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Boards and Commission Application ReviewVACANCIES AND APPLICATIONS FOR CITY OF DUBUQUE BOARDS AND COMMISSIONS For Council Meeting of Monday, June 6, 2011 6:30 p.m., Historic Federal Building, 350 W. 6 Street APPLICANTS ARE INVITED TO ADDRESS THE COUNCIL ON THEIR POSSIBLE APPOINTMENT Human Rights Commission Two 3 -year terms through January 1, 2012 (vacant terms of Apel and Sutton) Applicants: Regine Ronek, 2282 White Street Judie Root, 364 Hill Street Ms. Ronek and Ms. Root both currently serve on the Housing Commission This commission is subject the State of Iowa Gender Balance Law effective January 1, 2012. CITY OF DUBUQUE, IOWA - BOARDS AND COMMISSIONS * - Denotes Chairperson; For Information: 589 -4120 AIRPORT COMMISSION - 4 Yr. Term Meets 4th Monday 4 p.m. - Airport Amy Wagner 09 -14 -12 Douglas Brotherton *Michael A. Santillo Charles Daoud Steven R. Accinelli Ellen H Henkels Julie Steffen *Geri Shafer Louise Kames Marina O'Rourke Rosenow Susan Riedel Paul Hemmer Ruth Ann Hanson John F. Ganshirt Donald Lochner Robert Schaub Greg Hutchinson Cynthia A. Fuller 'Bryce Parks Rod Bakke Vacant (Term of Field) Barb Kurt Elizabeth Takes *Daniel White James Schilling 09 -14 -13 09 -14 -13 09 -14 -14 09 -14 -14 AIRPORT ZONING COMMISSION 6 Yr. Term - Apptd. 1996, Meets on Call 'Steve Horsfield (By Board Vote) 01 -03 -02 Linda Lucy (County) 12 -31 -02 Marianne Krause (County) 12 -31 -08 Tom Henschel (City ZAC) 01 -03 -14 Jeff Stiles (City SAC) 01 -03 -14 AIRPORT ZONING BOARD OF ADJUSTMENT 5 Year Term, Meets on Call *Vacant (By Board Vote) Randall J. Klauer (City ZBA) 02 -15 -11 Michael A. Ruden (CityZBA) 02 -15 -11 Darlene Burds (County) 02 -15 -11 Ron Koppes (County) 02 -15 -11 ARTS AND CULTURAL AFFAIRS ADVISORY COMM. 3 Yr Term Meets 4"' Tues., 4:30, Library Brd Rm. (Bus/Prof) 06 - - (Bus /Prof Dist) 06 - - (At Large) 06 - - (Arts) 06 -30 -13 (Arts) 06 -30 -13 (Arts) 06 -30 -13 (Arts) 06 -30 -13 BOARD OF APPEALS - BUILDING CODE Appt. 3 Yr. Term, Meets on Call Vacant (Term of Anglese) (At Lrg) 08 - - Marla Cruise (ADA Rep) 08-01 -12 Chuck Carr (Gen. Cont.) 08 -01 -12 Richard G. Luchsinger (At Lrg) 08 -01 -12 John Schwendinger (Jrny.Carp) 08 -01 -13 *F. James Kolf (Arch/Engr.) 08 -01 -13 1 (ADA new position awaiting applicants) TBD CITY BOARD OF REVIEW (w/County) Appt. 6 Yr. Term, Meets May 1 -30 (Realtor) 01 - 01 - 14 (consul 01 -01 -14 01 -01 -16 01 -01 -17 01 -01 -17 CIVIC CENTER ADV COMMISSION 3 Yr. Term - Meet 4:30 p.m. 4th Monday at Five Flags 06 -29 -12 06 -29 -12 06 -29 -13 06 -29 -13 06 -29 -13 CIVIL SERVICE COMMISSION 4 Yr. Term, Meets on Call 04 -06 -12 04 -06 -13 04 -06 -14 COMMUNITY DEVEL ADV. COMMISSION 3 Yr. Term, Meets 3 Wednesday, 5:30 p.m. at Federal BIdgJHousing Thomas Wainwright (At Large) 02 -15 -12 *Hilary A. Stubben (Low /M Inc A) 02 -15 -12 Paula Maloy, SVM (At Large) 02 -15 -13 Theresa Caldwell (Low/M Inc A) 02 -15 -13 Peter Koshakji (At Large) 02 -15 -13 Ricardo Woods (Housing Rep) 08 -15 -13 Ann Michalski (At- Large) 02 -15 -14 David Shaw (Low/M Inc Area) 02 -15 -14 Vacant (t/o Craddieth) (Low/M Inc Area) 02 - - ELECTRICAL CODE BOARD 3 Yr. Term; Meets Bi- Monthly Bob Schmidt Paul J. Uhlrich James Dixon Dan Hammel Ronald Mueller Elaine L. Reiss *Kevin Pfohl ENTERPRISE ZONE COMMISSION 3 Year Term, Meets on Call *Rick Stein Dan LoBianco Doug Stillings Richard Van Iten Kelley Deutmeyer Dave Baker Peggy Murray Mike Van Milligen Daniel White *Wayne Klostermann Edward Cawley Gayle Walter Aditi Sinha Vacant - Youth (Term of Miller) Michael J. Buelow Chad Oberdoerster (Elec. Bkground) 05 - - (Elec. Bkground) 05 - - (Elec. Con.) 05 - - (Jour /Main) 05 - - (At Large) 05 - 21 - 14 (Elec. Engr.) 05 - - (Jour /Maint) 05 - - (At Large) 2 - - (At Large) 2 - - (At Large) 2 - - (from LRP) 2 - - (IDED) 2 - 15 - 13 (Intl Labor) 2 - - (IA workforce Den) 2 - - (Council Rep) 2 - 1544 (NICC) 2-15-14 ENVIRONMENTAL STEWARDSHIP ADVISORY COMMISSION - 3 Yr. Term Meets 1" Tues. 5 p.m. City Hall Annex 10 -01 -11 10 -01 -11 10 -01 -12 10 -01 -13 06 -01 -13 10 -01 -13 10 -01 -13 HISTORIC PRESERVATION COMM. Appt. 3 Yr. Term, Meets 3 Thursday, 5:30 p.m., Federal Bldg D. Joseph Rapp (Old Main Interim) 07 -01 -11 Christopher J. Wand (Arch /At Lg) 07 -01 -11 *David Klavitter (Langworthy) 07 -01 -11 Mary Loney Bichell (At Large) 07 -01 -12 Michael Knight (At Large) 07 -01 -12 Christine Olson (At Large) 07 -01 -12 Vacant (Term of Stover) (Cathedral) 07 - - Robert McDonell (Jackson Pk) 07 -01 -13 John E. Whalen, MD (w.11th) 07 -01 -13 HOUSING COMMISSION 3 Yr. Term, 4"' Tues. 4:30 p.m., Fed Bldg Amy Eudaley 08 -17 -11 Patricia Rogaskie 08 -17 -11 Regine Ronek 08 -17 -11 *David J. Kepler 08 -17 -12 Dorothy Culbertson(rrust Fund Rep)08 - 17 - 12 Jim Holz (Trust Fund Rep)08 - 17 - 12 Lisa McAllister (Sec. 8 Area) 08 -17 -12 Judie Root 08 -17 -13 Dorothy Schwendinger, OSF 08 -17 -13 Ricardo Woods (coac Rep) 08 -17 -13 HOUSING TRUST FUND ADVISORY COMMITTEE 3 Yr. Term, Meets 6x/Year *Jim Holz Dorothy Culbertson Doris M. Hingtgen Vacant (Term of Eddy) John V. Walsh HOUSING CODE APPEALS BOARD 3 Yr. Term, 3 Tues. 4:30 p.m. Fed Bldg. Fred Miller Paul Newman *Robert Schaub William J. Kinsella Vacant (Term of Matheos) David Young Vacant (Term of Moore) *Anthony Allen Kurt Hansen R.R.S. Stewart Vacant (Term of Apel) Frederick Davis, Jr. Vacant (Term of Sutton) Andrea Beacham Michael Elliot Megan Gloss (From Hsg) 08 (From Hsg) 09 - - (At Large) 09 - - (From. Hsg.) 08 - - (At Large) 09 - - 01 -11 -12 01 -11 -12 01 -11 -13 01 -11 -13 01 -11 -13 01 -11 -14 01 -11 -14 HUMAN RIGHTS COMMISSION 3 Yr. Term, Meets 2 " Mon. 4:30 Annex 01 -01 -12 01 -01 -12 01 -01 -12 01 -01 -13 01 -01 -13 01 -01 -13 01 -01 -14 01 -01 -14 01 -01 -14 As prepared for the 6/6/11 Council meeting INVESTMENT OVERSIGHT ADVISORY COMMISSION - 3 Yr. Term, Meets Qtrly; 4"' Wednesday 3 p.m. City Hall "A" Virgil Blocker Brad Chalmers Hiram Melendez *Gary Ruden Stephen V. Reisdorf 07 -01 -11 07 -01 -12 07 -01 -12 07 -01 -13 07 -01 -13 LIBRARY BOARD OF TRUSTEES 4 Yr Term, Meets 4 Thurs. 4 p.m.Library Paula Connors Elizabeth Leeper David Hammer Kristen L. Smith Mike Willis *Diann Guns Fred Miller (12) 07 -01 -11 (12) 07 -01 -11 (15) 07 -01 -11 (15) 07 -01 -11 07 -01 -13 07 -01 -14 07 -01 -14 LONG RANGE PLAN'G ADV COMM. 3 Yr Term Meets 3" Wed. 7p.m. Fed Bldg Vacant (Term of Braig) 07 -01 -11 Richard Van Iten (Ent Zone Rep) 07 -01 -11 Alan Vincent 07 -01 -11 John Pregler 07 -01 -12 Chad Darter 07 -01 -12 Charles Winterwood, MD 07 -01 -13 *James F. Prochaska 07 -01 -13 MECHANICAL CODE BOARD 3 Yr. Term - Meets Qrtly, City Hall Gary Hillard *Tom W. Giese Corey Valaskey David Grothe Michael P. Kelly Paul J. Papin Ronald Billmeyer MEDIACOM CHARITABLE FOUNDATION 1 Yr. Term, On -Call, CC Appt'd Reps. Gail Chavenelle Connie Twining Tom Blocklinger Vacant (Term of Noble) Evelyn Nadeau Robert Blocker Karen C. Lyness David Schlueter Paul Hoffmann Anthony Allen Mary Rae Bragg Diane Callahan Jonathan Cheatham Rachel Daack Ann Ernst Doug Stillings SusanStork Amanda Elkins 03 -16 -14 03 -16 -14 03 -16 -12 03 -16 -12 03 -16 -13 03 -16 -13 03 -16 -13 12/31/11 12/31/11 MISSISSIPPI RIVER PARTNERSHIP Council Apptd. Rep - 3 Year Term Edward Cawley (Apptd Citizen Rep) 12 -31 -12 PARK AND RECREATION ADV. COMM. 3 Year Term Meets 2 " Tues. 4:30 p.m. Bunker Hill 06 -30 -11 06 -30 -11 06 -30 -11 06 -30 -12 06 -30 -13 06 -30 -13 06 -30 -13 PLUMBING CODE BOARD 3 Yr. Term, Meets Quarterly, City Hall Stanley G. Gonner (Master) 11 -02 -11 *Harlan J. Willenborg (Master) 11 -02 -11 Vacant (Term of Swift) (At Large) 11 - - Dan Harris (At Large) 11 - 02 - 12 Paul Pepin (at will) (Journeyman) 11 - - SAFE COMMUNITY ADVISORY CMTE 1 Yr Terms, Terms, Meets Quarterly 12/31/11 12/31/11 12/31/11 12/31/11 12/31/11 12/31/11 12/31/11 12/31/11 12/31/11 SISTER CITY RELATIONSHIPS ADV CMS 3 Yr Terms, Meets Quarterly Kevin Lynch Joyce Connors Jeffrey Jochum William Mclntee Pat McNamara Michael Coty Betty Phillips Louise Thurn Larissa Filimonenko Sheila Castenada Dick Landis Jill Connors Annalee Ward TRANSIT ADVISORY BOARD 3 yr. Term, Meet Monthly, 2" Thurs. Lib R.R.S. Stewart George Enderson *Joel Lightcap Matthew Esser Rhonda Knight Vacant (Term of Bellings) Ronald Tigges Walter Webster *Charlie Ellis Kevin R. Stevens Pauline J. Maloney George P. Herrig Sr. Carol Hoverman Jennifer L. Tigges Alan Vincent Vacant (Term of McDonough) Vacant (Term of Everist) Martha E. Christ Thomas Henschel Ron Smith Charles Miller Stephen Hardie Patrick Norton *Jeff Stiles William J. Gibbs Jeff Cremer Heath Hutchinson *Michael A. Ruden Randall J. Klauer (Council Rep) (Council Rep) 2/1/12 2/1/12 2/1/12 2/1/13 2/1/13 2/1/13 2/1/14 2/1/14 2/1/14 2/1/14 2/1/14 07 -30 -11 07 -30 -11 07 -30 -11 07 -30 -12 07 -30 -13 TV CABLE REGULATORY COMMISSION 3 Yr. Term, Meets 2 Wed OC. 5:30 Annex 06 -30 -10 06 -30 -11 06 -30 -11 06 -30 -12 06 -30 -13 TV CABLE COMMUNITY TELEPROGRAMMING COMMISSION 3 Yr. Term, Meets 1 Tues. 5:30 Annex 06-30-11 06 -30 -11 06 -30 -11 06 -30 -12 06 -30 -12 06 -30 -12 06 -30 -13 ZONING ADVISORY COMMISSION 3 Yr. Term, Meets 1 Wed. 6:30 Fed Bldg 07 -01 -11 (Airport ZC) 07 - - 07 -01 -11 07 -01 -12 07 -01 -12 07 -01 -13 (Airport ZC) 07 - - ZONING BOARD OF ADJUSTMENT 5 Yr Term; Meets 4 Thurs. 4 pm Fed Bldg 03 -25 -12 03 -25 -13 03 -25 -14 (Airport ZBA) 03 - - (Airport ZBA) 03 - - Chapter 2 HUMAN RIGHTS COMMISSION 8 -2 -1: CREATED: There is hereby created a human rights commission. (Ord. 18 -09, 4 -6 -2009) 8 -2 -2: COMPOSITION: The human rights commission created by this chapter shall consist of nine (9) members. (Ord. 18 -09, 4 -6 -2009) 8 -2 -3: APPOINTMENT; TERMS; FILLING OF VACANCIES: The human rights commission members shall be appointed by the city council for terms of three (3) years each and shall serve thereafter until a successor has been appointed. Vacancies shall be filled for the remainder of the unexpired term. Appointments shall take into consideration the various racial, religious, cultural and social groups of the city. (Ord. 18 -09, 4- 6 -2009) 8 -2-4: OFFICERS: The human rights commission created by this chapter shall elect from its own membership, at its regular March meeting, its chairperson and vice chairperson, each to serve a term of one year. The chairperson shall appoint a secretary, who need not be a member of the commission. The commission shall fill vacancies among its officers for the remainder of the unexpired term. (Ord. 18 -09, 4 -6 -2009) 8 -2 -5: COMPENSATION: The members of the human rights commission created by this chapter shall serve without compensation; provided, that they may receive reimbursement for necessary travel and other expenses while on official commission business and such shall be within the limits established in the city budget. (Ord. 18 -09, 4 -6 -2009) 8 -2 -6: REMOVAL OF MEMBERS FOR UNEXCUSED ABSENCES: In the event a member of the human rights commission created by this chapter has been absent for three (3) or more consecutive meetings without being excused by the chairperson, the commission by majority vote may certify such fact to the city council and petition the city council to declare a vacancy by reason of such unexcused absence and appoint a successor to fill such vacancy. (Ord. 18 -09, 4 -6 -2009) 8 -2 -7: RULES: The human rights commission created by this chapter may adopt, amend, or rescind such rules as may be necessary for the conduct of its business. (Ord. 18 -09, 4 -6 -2009) 8 -2 -8: MEETINGS: A. Regular Meetings: The human rights commission shall meet not less than monthly on a regular basis. B. Special Meetings; Notice: The chairperson, the vice chairperson, or any three (3) members of the human rights commission may call a special meeting by giving at least twenty four (24) hours' notice to every other member of the commission. The call for a special meeting shall include an agenda and only matters included in that agenda may be acted on at the meeting. C. Conformance With Open Meetings Law: All meetings of the human rights commission shall be held in conformance with the Iowa open meetings law'. D. Attendance: Members of the human rights commission shall attend at least two- thirds ( of all regularly scheduled meetings within any twelve (12) month period. If any member does not attend such prescribed number of meetings, it shall constitute grounds for the commission to recommend to the city council that said member be replaced. Attendance of all members shall be entered on the minutes. (Ord. 18 -09, 4 -6 -2009) 8 -2 -9: QUORUM: A quorum of the human rights commission shall be five (5) members. A majority of the members present and voting shall be necessary for the passage of any motion. The chairperson shall vote as a member of the commission. (Ord. 18 -09, 4 -6 -2009) 8 -2 -10: RECORDS TO BE PUBLIC; EXCEPTIONS: All records of the human rights commission shall be public except charges, complaints, reports of investigations, statements, and other documents or records obtained in investigation of any charges shall be closed records. (Ord. 18 -09, 4 -6 -2009) 8 -2 -11: CONFIDENTIALITY OF COMPLAINTS: No member of the human rights commission or its staff shall disclose the filing of a charge, the information gathered during the investigation, or the endeavors to eliminate such discriminatory or unfair practice by conference, conciliation, or persuasion unless such disclosure is made in connection with the conduct of such investigation or after the commission has held a public hearing upon a complaint filed in connection with such charge. This section does not prevent any complainant, witness, or other person from publicizing the filing of a charge or complaint or the matter therein complained of. (Ord. 18 -09, 4 -6 -2009) 8 -2 -12: POWERS AND DUTIES: The human rights commission created by this chapter shall have the following powers and duties: A. To receive, investigate, and finally determine the merits of complaints alleging unfair or discriminatory practices. B. To investigate and study the existence, character, causes, and extent of discrimination in public accommodations, employment, apprenticeship programs, on the job training programs, vocational schools, other educational institutions, and housing in the city and to attempt the elimination of such discrimination by education and conciliation. C. To hold hearings upon any complaint made against a person, an employer, an employment agency, a labor organization, or the employees or members thereof, to subpoena witnesses and compel their attendance at such hearings, to administer oaths and take the testimony of any person under oath and to compel such person, employer, employment agency, labor organization, or employees or members thereof, to produce for examination any books and papers relating to any matter involved in such complaint. The commission shall issue subpoenas for witnesses in the same manner and for the same purpose on behalf of the respondent upon the respondent's request. Such hearings may be held by the commission, by any commissioner, or by any hearing examiner appointed by the commission. If a witness either fails or refuses to obey a subpoena issued by the commission, the commission may petition the district court having jurisdiction for issuance of a subpoena and the court shall, in a proper case, issue the subpoena. Refusal to obey such subpoena shall be subject to punishment for contempt. D. To issue such publication and reports of investigations and research as in the judgment of the commission shall promote civil and respectful behavior which shall tend to eliminate discrimination. E. To prepare and transmit to the mayor and city council from time to time, but not less often than once each year, reports describing its proceedings, investigations, hearings conducted, and the outcome thereof, decisions rendered, and the other work performed by the commission. F. To make recommendations to the city council concerning discrimination. G. To cooperate, within the limits of any appropriations made for its operation, with other agencies or organizations, both public and private, whose purposes are consistent with those of this chapter, in the planning and conducting of programs designed to eliminate discrimination or cultural and intergroup tensions. H. To adopt, publish, amend and rescind regulations consistent with and necessary for the enforcement of this chapter. I. To delegate any of its functions, duties and powers to its staff including functions, duties and powers with respect to investigating, conciliating, determining, certifying, reporting, or otherwise acting as to any work, business, or matter under this title. J. To receive, administer, dispense, and account for any restricted funds that may be voluntarily contributed to the commission and any grants that may be awarded the commission for furthering the purposes of this title. No disbursements will be made of any restricted funds without authority from the city council. (Ord. 18 -09, 4 -6 -2009) 8 -2 -13: CITY POLICIES APPLICABLE TO COMMISSION OPERATIONS: All administrative, personnel, accounting, budgetary and procurement policies of the city shall govern the human rights commission in all its operations. (Ord. 18 -09, 4 -6 -2009) 8 -2 -14: SUBPOENAS: The human rights commission may issue subpoenas and order discovery in aid of investigations under this title. Such subpoenas and discovery may be ordered to the same extent and subject to the same limitations as would apply for county attorney subpoenas. (Ord. 18 -09, 4 -6 -2009) 4 Masterpiece on the Mississippi Individuals serving on Boards and Commissions play an important role in advising the City Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 West 13 Street, Dubuque, IA accepts applications for any Board and /or Commission at any time, and the application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled 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 Board or 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: ` ` i ■ ADVISORY BOARD /COMMISSION APPLYING FOR: � C"` I;11I ` - c'�Y1 (Some boards commis i s require ate of Iowa Gender Balance compliance) �l NAME: �� 1_. ADDRESS: �� IZ� ��' )� ` ity o Dubuque residency required) BUSINESS: OCCUPATION: / N-10 N E HOME PHONE: I (L. 3 �� .j 1 E -MAIL ADDRESS(ES): ; csk. [ ) \--(c C - EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD /COMMISSION: WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: t \c e_ ILL )c LIST TWO REFERENCES.: NAME: , >>k_d, Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the appropriate staff person or the City's legal staff. Are you currently serving on a City Board or Comm'ssion: SIGNATURE: CITY OF DUBUQUE, IOWA BOARD /COMMISSION APPLICATION ADDRESS: POSITION WITH COMPANY: BUSINESS PHONE: ADDRESS: ,'$ 5 (c '`)DC JO ADDRESS: , Ep Lk j (( �j � I Dubuque head I) I II I 2007 Name: ( )19l`� I ul C I /.'' In I S CJl If questions, contact the City Clerk's Office, City Hall, 50 W. 13 St., Dubuque, IA 52001. Phone 563/589 -4120. Fax 563 / 589 -0890, www.cityofdubuque.org. All names will be dropped from the list after a one -year period. RECEIVED 11 MAY 26 AM 32 City Cia Office Dubuque, IA H THE CITY OF DUB E Masterpiece on the Mississippi Individuals serving on Boards and Commissions play an important role in advising the City Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 West 13 Street, Dubuque, IA accepts applications for any Board and /or Commission at any time, and the application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled 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 Board or 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). 1��� j J DATE: </ / ADVISORY BOARD /COMMLSSION APPLYING FOR: �um( . l �� - hs o 11 (Some boards /commissions rrep Stat of Iowa Gender Balance compliance) NAME: e ) � d/ e ...) ( J U o * ADDRESS: 3/el / / // 6`'11r e _ (City of Dubuque residency required) ADDRESS: Al/fr OA POSITION WITH COMPANY: HOME PHONE: „fie 53Z ' BUSINESS PHONE: /1!//* E- MAILADDRESS(ES): 1m r) ()OF 9 -mil iri r-p 1T! v BUSINESS: OCCUPATION: 7Df$Qh/e 'J EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD /COMMISSION: 7( ed q Carl) at A /.6 11 )c -i P er oh -f 3,485 (Tit RA. 'Thin) c Qmku m &zif (5 n , 725/n 5/ PP ,Q.0() D f °[fie CAA Q) WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: T ( a .9 be lie vi✓ r -�' b( r5 i/) v /1Jecd z �� rnuil - i� r7 e0/22mo ` dY� � �� l�u r / 7 r �-/ t° S ��� r (,/) 2i/(2_ 5d� 4f' 1 - his s i7), 5ab% d LIST O R C S. j 4). - it''D rr e, `+� /JrioS f T pn rn ( /7d /e5 s 1 A20 002e, /' c q !r5 q6 4 NAME: 6 6,r 1" /�yf L1JS ADDRESS: t7f)ili /7CcC.) C'_ 6(.4+ /5 /5 "34' ?/- NAME:- /,', /(/ y rr/ s ADDRESS: �.� C /() >L-6 Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the appropriate staff person or the City's legal staff. Are you currently sere, on a City Board or Commission: CITY OF DUBUQUE, IOWA BOARD /COMMISSION APPLICATION SIGNATURE: /(e Name: / y//G(,St tact the City Clerk's Office, City Hall, 50 W. 13 St., Dubuque, IA 52001. Phone 563/589 -4120. Fax If questions, 563 / 589 -0890; www.cityofdubuque.org. All names will be dropped from the list after a one -year period. Dubuque bittal 'T I� 2007 RECEIVED 11 MAY 26 PM 1: 08 City C,erk`s' Office Dubuque, IA