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Boards and Commissions Review and AppointmentsVACANCIES AND APPLICATIONS FOR CITY OF DUBUQUE BOARDS AND COMMISSIONS For Council Meeting of Tuesday, September 17, 2007 6:30 PM, Historic Federal Building, 350 W. 6th Street APPOINTMENTS TO THE FOLLOWING COMMISSIONS TO BE MADE AT THIS MEETING. Civic Center Commission Three 3-year expired terms through June 29, 2010 (Terms of Bakke, Brannon, and Nauman) Applicants: Rod Bakke, 3030 Karen Street CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM viduals serving on Boards and Commissions play and important role in advising the Council matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13t" 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: ~ .~ L -- ~ "Z ADVISORY BOARD/COMMISSION APPLYING FOR: ~ ~ `~` ~- 'FL~'~ S' ~ 1 Vl e C ./~Ni-~ ~ NAME: ~0 ~ ~ ~ ~ ~ ~ ADDRESS: --~° 30 ~~} 1~'iE /J S 6 BUSINESS: ~~ ~ -c~~ °--d~i C e- ADDRESS: OCCUPATION:.p~-_ Rw:~21~JSE~M POSITION WITH COMPANY: ~.DLJ ~~ i ~~ ~E PHONE: Jrg~ ~ 6 ~7 ~ `E BUSINESS PHONE: ~~B t Z 3 ~3 EMAIL ADDRESS: I~f}KK' ~ ~ M c--~.S ~ • C a iU1 EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: a ~ S~R~~cF i a ~~V,E- ~1,r4gs~ I-~~~~ EN~o~~9 ~JF2 ,. w ~ j~(~~Nvi ~~ SRt~1e~s C~~gt~a~'R~S~~~,~C~vc~ ~~Fr~rR- r~Ns~~ a~~R~ WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: ~ ~ ~} y E O ~~ - c ~ i C~ h1~ y SE ~ ~ l~l~ fpf~4 U t N' ~1 L'_ ~I~f'~~~ [1', ~ ` -I-n+ ~ ~~ J ~ ~ ~ t,~ S (1 `~ ~ d+r ~o ~Q ~'y N ~ i `~ a ~ ~ o~~l~i n~ v r ~l/` q LIST TWO EFEREN ES: ~-~j NAME: ~ y ~ 'E N~ nn~ ~ ADDRESS: 1`t4 ©t c7 ~ y $ y ~ y NAME: ~R, ~~ E {-~ 1AV ~ ~ ADDRESS: ~ ~ ~ ~ ~R ~~ ~ f o~ ~ ~f~ Rr S I~ 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~r~ing on a City Board or Commission: .---~ ~ NATURE: If questions, contact the City Clerk's Office, City Hall, 50 W. 13t" St., Dubuque, IA 52001. Phone (563) 589 4120. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD.