conflict of interest. For fu~her clarif~atio~ if a situation arises, contact the appropriate Staff personnel or Legal Staff. ~ ¢~ ~ Are you currently se~ing on a City Board or Commission: ~:~'* }~' ~ '~'~ If questions, contact the City Clerk's Office, City Hall, 13th & Central, Dubuque, I~, ~00~ ~/-~ Phone: 589-4120; ALL NAMES WILL BE DROPPED FROM THE LIST A~ER A O~R ~RIO~ SIGNATURE ~~