Boards and Commissions Application ReviewVACANCIES AND APPLICATIONS FOR CITY OF DUBUQUE
BOARDS AND COMMISSIONS
For Council Meeting of
Monday May 5, 2014
6:30 p.m., Historic Federal Building, 350 W. 6th Street
APPLICANTS ARE INVITED TO ADDRESS THE COUNCIL
REGARDING THEIR APPLICATION FOR APPOINTMENT
Electrical Code Board
Two, 3 -year term through May 21, 2017 (Expired terms of Dixion and Wilson)
Applicants:
James Dixon, 2505 Marquette PI.
David Wilson, 2918 Washington
CITY OF DUBUQUE, IOWA - BOARDS AND COMMISSIONS
As prepared for the Council Meeting 5-5-14
AIRPORT COMMISSION -4 Yr. Term
Meets 4th Monday 4 p.m. - Airport
Douglas
Chris
Steven
Charles
Amy
Darlene
Jeff
Ron
Heath
Vacant
Vacant
Linda
Marianne
Michael
Thomas
Brotherton
Even
Accinelli
Daoud
Wagner
09/14/17
09/14/17
09/14/14
09/14/14
09/14/16
AIRPORT ZONING BOARD OF ADJUSTMENTS
5 Yr. Term, Meets on Call
Burds (At Will)
Cremer
Koppes (At Will)
Hutchinson
Vacant
County Representative 02/15/11
City ZBA Rep. 03/25/18
County Representative 02/15/11
City ZBA Rep. 02/15/14
Appointed by4 memb. (chair) unknown
AIRPORT ZONING COMMISSION
6 Yr. Term - Apptd. 1996, Meets on Call
J
Vacant
Lucy (At Will)
Krause (At Will)
Belmont
Henschel
Appointed by 4 members 01/03/02
County Representative 12/31/02
County Representative 12/31/08
CityZAC Representative 01/03/17
CityZAC Representative 01/03/17
HOUSING CODE APPEALS BOARD
3 Yr. Term, 3rd Tues. 4:00 p.m. Fed Bldg.
Vacant
Vacant
Vacant
David
Mary
Frederick K.
Robert
Vacant
Vacant
Vacant
Young
Gotz
Miller
Schaub
Tenant/Landlord Issues 01/11/13
Tenant/Landlord Issues 01/11/13
Tenant/Landlord Issues 01/11/14
Tenant/Landlord Issues 01/11/17
Tenant/Landlord Issues 01/11/15
Tenant/Landlord Issues 01/11/15
Tenant/Landlord Issues 01/11/16
HOUSING COMMISSION
3 Yr. Term, 4th Tues. 4:00 p.m., Fed. Bldg.
Vacant
David
Dorothy
Ricardo
Rick
Amy
Anna
Patricia
Jim
Robert
Vacant
Wall
Schwendinger
Woods
Baumhover
Eudaley
Fernandes
Foster
Holz
McDonell
08/17/12
08/17/16
Trust Fund Rep 08/17/16
08/17/16
08/17/14
Trust Fund Rep 08/17/14
08/17/15
08/17/15
Trust Fund Rep 08/17/15
08/17/15
ARTS AND CULTURAL AFFAIRS ADVISORY COMMISSION
3 Yr. Term, Meets 4th Tues., Library Board Room Tom
Ellen Henkels Business Professional -In 06/30/15 Andrea
Gina Siegert Business Professional -Out 06/30/15 Christopher
Julie Steffen At -Large 06/30/15 Miguel
Katherine Kluseman Arts Rep 06/30/16 Anthony
Marina O'Rourke-Rosenow Arts Rep 06/30/16 Howard
Susan Riedel Arts Rep 06/30/16 Jeff
Jessica Teckemeyer Arts Rep 06/30/16 R.R.S.
Andrea
L
HUMAN RIGHTS COMMISSION
3 Yr. Term, Meets 2nd Mon. City Hall Annex
BOARD OF APPEALS - BUILDING CODE
3 Yr. Term, Meets on Call
Chuck
F. James
Vacant
Vacant
Vacant
Marla
Richard
Carr (At Will)
Koff
Vacant
Vacant
Vacant
Cruise
Luschsinger
General Contractor 08/01/12
Architect/Engineer 08/01/16
Journeyman Carpenter 08/01/13
ADA Representative 08101/14
At -Large 08/01/14
ADA Representative 08/01/15
At -Large 08/01/15
CABLE TV COMMISSION
3 Yr. Term, Meets TBD
Pauline
Kevin
Ronald
Sr. Carol
Kathleen
Jennifer
Alan
Maloney
Stevens
Tigges
Hoverman
McMullen
Tigges
Vincent
07/01/14
07/01/14
07/01/14
07101/15
07101/15
07101/15
07/01/15
CATFISH CREEK WATERSHED MANAGEMENT AUTHORITY
2 Yr. term, Meets Quarterly
Theothoros
Will
Giannakouros
Hoyer
CITY BOARD OF REVIEW (w/County)
6 Yr. Term, Meets May 1-30
Laure
Jean
Donald
Greg
Robert
Lewis
Hoeger
Lochner
Hutchinson
Schaub
01101/19
01101/19
01101/16
01/01/17
01/01/17 Vacant
Tom
Gary
David
04/06/14 Corey
04/06/16 Ronald
04/06/17 Paul
LoGuidice
Beacham
Osty inkle
Jackson
Allen
Lee 111
Lenhart
Stewart
Helgager
01101/16
01101/17
01101/17
01/01/17
01/01/15
01/01/15
01101/15
01101/15
01101/16
INVESTMENT OVERSIGHT ADVISORY COMMISSION
3 Yr. Term, Meets Qrtly; 4th Wed. 3 p.m. City Hall "A"
Paul
Brad
Rick
Stephen
Gary
Lassance
Chalmers
Runde
Reisdorf
Ruden
07101/14
07101/15
07101/15
07/01/16
07/01/16
LIBRARY BOARD OF TRUSTEES
4 Yr. Term, Meets 4th Thur. 4 p.m. Library
1
Diann
Frederick K.
Daniel
Jenny
John
Paula
Mike
Guns
Miller
Boice
Harris
Anderson -Bricker
Connors
Willis
07101/14
07/01/14
07/01/15
07/01/15
07101/16
07101/16
07101/17
LONG RANGE PLANNING ADVISORY COMM.
3 Yr. Term, Meets Qrtly, City Hall
Craig
Vacant
Alan
Chad
John
James
Dr. Charles
Beytien
Vacant
Vincent
Darter
Pregler
Prochaska
Winterwood
07101/14
07101/14
07101/14
07/01/15
07/01/15
07/01/16
07101/16
MECHANICAL CODE BOARD
3 Yr. Term, Meets Qrtly, City Hall
CIVIL SERVICE COMMISSION
4 Yr. Term Meets on Call
Vacant
Elizabeth
Daniel
Vacant
Takes
White
Vacant
Giese
Hillard
Grothe
Valaskey
Billmeyer
Papin
03/16/13
03/16/17
03/16/17
03/16/15
03/16/15
03/16/16
03/16/16
CIVIC CENTER ADVISORY COMMISSION
3 Yr. Term - Meets 3:30 p.m. Meets Quarterly at Five Flags
Tyler
McKenzie
Adrienne
Bryce
Rod
Daugherty
Hill
Scott
Parks
Bakke
MEDIACOM CHARITABLE FOUNDATION
1 Yr. Term, On Call, CC Appt'd Reps.
06/29/15 Gail
06/29/16 Connie
06/29/16
06/29/15
06/29/16
Vacant
Chavenelle
Twining
12/31/14
12/31/14
MISSISSIPPI RIVER PARTNERSHIP
3 Yr. Term, Council Appt'd Rep
COMMUNITY DEVELOPMENT ADVISORY COMMISSION
3 Yr. Term, Meets 3rd Wed., 5:30 p.m. at Federal Bldg./Housing
Ricardo
Janice
Ann
Robert
Angela
Thomas
Theresa
Mary Bridget
Paula
Woods
Craddieth
Michalski
Block II
Kelley
Wainwright
Caldwell
Corken
Maloy, SVM
Housing Commission Rep 08/15/16
LowdMod Income Area 02/15/17
'REF! 02/15/17
LowdMod Income Area 02/15/17
Low/Mod Income Area 02/15/15
At -Large 02/15/15
Low/Mod Income Area 02/15/16
At -Large 02/15/16
At -Large 02/15/16
ELECTRICAL CODE BOARD
3 Yr. Term, Meets Bi -Monthly
James
Dan
Kevin
Elaine
David
Bob
Paul
Dixon
Hammel
Pfohl
Reiss
Wilson
Schmidt
Uhlrich
Electrical Contractor 05/21/14
Journeyman/Maintenance 05/21/14
JoumeymanlMaintenance 05/21/14
Electrical Engineer 05/21/14
At -Large 05121/14
Electrical Background 05/21/15
Electrical Background 05/21/15
ENTERPRISE ZONE COMMISSION
3 Yr. Term, Meets on Call
Peggy
Michael
Daniel
Daniel
Richard
Doug
Dave
Kelley
Richard
Murray
Van Milligen
White
LoBianco
Stein
Stillings
Baker
Hutton-Deutmeyer
Van !ten
Workforce Devel Center 02/15/14
Council Representative 02/15/14
NICC Representative 02/15/14
At -Large 02/15/15
At -Large 02/15/15
At -Large 02/15/15
International Labor Union 02/15/16
ECIA Rep 02/15/16
Long Range Planning Rep 02/15/16
ENVIRONMENTAL STEWARDSHIP ADVISORY COMMISSION
3 Yr. Term, Meets 1st Tuesday 5 p.m. City Hall Annex
Kyl e
Michael
Chad
Aditi
Julie
Jacob
David
Leytem
Buelow
Oberdoerster
Sinha
Beck
Bergum
Koch
Youth Rep. 30 yrs/under 06101/16
10101/16
10101/16
10/01/16
10/01/14
10/01/14
10101/15
HISTORIC PRESERVATION COMMISSION
3 Yr. Term, Meets 3rd Thur., 5:30 p.m., Federal Bldg.
Dr. John E.
David
Christina
D. Joseph
Julie
Mary Loney
Christine
Otto
Robert
Whalen
Klavitter
Monk
Rapp
Schlarman
Bichell
Happ-Olson
Krueger
McDonell
W 11th District 07/01/16
Langworthy District 07/01/14
Architect At -Large 07101/14
Old Main District - Interim 07101/14
Cathedral District 07/01/14
At -Large 07/01/15
At -Large 07/01/15
At -Large 07/01/15
Jackson Park District 07101/16
HOUSING TRUST FUND ADVISORY COMMISSION
3 Yr. Term, Meets 6 times per Year
Dorothy
John
Amy
Jim
Doris
Schwendinger
Walsh
Eudaley
Holz
Hingtgen
Housing Commission Rep 08/17/16
At -Large 09/08/16
Housing Commission Rep 08/17/14
Housing Commission Rep 08/17/15
At -Large 09/17/15
Vacant
12/31/15
PARK AND RECREATION ADVISORY COMMISSION
3 Yr. Term, Meets 2nd Tues., 4:30 p.m. Bunker Hill
Robin
Kenneth
Evelyn
Robert
Katherine
Karen
David
Kennicker
Klinge
Nadeau
Blocker
Lydon
Lyness
Schlueter
06/30/14
06/30/14
06/30/14
06/30/15
06/30/16
06/30/16
06/30/16
PLUMBING CODE BOARD
3 Yr. Term, Meets Quarterly, City Hall
Vacant
Vacant
Vacant
Paul
Vacant
Vacant
Vacant
Vacant
Papin (At Will)
Vacant
Master Plumber 11/02/11
At -Large 11/02/12
Master Plumber 11/02/14
Journeyman 11/02/15
Bachelor Science Phys. 11/02/15
SISTER CITY RELATIONSHIP ADVISORY COMMISSION
3 Yr. Term, Meets Quarterly
Sheila
Robert
Richard
Dick
Annalee
Jeffrey
Phyllis
Patrick
Betty
Nancy
Louise
Castaneda
Felderman
Van !ten
Landis
Ward
Jochum
Lee
McNamara
Phillips
Rhomberg
Thurn
02/01/17
02/01/17
02/01/17
02/01/17
02/01/17
02/01/15
02/01/15
02/01/15
02/01/16
02/01/16
02/01/16
TRANSIT ADVISORY COMMISSION
3 Yr. Term, Meets monthly, 2nd Thur. Fed. Bldg..
Rhonda
George
Joel
R.R.S.
Mathew
Knight
Enderson
Lightcap
Stewart
Esser
07/30/16
07/30/14
07/30/14
07/30/14
07/30/15
ZONING ADVISORY COMMISSION
3 Yr. Term, Meets 1st Wed. 6:30 Fed. Bldg..
Michael
Martha
Thomas
Vacant
Stephen
Vacant
Patrick
Belmont (At Will)
Christ
Henschel
Vacant
Hardie
Vacant
Norton
07101/13
07101/14
07/01/14
07/01/14
07/01/15
07101/15
07101/16
ZONING BOARD OF ADJUSTMENTS
5 Yr. Term, Meets 4th Thur. 4 p.m. Fed. Bldg..
Heath
Eugene
Jonathan
William J.
Jeff
Hutchinson
Bird
McCoy
Gibbs
Cremer
AirportZBA Rep 03/25/14
03/25/15
03/25/16
03/25/17
AirportZBA Rep 03/25/18
Indicates State -mandated board/commission
subject to the 2412 Gender Balance Law.
www
City of Dubuque, Iowa
Boards and Commissions
Current and Upcoming Vacancies Through May 2014
Updated April 24, 2014
Airport Zoning Board of Adjustment "'
Airport Zoning Commission "'
Building Board Code of Appeals
• At -Large
•ADA Representative
• General Contractor
• Journeyman Carpenter
Civil Service Commission***
Electrical Code Board
Housing Commission
• Section 8 Representative
Housing Code Appeals Board
Mechanical Code Board
Mississippi River Partnership Council
Plumbing Board
• At -Large
• Master Plumber
• Bachelor of Science Physical Science
• Journeyman
Zoning Advisory Commission "'
Indicates Subject to the State of Iowa Gender Balance Law
Applications can be printed or submitted on-line from www.cityofdubuque.orq or through the City Clerk's Office.
Applications can be submitted at any time for all boards and commissions and are activated as positions
become available.
Applications remain on file for one year from the date they are submitted.
Some positions may require specific applicant qualifications or compliance with the State of Iowa Gender
Balance Law
For a complete list of boards and commissions, descriptions, terms and meeting information, please visit the
at www.cityofdubuque.orq.
City Clerk's Office • 50 W. 13' Street, Dubuque, IA 52001 • 563.589.4100
ELECTRICAL CODE BOARD
14-1 D-2: NATIONAL ELECTRICAL CODE AMENDMENTS: at
Article 81
81-3. Electrical Code Board.
(a) Board Established. In order to determine the suitability of alternative materials and
methods of installation; to provide for reasonable interpretations of this code; to serve
as an appeal body for the decisions of the building official; to advise the city council on
all electrical regulations and procedures; and to provide for examining applicants for
electrical maintenance license and issuing electrical maintenance license, there is
hereby created the electrical code board.
(b) Membership. The electrical code board shall consist of seven (7) members
appointed by the city council. Six (6) members shall have a background or experience in
electrical engineering, electrical contracting, electrical installation, or electrical
maintenance, and one (1) member shall be appointed from the public at large.
(c) Term Of Office. The term of office of all board members shall be three (3) years.
(d) Rules And Regulations. The electrical code board shall make such rules and
prescribe such procedures as may be reasonably necessary for its operation, except
that such rules shall include the following:
(1) Board Chairperson. The chairperson of the board shall be a member of the board
elected annually by a majority of the board.
(2) Secretary Of The Board. The building official or designee shall be secretary of the
board. The secretary shall arrange for meetings and prepare and keep such minutes
and records and perform such other clerical work as the board may direct.
(3) Quorum. Three (3) members shall constitute a quorum. The concurring vote of three
(3) members of the board shall be necessary to pass any motion.
(4) Service Until Appointment Of Successor. Upon completion of the term office,
members of the board shall continue to serve in their full capacity until their successor
has been duly appointed.
(5) Meetings. Regular meetings of the board shall be held on the fourth (4th) Monday in
January, March, May, July, September, and November. Special meetings may be called
from time to time by the chairperson, the secretary, or the city manager. When the day
fixed for any regular meeting of the board falls upon a day designated as a legal,
national, or city holiday, such meeting shall be held on the next succeeding day not a
holiday. The secretary shall give notice to the members of the board if there is no
business filed with the secretary to be heard by the board by noon on the Wednesday
prior to the regular meeting date and such regular meeting shall stand cancelled. The
secretary shall provide notice of the cancellation of the meeting in the same manner as
notice of a regular meeting. Members of the board shall attend at least two-thirds (2/3) of
all scheduled meetings within a twelve (12) month period. If any member does not
attend such prescribed number of meetings, it shall constitute grounds for the board to
recommend to the city council that said member be replaced.
(6) Attendance. The attendance of all members shall be entered on the minutes by the
secretary.
(7) Conformity With Open Meetings Law. All meetings shall be held in conformance with
provisions of the Iowa open meetings law.
(8) Minutes. The electrical code board shall file with the city council a copy of the
minutes of each meeting of the board within ten (10) business days after such meeting.
(9) Administrative Policies. All administrative, personnel, accounting, budgetary, and
procedural policies of the city shall govern the board in all of its operations.
(10) Duties When Serving As An Appeals Board. Any person who is aggrieved by a
decision of the building official on any requirements resulting from the enforcement of
this code may appeal from such decision to the board and said board shall serve as an
appeal board. In case the aggrieved party is a member of said board, said member shall
be disqualified as a member of the board acting as an appeal board until the person
aggrieved has been heard and a decision rendered.
The appeal shall be made by the person aggrieved, giving written notice of such appeal
to the building official within seven (7) days of receipt of decision from which the appeal
is taken. The electrical code board, sitting as an appeal board, shall meet within ten (10)
business days after receiving such notice and render a decision within five (5) business
days thereafter. Any interested party, including the building official, shall have the right
to present their case to the appeal board, whose decision shall be final unless appealed
to the district court as provided by law.
The board of appeals may reverse or modify a decision of the building official only on
finding that:
a. The building official had incorrectly interpreted the provision of this code; or
b. The decision of the building official creates an unnecessary hardship upon the
appellant.
The board of appeals shall require that sufficient evidence or proof be submitted to
substantiate any claims made regarding the use of alternates.
All appeal hearings shall be conducted in accordance with the procedures specified in
this code.
(e) Limitations Of Authority. The board of appeals shall have no authority relative to
interpretation of the administrative provisions of this code nor shall the board be
empowered to waive requirements of this code.
In so modifying or reversing such decision of the building official, the board of appeals
may authorize any alternate to the decision of the building official and the provisions,
provided it finds the proposed material or method of construction is satisfactory for the
use intended and complies with the provisions of this code and that the material,
method, or work offered is, for the purpose intended, at least equivalent to that
prescribed by this code in suitability, strength, effectiveness, durability, and safety.
81-4. Violations. It shall be unlawful for any person, firm, or corporation to erect,
construct, enlarge, alter, repair, move, improve, remove, convert, demolish, equip, use,
or maintain any electrical system or equipment or cause or permit the same to be done
in violation of this code.
The doing of any act, or the omission of any act, declared to be unlawful by this code or
any code or ordinance herein adopted by reference shall be deemed a separate offense
for each and every day or portion thereof during which any such unlawful act is
committed, continued, or permitted; and, upon conviction, shall be punishable as
provided in title 1, chapter 4 of the city of Dubuque code of ordinances. The penalty
therein provided shall be cumulative with and in addition to the revocation, cancellation,
or forfeiture of any license or permit elsewhere in this code provided for violation
thereof.
Masterpiece on the Mississippi
CITY OF DUBUQUE, IOWA
BOARD/COMMISSION APPLICATION
Dubuque
*****
All -America City
11111
2007 • 2012 • 2013
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 1391 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).
ADVISORY BOARD/COMMISSION APPLY
NAME:./ //`S f 0:v
DATE: _ / % - 2 0 /9
BUSINESS: t l y !s -
(Some boards/commissions require State of Iowa Gender Balance compliance)
ADDRESS: 2 S' -U. %l%,/z ' ct r_Ti C: / L 13 4 a l�
(City of Dubuque residency required)
L L. l /Z fC/i L ADDRESS: as- ,t jb l t4
POSITION WITH COMPANY: 0C-- /L
OCCUPATION: 1 /Lt C / I ti
HOME PHONE: """ i 3` 1'7>
E-MAIL ADDRESS(ES): e s 0/ x (
BUSINESS PHONE: G > `"'
di A -L6 6.
EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION:
r
C O
P Cc r,. _ ('/z '; r/f
( !
04
/'-o, ( /4/A
/47f..
4/6 /c'
WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING:
w,erCc•( Z//e To L/) f/, c ---(e
/1/ it K r, a ,f S c, (1 cif %)ref /S /tom S /= 4
r e-74
73r' eity
a,-
ti
LIST TWO REFERENCES:
NAME:
NAME:
fi/L
//zz L/r+f
ADDRESS: L --
ADDRESS: .2 S" l! c i}p_
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 ission:
SIGNATURE:
If questions,'' ontact the City Clerk's Office, City Hall, 50 W. 13th 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.
Name:
ct/� 66'4/ce
Masterpiece on the Mississippi
CITY OF DUBUQUE, IOWA
BOARD/COMMISSION APPLICATION
Dubuque
*****'.
AII•Amedca City
1I 1 /
1'
e
2007 • 2012 • 2013
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 13th 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: 474- ,72L..0--•2e:22/5,--
ADVISORY
L=0"dc.2/Y
ADVISORY BOARD/COMMISSION APPLYING FOR: c -=e 2/(' Rej
(Some boards/commissions require State of Iowa Gender Balance compliance)
ADDRESS: fie` � �!�s4'? C� ;72,/c./
NAME: (A %1 iJ ((-) j?. Lc% /L ScD
BUSINESS:
(City of Dubuque residency required)
V ADDRESS: ///c.11)
OCCUPATION: e'")L/'rre:/'/ X OSITION WITH COMPANY:
HOME PHONE: -j �� S S BUSINESS PHONE: 1-6'�
E-MAIL ADDRESS(ES): 4 L/ % S G X7,9 /G ,-
EXPERIENCE,
EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION:
/ ) L C, 7;2/ /..(2)DL
WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING:
,/,/!/)4 16.e,"9/2-3,/--4-7.,:-/,.) /� / �y % �o % T71.7Li"1—z
/ /42 L_ /7:4:z./7 ///c /J
LIST TWO REFERENCES:
7 / Lf A/
NAME:
NAME:
O4( Gn:JrV/%mac
ADDRESS: ///"J 7/7/6:7" '''7" /2
ADDRESS:
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 Commission: ,2t Name:
SIGNATURE:
If questions, contact the City Clerk's Office, City Hall, 50 W. 13th 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.