HomeMy WebLinkAbout1994-05-24 Appointment
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CITY OF IOWA CITY
NOTICE
THE CITY COUNCIL OF IOWA CITY IS CON-
SIDERING AN APPOINTMENT TO THE FOL-
LOWING COMMITTEE:
COMMITTEE ON COMMUNITY NEEDS
One vacancy - Three.year terms
JUly 1, 1994 - July 1,1997
, ,'.1
It is the duty of members of the Committee on
Community Needs to coordinate communication
channels between groups and citizens of Iowa
City and the City Council and staff and then to
responsibly respond to program proposals as
solutions designed to meet the community's
needs.
The CCN meets the fourth Wednesday of each
month at 6:30 p,m. Iowa City appointed mem-
bers of boards and commissions must be eligible
electors of the City of Iowa City.
This appointment will be made at the May 24.
1994, meeting of the City Council at 7:30 p.m. in
the Council Chambers. Persons interested in
being considered for this position should contact
the City Clerk at the Civic Center, 410 E. Wash-
ington Street. Application forms are available
from the Clerk's office upon request.
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May 24, 1994
Males: 4
Females: 6
COMMITTEE ON COMMUNITY NEEDS
One vacancy - Three-year terms
July 1, 1994 - July 1, 1997
Deborah Conp;er
636 S. Dodge 115
Jacque McClure
1909 Muscatine Avenue
Christina Randall
3328 Shamrock Drive
Linda Severson
827 lIaggard Street
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CITY OF IOWA CITY
ADVISORY BOARD/COMMISSION APPLICATION FORM
Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest
to . community and its future, Applicants must reside in Iowa City.
,~, ,
Atter a vacancy has been announced, the Council reviews all applications during the work session. The
appointment is made at the next ,fon;nal Council meeting. Appointees serve as unp'aid volunteers.
PLEASE USE A BLACK INKpEN. Return the application to City Clerk, 410 E. Washington St., Iowa City,
Iowa. " ' " " .
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE
PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME.
ADVISORY BOARD/COMMISSION NAME c..c.rnffi ,,',{\ r..nf~(I'\'i(d'llj2ed,o.: TERM ;,1 (It\.
NAME I I\~,rl~', ~:.:.J(;(S{\(' HOME ADDRESS 9,;n (YIornnn1 Lr-
Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes No
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OCCUPATION SOCI(i' '"IV (\~..... EMPLOYER, \:)lil'\::,,:J"(\ './,1,10"1\-'./
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PHONE NUMBER: HOME 3:; I 2..c,?J i BUSINESS 3SIJ' ir.i',~CJ
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EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: 1, h,/r.. 1\ ,dd ',1
-: ",.', ; IIp,e.', (\",(.\ o.S {\ '1)I'n rct(f'(J,:,,'~:( i~vJ'c '.;.frV rei n
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WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? .I hk (<14(JI~rll)rJ
t,.,V\ y\\'\r\~ --;,/\ (C.CC'!'d'~'U\'\ (l.e{lt(,,'~'f\ ':''.
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WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYINGl?-L h',~e. C\ L~t<l . vJl1'ft;l'\(' V...\"(!\,..>\f,Q.ce.
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Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A,22 of the
Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists, contact the City
Attorney's Office, Will you have a conflict of interest? _YES LNO
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If you are not selected, do you want to be notified?
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Dr 'ou currently serve on another Iowa City Board or Commission?
It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.
January 1994
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CITY OF IOWA CITY
ADVISORY BOARD/COMMISSION APPLICATION FORM
Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest
to "Ir community and its future. Applicants must reside in Iowa City.
, ,er a vacancy has been announced, the Council reviews all applications during the work session. The
appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers.
PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City,
Iowa.
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE
PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME.
, , I .
ADVISORY BOARD/COMMISSION N~ME ~'/f.u. ft'l^-Ltt(t1.//Vl......,t 4~A. TERM /1~~'_1? .
NAME tl'I^,d-/I!IL. !~'fl/d/ HOMEADDRESS,:?'J.::(Y ......(;'OHi"Ot./Z. j)r'/~'<6
Is your home address lIisted abovel within the corporate limits of Iowa City? L Yes No
OCCUPATION Ki<'ll I ( Ie. ,'..! ,0 ;:,:;,. u...- /Joe /ri/SO I:~ f EMPLOYER
PHONE NUMBER: ~OME J 5'/ ,- / f 7 ~ II BUSINESS
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EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
:.33 b 7(/,V ',!... '; J: ..J-"oU(.{, C/tf])1{;i,sf,/.,J I!ilt'.;t:.- {.vl:l[h~,i().f- T~,. /I(i/
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WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? 11,'< (t?::tJ1.\. i !I~ -c.. a,S.$ c:'.5.5 ..IS
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c~'t /J1MA, IJ....J /Y1Y.i~, '/LNJY'rt..//'ndJi'-'~ -/0 'I/..~, t,!; LM.t"tiA'J-I'(J pV
IL<.- ULi 'tr C}J,gr;.. fl."",~' tlt.l. (.'A--Yrvn..f.Jl:.e~ M1J2I!!; ~f)\j'[ ,
WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
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APPLYING)?J:.xce~' 'l1f1?l" (iI', <',~d --r..e.-
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Specific attention should be directed to possible conflict of interest as defined in Chapters 362.~,A03A,22 of the
Code of Iowa. Should you be uncertain whether or not potential co~qt of interesnxists,:qontact the City
Attorney's Office. Will you have a conflict of interest? YES NO ' " :: :
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Do you currently serve on another Iowa City Board or Commission?
It has been Council policy not to permit an individual to serve on two Boards or Commissions ~ the same time.
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ATTACHMENT TO APPLICATION
FOR COMMITTEE ON COMMUNITY NEEDS
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IN ORDER TO ENSURE THATTHE COMMI:rrE!: ON COMMUNITY NEEDS IS REPRESENTA.
TIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES, PLEASE INDICATE IF
YOU ARE A MEMBER OF ANY OF THE FOllOWING CATEGORIES: , ,
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Elderly (62 or older)
Handicapped or Disabled
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Racial or Ethnic Minority
lower Income (see chart below)
L None of the above
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Your response Is voluntary, and you may wish instead to elaborate on or indicate areas In which
you can make a special contribution to the Committee in another section of this form.
MAXIMUM ADJUSTED GROSS INCOME lEVELS FOR lOWER INCOME HOUSEHOLDS.
(5/93): '
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$25,400 for a 1 ~person household
$29,050 for a 2-person household
$32,700 for a 3-person household
$36,300 for a 4-person household
$39,200 for a 5-person household
$42,150 for a 6-person household
$45,050 for a 7-person household
$47,950 for an S+-person household
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CITY OF IOWA CITY
ADVISORY BOARD/COMMISSION APPLICATION FORM
Individuals serving on Boa.rds/Commissions play an important role in advising the Council on matters of interest
to . community and its future. Applicants must reside in Iowa City.
Arter a vacancy has been announced, the Council reviews all applications during the work session. The
appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers.
PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City,
Iowa.
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THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE
PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME.
ADVISORY B~ARD/COMMISSION NAME~'I\/Yli{tlt fJI.. &it\mlL~ TERM .3 yf.
NAME..iMtJ/- iJ.!.C{u."" HOME ADDRESS~UseIGM N~.
Is your home address (listed above) within the corporate limits of Iowa City? L Yes No
OCCUPA TION_V.Gt ~plljali~t EMPLOYER .4ml(;t 11M. & {~{ 1tsf/Aj
PHONE NUMBER: HOME~~3q BUSINESS ~?7'611
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: t A,w.. A, ~
j;m~ IMli.fr( ({,;dJ u.i uJt. Au~tI. ~~/~ kurt, t()'fI1.aJu'~ UA ~ """~11
-(1tJ.nJ. h~a~ ~ {tylUt. ~,~. ft,fIIi1t 1 ,t(r/{~ ,WlhA./ tf.W (/)I. 'iii. I-{Y~f btJa.rd J-frdJ/t,r~
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~prw1dG t.~Mt.J "'~~I uJ1D ~ oIurll nwie fJ.. 1D7t'~ It. ~N:Iv;ktJ,~'ht.J
nMJt.~tM_W~,~'~ .J.l4jrp~r,ll~Uo{' d.flttollWc.k"~~p<<jl4la: atl.{ ~Ul bUI.fJ~) (J~IJ.
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WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ·
JJylJL I UUl 'lD limJ. plY~l'rU.[gperi.~ wi4-U. -UU AJPiSliI ~oafd/ {.{u dlStr("~'~
~/iu1. h~ #U ,; frplUlL ftlJjl ~ 'H.t d ili; ~ -- 'ffIJ p!:!Ji~; Iltilt; ftl/#lIt6/'(!. /ur.
WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)? iw". 4. slr~mlMi~{Ju l~ ~'ht a9r~,/K.LUu'~' :c -I1.k 1/4 {UH.h.r- u.nv/G ~
~U(IV.~~~b.l'd. IIttflt... 1. .,,{;tAll if is j~W -/1) +#.J....p(lSt".t I.Mil/inlJ, fa .futuYt 7'JI.~
Ju-* ~if~if..i1.fJ..(.;thI~ } ttu1 uJfAdl.hi ~D(J iD ~(r)(, ~A:fU.'5 ~vx.if{...ee,.
Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A.22 of the
Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists, ,contact the City
Attorney's Office. Will you have a conflict of interest? _YES ./ NO ':;' ::::
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It has been C'ouncil policy not to permit an individual to serve on two Boards or Commis~ib~~ af.tne same time.
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January 1994
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CITY OF IOWA CITY
.'
ADVISORY BOARD/COMMISSION APPLICATION FORM
Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest
to . community and its future. Applicants must reside in Iowa City.
Arter a vacancy has been announced, the Council reviews all applications during the work sessior). The
appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers.
PLEASE USE A BlAC~ INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City,
Iowa.
"
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[
..'"
(-'
\
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THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE
PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME.
ADVISORY BOARD/COMMISSION NAME C,o~it~e 0'" ~\'H\1\~,,\ Nc.e.J, TERM S \/eevr-s
1 I
NAME \)fBOe..\'\t\ ('()N.(;,e~ ' HOME ADDRESS to1tD s. DoJ~t -ilrS
Is your home address !listed abovel within the corporate limits of Iowa City? .L Yes No
OCCUPATION_lV\J\C.o.\ ,\((jo'r\5(';lf~\bl^~l.t EMPLOYER \A 1, "o~fL1...I.s
PHONE NUMBER: HOME ~:, '"')- q g d.,~ BUSINESS -
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
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WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~~* ~ct (.,.".",,,,-h
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WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYINGl? 1: \--..0.,4... b"" (),V\ O~SR/,{w 0.."",3 ~:C IN~V\.U ~\~ -to ha. 0....
_~'2l"'i-:";'peo.v.--t ',n "'nod "'~vo c.~.1:<. -t<N' p~c.:~.5 it-+ w;l\ \-...st ~+ ~
~~ ~ 0",","" c...oMYIMA.~~.
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Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A,22 of the
Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists, contact the City
Attorney's Office. Will you have a conflict of interest? _YES .)LNO ,')
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If you are not selected, do you want to be notified? L YES
It has been Council policy not to permit an individual to serve on two Boards or CommissiQ~'s a(!he same time.
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ATTACHMENT TO APPLICATION
FOR COMMITTEE ON COMMUNITY NEEDS
IN ORDER TO ENSURE THAT THE COMMITTEE ON COMMUNITY NEEDS IS REPRESENT A.
TIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES, PLEASE INDICATE IF
YOU ARE A MEMBER OF ANY OF THE FOLLOWING CATEGORIES:
Elderly (62 or older)
Handicapped or Disabled
_ Racial or Ethnic Mln~rity
..is.- Lower Income (see chart below)
None of the above
Your response Is voluntary, and you may wish instead to elaborate on or Indicate areas In which
you can make a special contribution to the Committee in another section of this form.
MAXIMUM ADJUSTED GROSS INCOME LEVELS FOR LOWER INCOME HOUSEHOLDS -
(5/93):
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$25,400 for a 1-person household
$29,050 for a 2-person household
$32,700 for a 3-person household
$36,300 for a 4-person household
$39,200 for a 5-person household
$42,150 for a 6-person household
$45,050 for a 7-person household
$47,950 for an S+-person household
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CITY OF IOWA CITY
NOTICE
THE CITY COUNCil OF IOWA CITY IS CON-
SIDERING APPOINTMENTS TO THE FOL-
lOWING COMMITTEE:
DESIGN REVIEW COMMITTEE
Three vacancies - Three-year terms
July 1, 1994 - July 1, 1997
The duties of the members of the Design Re-
view Committee include encouraging and pro-
moting the acceptability, attractiveness, cohe-
siveness and general design compatibility of
new construction and rehabilitation, both public
and private, within and adjacent to the central
business district of Iowa City; to review prelimi-
nary plans and development and construction in
both the private and public sectors; to make
recommendations on the architectural, aesthetic
and general design aspects of all proposed pub-
lic and private improvements within and adja-
cent to the central business district redevelop-
ment area,
The Design Review Committee meets the
third Monday of each month at 4:00 p,m.
These appointments will be made at the May
24, 1994. meeting of the City Council at 7:30
p.m, in the Council Chambers, Persons inter-
ested in being considered for these positions
should contact the City Clerk at the Civic Cen-
ter, 410 E. Washington Street. Application
forms are available from the Clerk's office upon
request.
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May 24, 1994
DESIGN REVIEW COMMITTEE
Three vacancies - Three-year terms
July 1, 1994 - July 1, 1997
Gilda V. Six (Has served an unexpired term.)
1244 Melrose Avenue
Timothy J. Kresse
426 S. Johnson Apt. J
Larry D. Quigley
630 S. Capitol #301
Ste\lhen R. Burns
1212 E. Court
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CITY OF lOW A CITY
ADVISORY BOARD/COMMISSION APPLICATION FORM
Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest
to r community and its future, Applicants must reside in Iowa City.
Arter a vacancy has been announced, the Council reviews all applications during the work session. The
appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers.
PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City,
Iowa.
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE
PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME.
ADVISORY BOARD/COMMISSION NAME -:DE'S \ l., JJ kE.\JIE.J
NAME <;;-rf5.fJH!.J.1 f? :t?v f2A.lS HOME ADDRESS 1'LJ'1., e.
TERM 1. /- q tf "" 1./. r1
Cc.1.Jft.~
Is your hOl'!1e address (listed above) within the corporate limits of Iowa City? ~ Yes No
OCCUPATION Ho()su.J~ IAJ~/6("7"L, EMPLOYER c,.,..,. of. /(Ju)1I CI-rr
PHONE NUMBER: HOME 3St/.lf'jyf BUSINESS 3S(.,'SI31
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
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,,' '.J~iTI,j(, 4 EAlk/2,GII'Jt, D€,SI&,J ~/JIDt.'-'I";&S .3) "j);S/~J.f,)(" I2.lSIDt:JJ1i+t--
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WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? J,)D,J[..
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WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
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APPLYINGl? tJ".'"10.D/f.,t.. It..AI()u)t.'D~t.. dt ve..S#J D&S/t.J -rJ./E:ci,y 1/11I0 fJI2AG-nu:.
~"""flIS IS ',11Y HM/€. -rDv.JP. J W/Uf,1 10 he-Io dt/'td tit Ineild-dle
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1,,,w14!o ,c.r~te. t,... bta.iI-h.w1 t'!lva.hll?'tZl4l1//"()v/WluU.
Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A,22 of the
Code of Iowa. Should y,OU be uncertain whether or not potential conflipt of interest exists, contac\ the City
Attorney's qffice. Will you have a conflict of interest? _YES ~NO (C.I.f1.t tNl h4'lU.. 7)
If you are not selected, do you want to be notified? tI YES _NO
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_YES
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It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.
clerk\bd.comm,app
January 1994
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CITY OF IOWA CITY
ADVISORY BOARD/COMMISSION APPlICA liON FORM
Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest
to I'''r community and its future. Applicants must reside in Iowa City.
I ~r a vacancy has been announced, the Council reviews all applications during the work session. The
appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers.
PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St.,lowa City,
Iowa.
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE
PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME.
ADVISORY ~OARD/COMMISSlON ,NAME 1) Ry.'%. ~ ~: TERM~'\-u-~j I. q l'
NAME t, A ! I HO~ ADDRESSJ J 4 Y 11ld'l~, I f.e.,
Is your ho e address (listed above) within the corporate limits of Iowa City? _ Yes :f.- No
OCCUPATION stev, 11 \ l-t,~\ / 'J11.1'~.Q.., , EMPLOYER ,) '. '17
PHONE NUMBER: HOME_r~ i 9) 33 ~ - 0 ') / }- BUSINESS
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
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~HA T CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVI ORY BOARD (OR STATE REASON FOR
APPLYING)? f~,1 rL r~U'f V:q')~ ~(J.~,_ ,'l. ,v." .n"J?;<j.. r 10{
,\.. , t '
Specific attention st uld be directed to possible conflict of interest as defined in Chapters 362,g;:403A.22 of the
Code of Iowa. Should you be uncertain whether or not potential conflict of interest :exists, ~contact the City
Attorney's Office. Will you have a conflict of interest? _YES fNO ~'-', ~~)::
If you are not selected, do you want to be notified? ~YES _NO :"""~ i .
Do you currently serve on another Iowa City Board or Commissi~n? _YES f~o.... ,I
It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time. :
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CITY OF IOWA CITY
ADVISORY BOARD/COMMISSION APPLICATION FORM
Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest
tc r community and its future. Applicants must reside in Iowa City.
After a vacancy has been announced, the Council reviews all applications during the work session. The
appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers.
PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City,
Iowa.
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE
PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME.
o WE:t.fIRi!.t:>
ADVISORY BOARD/COMMISSION NAME ~~\61-l 'i?~\I\e\){ COMI1I11'"E EE: TERM 3)Z'}b4. ':fU~~
NAME.:G MoilfY j. i<' R~SSE HOME ADDRESS tI'Z.ra .s J01tl'\!>(J1'\ A"f'I J
Is your home address (listed above) within the corporate limits of Iowa City? jL Yes No
OCCUPATlON~~p..\\'f EMPLOYER.A'\-It~\LA\\ lDI.\..S~\i:.S11t\q
PHONE NUMBER: HOME (:;\'7)339- 0011 BUSINESS 33?' \(043
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: j\S A\'\
1)1iPi::-Rq"i<A't>llA-TEj 1: ~A-~~ i6I /lrl'l A-~(.\-t\,..t=c:..'T\.)~G.. ~T\)t::>:Fl'\T. s,nlc;E. ~H:
:t. I-I-A-'Ie, !'fA-I"'if>..lliv.;,b 1\-1'\ 1\.I'rE'RE~T I}\ mE AREfT - :Bon! IN t1f:v'J vE>/~N
-I ') \1'\ ~:r\\-A~Il-AT^,ilDtI of- ~N~IHl~ $oiRU(..:T1J'R.~S.
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WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? J: 11)4t:>,t:.eSTl'11ii:> 'TIJoE.
CbMM 1'1TF=E. 's ~~~l'OH$o(I~;O-\"N' ~ Olfi='.. 'Th rRO\} 11;>1= G,()\ pA-Hcf. ~6~ ~Vfto'f'M!Elir
\1:1 'I1\-F. ooWt1ib~t\ .A'f€.A "'Z> ~M()TE- {>,~\ 1\E.s.1H-ITIL.A-l-L'Y ?Lt:'MltI~ 4tIb LMTH\~ i\-"i':t,A-,
WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)? J \NMli 1;> .:f,E .fl, "'S~~ Of -nt\S CuI'lKl"lfr;:.'E 1D ~L.r- .rtlS()~j;'
Jowl\- r.ITi\~ :;61,1/ f'\"[tlVolI'\ t>r~EA ~b.\HS 4\1-1 \1IS1b~\c..... 1=\.J..\IoR. A-Hb A-HY N8W
~~D?\'I1~t\'f IS ~\J \\..1 'l}/IT\\ -AN f'<:E. 10 1\MEL~> i'r:.~ll:,~,
Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A.22 of the
Code of Iowa. Should you be uncertain whether or not potential conflict of interest, exists,r,a.ontact the City
Attorney's Office. Will you have a conflict of interest? _YES XNO ,',: :',
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If you are not selected, do you want to be notified?
.:L YES
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It has been Council policy not to permit an individual to serve on two Boards or Commi~sions "aj the same time.
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January 1994
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CITY OF IOWA CITY
ADVISORY BOARD/COMMISSION APPLICATION FORM
Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest
tc r community and its future. Applicants must reside in Iowa City.
Arter a vacancy has been announced, the Council reviews all applications during the work session. The
appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers.
PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City,
Iowa.
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR'THE
PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME.
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ADVISORY BOARD/COMMISSION NAME -e. S'r^ I\<i'.v \ '<,'.....) lU\V\M lfu.uERM L)'M'" r', ,,' <:\
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NAME :::.,('\ . \..I( .J\~ \~~ HOME ADDRESS-.r.,,~O s. C'p',kJ .j'd..rl:"~'~ C.~A
Is your home address (listed abovel within the corporate limits of Iowa City? ~/ Yes _ No .5, .,lYC;
OCCUPATION
PHONE NUMBER: HOME (J 19) ,3~ -1 ~ ~ (" c.j
EMPLOYER
BUSINESS
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EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ,1" ..o,Jo{:.(" 0.<:'
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WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR !
APPLYINGl? l kh~..... ~ s,^-,<>.\l 't.....\ /2"" ~.
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Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A.22 of the
Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists" contact the City
Attorney's Office. Will you have a conflict of interest? _YES _NO ;:: ~~;
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~YES
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January 1994
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