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Home My WebLink About1990-07-24 - AGENDA REPORTS - PLANNING CMSN APPT (2)L UNFINISHED BUSINESS DATE: July 24, 1990 0 AGENDA REPORT City Manager Approv Item to be presented by: SUBJECT: Planning Commission Appointments DEPARTMENT: City Manager BACKGROUND Ken Pulskamo Three Planning Commission terms will expire on July 31, 1990. Council recently went -through a comprehensive process to select commissioners. As a result, the candidates were narrowed down to fourteen candidates. The. applications of the candidates interviewed are attached. It is important that appointments be made on this date so that a.quorum is possible for the August.Planning Commission meetings. Discuss and appoint three Planning Commissioners ATTACHMENT Applications Agenda Item: 0 0 ,-ITY OF SANTA CLARITA COMMISSION/COMMITTEE APPOINTMENT APPLICATION APPLICANT NAME ADDRESS -Number, Street. Zip TELEPHONE NUMBER Home: (805)255-2624 JERRY D. CHERRINGTON 26032 Laguna Court eusiness:(213)742-245: Valencia, CA 91355 Emergency:805 )255-26, .� COMMISSION/COMMITTEE ON WHICH YOU DESIRE TO SERVE: To replace Jeannette Sharar as Planning Commissioner BACKGROUND INFORMATION 1. Are you a registered voter YES How Long? 32 yrs. (CA; 2 yrs.) 2. Are you now serving on a county commis sion/committee NO If yes. which one(s) 3. Have you previously served on a city or county commission/committee ? NO If yes, which one(s) and dates EDUCATION: Indicate the highest year completed and degrees received Undergraduate degree: Beloit College; Beloit, Wisconsin Graduate degree: University of Maryland; College Park EMPLOYMENT. Employers name, address, phone and your position or title Transamerica Occidental Life Insurance Company 1150 South Olive, Los Angeles, CA 90015 Second Vice President PLEASE INDICATE YOUR REASONS FOR WANTING TO SERVE: To contribute to my community by application of my skills to the problems and opportunities facing it. QUALIFICATIONS OR EXPERIENCE APPLICABLE TO THE PURPOSE AND SUBJECT MATTER OFTHIS COM- MISSION/COMMITTEE: My fifteen years of experience in Corporate strategic and operational planning, fifteen years as a College Professor and sensitivity to issues of growth and development qualify me to fill Jeannette Sharar's term. The following may be required prior to appointment: (1) A background investigation. (2) A Conflict of Interest Statement. (3) Referent s. Evening availability is required. I declare at th i rrP/ tion furnishy� hereinabove is true and correct to the best of y knowledge. ��a 9, lS9c APP 1CANT S1GNAWRE DATE FOR CITY USE ONLY RECEIVED BY/DATE • 0 CiL Y OF SANTA CLARI': COMMISSION/COMMITTEE APPOINTMENT APPLICATION APPLICANT NAME ADDRESS -Number, Street, ZIP TELEPHONE NUMBER Business: iZc°+Acn. Emergency:,2 rF-.?L•, COMMISSION/COMMITTEE ON WHICH YOU DESIRE TO SERVE BACKGROUND INFORMATION 1. Are you a registered voter `�E S Haw long? Slk C " I V 4VN 2. Are you now serving on a county commission/committee C It yes, which one(s) ANf 3.Have you previously served on a c.1ty or comity commission/committee ? F bv" :� �/T f1c s If yes, which one(s) and dates IS !r:} r • C < c i r� , �z s >/ r,c v� r 12 EDUCATION: Indicate the highest year completed and degrees received (=fY/r�li C'CZCi=C-i= C:///7'S CC' /%� / EMPLOYYME . mploy s -name, address, phone and your position or title C-1ILICAw C:�I)rL,fi,,t)Ce yA/..-1.l i? I"� f 0y"L� iL•J_ J Ili'[C �rr,� tP� (4sl 7o l y P9 PLEASE INDICATE YOUR REASONS -FOR WANTING TO SERVE 7— <3FC ;c T/�< C /7�/'?�fl5c'n iL /7iy rl,. z� �E.yCs D f i%I9.y9 EE�z.9L rx/t'Q /r,CIF ,': >xeCC.ei e}csJ��t. cc/ry c t�F.,i.,..e_ QUALIFICATIONS OR EXPERIENCE APPLICABLE TO THE PURPOSE AND SUBJECT MATTER OF THIS COM- MISSIOWCOMMITTEE / ,,, 6E /7% rJ/�¢ c q-��.n 1#-/�lsz c T r �� r�,Pl� yc r, 7e c7 �C o�O/C - / F<t n. F.�..� i�� C./Jh/i 65 C. `//-7�.os a'•an V'- .cs Sis'<—c s' «<%st.x- j tt nr A;s'/c�c/J 771�"-- �G /3/iJ_) [G 17Ec.,( C,r �/ !.r<G /2.F "05 C/71�1 C•=<'s /%llZ.i / C i rk 101t ry� r_- n S✓< C� �* S 9P Fly /� / o i3 e s i.c � rs :Z7 5- IF The following may be required prior to appointment: (1) A background investigation. (2) A Conflict of Interest Statement. (3) References. Evening availability is required. I declare that the information furnished hereinabove is true and correct to the best of my knowledge. 1�. APPLICANT SIGNATURE GATE TOR CITY USE ONLY RECEIVED BY/DATE 0 0 ,:iL7Y OF SANTA CLARI:1A COMMISSION/COMMITTEE APPOINTMENT APPLICATION APPLICANT NAME ADDRESS -Number, Street, ZIP TELEPHONE NUMBER 1,OaL C> Home: a53 13i� C�l#it21�S Nlal-\- Sq caC.aeCA4\3s"i Business: Emergency: COMMISSION/COMMITTEE ON WHICH YOU DESIRE TO SERVE: BACKGROUND INFORMATION 1. Are you a registered voter �'c S How Long? S I NCz 14 b 7 2. Are you now serving on a county commis sion/committee If yes, which one(s) 3. Have you previously served on a city or county .COmmission/committee? If yes, which one(s) and dates Lvov laf,a- arse»1r MAWA C\,A,i2,VA G:1e\22w1S ADV1Sup: C<:)vy%M1Trc'% EDUCATION: Indicate the highest year completed and degrees received 3.A. IgbQ� j j /^ '"lti VN ,T-, n 7�ST QQAD VA:G WO er 1.1 Vi2.3.,r1 QMAR A411;' pati ENV1��OwjM�\SAL (�LJihW i�1 (r EMPLOYMENT. Employer's name, address, phone and your position or title \A. 1. Ti:%T+QOtA ;D`.J;jOl:S V��ST (.24c CP.N'ee1ti {20vts� PLEASE INDICATE YOUR REASONS.FOR WANTING TO SERVE: WJan1T T.7 --cA1i_e �aN 1�CT1J1= S2oLC 1 N �F;C\S1c�:S j2C-C:Ar21)Ir1C LANO USE, EIJY1.40N.Nch1T AND 'T'QAFF1L 0117 CU LATI7 „\ tf.1 "TRgE crr-e ' JF S��T� CuP.RiCA • ✓aw1D \ T �'I.a 1111Co.1.`.a QUALIFICATIONS OR EXPERIENCE APPLICABLE TO THE PURPOSE AND SUBJECT MATTER OF THIS COM- MISSION/COMMITTEE: :tAVF �O+SE SCV tY2AL t-.�LD STL7'O VES L1-Me✓2 f�wi �ElAv1'i5 01Q SNDIVIDV AI.- -Jel �I�ANNIniG J'�r.14 �NY1r?OvJ.N'?r�1'CA'L- S��VES , VC-t'2Y '�'vdv111L1.'iv2 W1T1{ CZT. 12g, � Grl��.Ai6 5G"ZOL14G A -r C�1�� qS iA1 G�fJV1QAN M¢WTAi. r'"Cl1E (�W 1�L%1NN1 NG IN The following may be required prior to appointment: (1) A background investigation. (2) A Conflict of Interest Statement. (3) References. Evening availability is required. 1 declare tha he informationurn^ls/h'ed hereinabove is true and Correct to the best of my knowledge. APPLICANT SIGNATURE DATE FOR CITY USE ONLY RECEIVED BY/DATE 0 a ,:i7Y OF SANTA CLARITA COMMISSION/COMMITTEE APPOINTMENT APPLICATION APPLICANT NAME ADDRESS.Number,{gtr I, Zip TELEPHONE NUMBER Ve�� J, Home: c�-% (F66— �J .JCj�hS(1 % /})) ✓ SaIJ /CLV Ila—1 9J �,2/ Business: Business: Emergency: COMMISSIONICOMMITTTTyEE ON WHICH YOU DESIRE TO SERVE: - l-IIahr, n `01�?fJ/ / 5S/ D /-1 i/ e BACKGROUND INFORMATION I- Are you a registered voter Haw Long? 2. Are you now serving on a county commi.67 s Sion/committee ? If yes, which one(s) 3. Have you previously served on a city or county commission/committee ? If yes, which one(s) and dates EDUCATION: Indicate the hiq hest year completed and degrees received y% Sc%oa/ cY/"e%arnec" EMPLOYMENT: Employers name, address, phone and your position or title �reoG PLE SE INDICATE YO R REASO S FOR YVANTING TO SERV • 'r"eC"7'. C 0IIA LIFiGAT10NS0REXP ER,19NCEAPPLICAB LETOTHEPURPOSEANDSUBJECT MATTER OFTHISCOM- MISSIOCOMMITTE aa" The f lowing may be required prior to. appointment: (t) A background investigation. (2) A Conflict of Interest Statement. (3) References. Evening availability is required. I declare th the infor n furni hed herein ve is true and correct to the best of my knowledge. .v unr s.cnwrua o e FOR CITY USE ONLY RECEIVED BY/DATE • Tc c- Tf Cc�_cv.%�{: " /7 P7 .+_r7t, _COC(J `(P{ilii G? �.S 0 110;:/ CPfl%CA.P{'+(C,ttS Z A_ V (' a ( co"! (` % .t .(. (? { 1 � i �. V ,i. h C <; n !' 0 ,7 V ( C� i� Q �! C LC '� � � r, JI t o n e r p / Ytii ri i a,(7 r,'• •i {%l• 1;oLL. 1't,,to,t_hy +er ,:ITY OF SANTA CLARITA COMMISSION/COMMITTEE APPOINTMENT APPLICATION APPLICANT NAME ADDRESS -Number, Street, 21p TELEPHONE/ NUMBER ,zC� 20 L��t�� 1. T- S i• Home: Soy -1.1v.073" RcNR� D T. 1 CEG L y �AN•T dN lG4.v%=� Business: iby-/2r/-r,rt Emergency: C'R 9/ss! ra M t COMMISSION/COMMITTEE ON WHICH YOU DESIRE TO SERVE: T1-ANNrAfs (oHµ,l SiJ�aJ BACKGROUND INFORMATION 1. Are you a registered voter %L I How Long? ° yRS 2. Are you now serving on a county commission/committee Z ao If yes. which one(s) /Y /A 3. Have you previously served on a city o county commis Sion/committee ? If yes, which one(s) and dates EDUCATION: Indicate the highest year completed and degrees received /G )1/2,5 B A EMPLOYMENT: Employees name, address, phone and your position or title 20110 betJLr rr 7.err,vs,✓7 7'" 1.., ar. i?� .r. .r.,, PC.3ox 262 t CA4o.NT•� $or /2rj-.S/1L PLEASE INDICATE YOUR REASONS FOR WANTING TO SERVE- •J9f//Ln To Cdn.T'RA/iu TG /A7 r4d,z,7,iQ %n ST2SA,+57"�� 'Doli NC�J C.i7. 6MO..wn 'A°ADr ANA TR-wNrr02rwii).J PILp/3LiMr .s,..fr ;35, NA.vdt-n'D fuA.�'C/ ANb rj:✓..Acc7• QUALIFICATIONS OR EXPERIENCE APPLICABLE TO THE PURPOSE SUBJECT MATTER OF THIS COM- MISSION/COMMITTEE: �2o yo.4/" off' Flrl,,•SR )Ar �+ C ('GdN*IVs' .4 TAX 312 r, +r r r A..�D �w.fAi[.�L Al AN A-SG,rr=y% �A'2�.�ti♦TiwJ•'�E r3�.t�.�Sr"S wAr .r CO /9N� NOG✓ 2 NAVL f:An 7 yeReS 3 s6.✓ q�•vr+�„✓1 rtc uTc� otDzsT Trr.w��ras.� r,.a.,. �G.,cA.r,.�2) S£2V�oi• nAvr L.✓z rN rlt viK=A glj& /27✓/S ArD "A_v,s w My Rut/w Tl! ywvT Dc vfco/=o pAvr"77 1. rx r S'•F• r/.. 7^12(x.3!. —i %rANf PJrrA>.L/ •f MlINCSI S s/A✓t yjrAJ 1/41210., g2TEDy S/Ti.MT�✓J . The following may be required prior to appointment: (1) A background investigation. (2) A Conflict of interest Statement. (3) References. Evening availability is required. I declare that the information furnished hereinabove is, true and correct to the best of my kowledge. \-AIPLiCA.1S 111E OATE FOR CITY USE ONLY RECEIVED BY/DATE E a Z:TY OF SANTA ZLAR:-A COMMISSION/COMMITTEE APPOINTMENT APPLICATION APPLICANT NAME ADDRESS -Number. Street. Zip TELFPHONE YUM3_R Home: 253-1352 CAREY 0. MULLOY 26150 Paolino P1. 91355 E 620-5975 ergency- Emerge..^.cy. COMMISSION/COMMITTEE ON WHICH YO -U DESIRE TO SERVE: Planning Commission BACKGROUND INFORMATION 1. Are you a registered Voter YES How Long? 30 yrs. 2. Are you now serving on a county com:aission /cora suttee ? NO If yes, wnicn one(s) 3. Have you previously served an a aty or county corn nission/committee ? NO If yes. wnicn cne(s) and cases c-DUCATICN: Indicate .the highest year completed and degrees received 16 yrs., Bachelor of Science, Public Administration (` EMPLOYMENT: Employer's name, address, phone and your position or title I State of California, Department of General Services, Transportation Administrator PLEASE INDICATE YCUR REASONS -FOR WANTING TO SERVE: To be of community service and contribute to the orderly, efficient and synergistic grow:h of Santa,Clarita. QUALIFICATIONS OR EXPERIENCE APPLICABLE TO THE PURPOSE AND SUB.IECT MATTER OF THIS CC M- MISSiowCOMMI„EE: Fifteen years as an administrator and manager for the Department of of General Services. Have served on several committees, including; Legislative Special Studies Committee; Statewide Emergency Planning Committee, Transportation Planning Com- mittee, Department Strategic Planning Committee, Budget Committees. The following may be required prior to appointment: (1) A background investigation. (2) A Conflict of Interees: Statement. '3) References. Evening availability is required. I decmr tat the information furnished neretnabove is true and correct to the best of my knowledge. j=//- 9d •/oUCANT S.G„• O TE FOR CITY USE ONLY RECEIVED BY/DATE • May 12, 1990 Members of the City Council City of Santa Clarita 23920 Valencia Blvd., Suite 300 Santa Clarita, CA 91355 Dear Councilmembers: 0 Patrick J. Modugno 24134 Mentry Drive Santa Clarita, CA 91321 My term of office as a member of the Planning Commission of the City of Santa Clarita will expire on July 31, 1990. It has been and continues to be both an honor and a privilege serving our city in this capacity. While we have collectively made a great deal of progress in setting the direction for our city, our task is far from complete. Accordingly, after careful consideration, I have decided to apply for reappointment to my position on the Planning Commission. I feel that continuity is important during the general plan process and that the expiration date of my term comes at a critical time within this process. I have not included any biographical background or listing of my qualifications. Should you desire additional information or wish to speak with me individually or collectively, I would be pleased to respond. My very best regards to each of you and my special thanks for allowing me to serve on Santa Clarita's first Planning Commission. Sin e i Patric .-Mod no cc: George Caravalho Lynn Harris Donna Grindey ,:7. TY OF SANTA CLARI A COMMISSION/COMMITTEE APPOINTMENT APPLICATION APPLICANT NAME ADDRESS -Number, Street, ZIP TELEPHONE NUMBER L3961 w/e.Q4/930p CYA/. ev. Home: ZS'j- /1-2l— Ro/3F2T /3. 02a-1s11Y / A1QFW td"L/-, Gi- 9/32./ Business: Emergency: COMMISSION/COMMITTEE ON WHICH YOU DESIRE TO SERVE: BACKGROUND INFORMATION 1. Are you a registered voter Ykr How Long? 2. Are you now serving on a county commission/committee > /"o It yes, which one(s) 3. Have you previously served on a city or county commission/committee ? No If yes, which one(s) and dates EDUCATION: Indicate the highest year completed and degrees received �,16G/K�442 OF Sc.167'NC6'- 4��e21i/A- TbZ/- SLOAMA/ tCLLOW� $Ti}J/=ORA VIt/I✓CZ!S1Ty EMPLOYMENT: Employees name, address, phone and your position or title 2 F -7 -10 -e -2D PLEASE INDICATE YOUR REASONS -FOR WANTING TO SERVE: C! ✓I C. rn/ 1-r7LvTS7' QUALIFICATIONS OR EXPERIENCE APPLICABLE TO THE PURPOSEAND SUBJECT MATTER OFTHIS COM- MISSION/COMMITTEE. p C�1//�T✓iCA�' ,- SVXVW-OW 6Cef.�G _.il-PPv/.✓r�"O Or aG 4F77uATd ��so✓/Lac$ a;CoJcrLA1&-D urns WWWAtoA/wr:AJrAr /SfueS, 1 S/-1994 - 414040/ -J -M70 Lay 6OVakNe,L OF 4"441A- TO /N1-riA--7&C ?NO /t✓Q A CeMMrfiII A/ Ta ge-5-r2✓CTcrt4r- G�drr-l,..I�S Vo-7Ycy- SC.r�oer.S -N6t./> v,}rt�e✓} M?.✓gCF.+I.t^NT 4os/r/o./s A->• LeuCrsTL�t� uAlT/r_ r18G wyr+J / Af'/7a � �}S Si rte ✓r //trf /a c4✓T A•n//J M e*+y /S ex erg T/aer � o.}rL/� eF ,r7s/L r cTb 2.,3 The fallowing may be required prior to appointment: (1) A background investigation. (2) A Conflict of Interest Statement. (3) References. Evening availability is required. I declare that the information furnished hereinabove is true and correct to the best of my knowledge. L 2r2�.,, /o. 470 :2" Ile APPLICANT N UAE OATE FOR C37Y USE ONLY RECEIVED BY/DATE 0 5 p ,:IT'S OF SANTA i-LARITA COMMISSION/COMMITTEE APPOINTMENT APPLICATION APPLICANT NAME ADDRESS -Number, Street, ZIP TELEPHONE NUMBER Home: 805-297-345': Business: 618-42-40-111 W:LL_T,1.'N F. TAYLOR 21501 WINTERSET . Emergency: x 465 SANTA CLARITA CA 91350 COMMISSION/COMMITTEE ON WHICH YOU DESIRE TO SERVE: PLA:'`::?:C ..C::MISSIOS BACKGROUND INFORMATION 1. Are you a registered voter y_c Hov2dLafg;Z 20 7T' Rc! 2. Are you now serving on a county commission/committee fJ() If yes, which one(s) 3. Have you previously served on a city or county commission/committee ? . If yes, which one(s) and dates EDUCATION: Indicate the highest year completed and degrees received 12 years plus 4 years college I hold the Bachelor of Arts degree EMPLOYMENT: Employer's name, address, phone and your position or title gignad at8or.:ioLin y1 onlIe Ervices 1500 IT. Verdugo Road Glendale, CA 91208 (818) 240-1000 PL;ASE INDICATE YOUR REASONS FOR WANTING TO SERVE I am very interested in becoming involved in the community in which I live.. The opportunities presented by this new city are tremendous. QUALIFICATIONS OR EXPERIENCE APPLICABLE TO THE PURPOSE AND SUBJECT MATTER OF THIS COM-. MISSION/COMMITTEE: I have been, and continue to be, very involved in the development and imple- mentation of the Master Plan for Glendale Community College. My job respons- ibilities involve land and space utilization planning. I also perform a, key role in the development of the colle,;e budget of 52 million dollars (15 miliik of which is capital construction, my direct responsibility). I administer all construction and personal services contracts, and it is my duty to folio',. through on all college construction, from planning to move -in. The following may be required prior to appointment: (1) A background investigation. (2) A Conflict of Interest Statement. (3) References. Evening availability is required. I declare that the information furnished hereinabove is true and correct to the best of my knowledge. i - A r . APPLICANT SIGNAtUAE GATE FOR CITY USE ONLY RECEIVED MDATE 0 Zr—v JF SANTA CLARITA COMMISSION/COMMITTEE APPOINTMENT APPLICATION APPLICANT NAME ADDRESS -Number. Street, Zip TELEPHONE NUMBER 27731 Pine Hills Avenue Home: 298-7116 Business: 254-2277 Gary L. Vreeland Canyon Country, CA 91351 Emergency: 818/793- 9119 COMMISSION/COMMITTEE ON WHICH YC>U DESIRE TO SERVE: Planning Commission BACKGROUND INFORMATION 1. Are you a registered voter Yes How Long? 24 Years 2. Are you now serving on a county commission/committee 1> No If yes, which one(s) 3. Have you previously served on a city or county commission/committee ? _ No If yes. which one(s) and dates EDUCATION: Indicate the highest year completed and degrees received AA Degree/Public Administration BS Degree/Management Science 3 Police Academies EMPLOYMENT: Employer's name, address, phone and your position or title Automotive Specialists -General Mgr. Self Fmployed 24355 Railroad Avenue Technical Writer Newhall, CA 91321 PLEASE INDICATE YOUR REASONS.FOR WANTING TO SERVE To be involved with the formulation and the planning of the City of Santa Clarita in a positive manner. To be of service to the citizens of Santa Clarita to better the planning process, within the City. QUALIFICATIONS OR EXPERIENCE APPLICABLE TO THE PURPOSE AND SUBJECT MATTER OF THIS COM- MISSIOWCOMMITTEE Active in several citizen groups dealing with the development of specific projects in the City. Ten years law enforcement experience, allows to evaluate the burden on emergency services. Was part of planning and implementation of several programs for Municipalities for which I was employed. I an extremely interested in the positive but controlled growth of the City of Santa Clarita.- The following may be required prior to appointment: (1) A background investigation. (2) A Conflict of Interest Statement (3) References. Evening availability is required. I decla e t at the inform ion fu hed einabove is true and correct to the best of my knowledge. % May 8, 1990 Gary • Vrehand APPLICANT SIGN A rU RE GATE FOR CITY USE ONLY RECEIVED BY/DATE 0 a C lTY OF SANTA CL?.RITA COMMISSION/COMMITTEE APPOINTMENT APPLICATION APPLICANT NAME ADDRESS -Number, Street, Zip TELEPHONENUMBER Patrick G. Higgins 16241 RavenglenRd. Home251 3829 Santa Clarita Ca. Business: 213 Emergency458 6328 COMMISSION/COMMITTEE ON WHICH YOU DESIRE TO SERVE: Planning Commission BACKGROUND INFORMATION 1. Are you a registered voter SPG How Long? 24 yrc 2. Are you now serving on a county commission /committee If yes, which cne(s) 3. Have you previously served on a city or county commission/committee ? no If yes, which one(s) and dates EDUCATION: Indicate the highest year completed and degrees received 3years college EMPLOYMENT: Employer's name, address, phone and your position or title Kramer Motors 1718 Santa Monica Blvd. Santa Monica, 8a. 90404 PLEASE INDICATE YOUR REASONS -FOR WANTING TO SERVE: As a 35 year resident of this valley I Feel it is time for planning and stop reacting to all of the special interests. QUALIFICATIONS OR EXPERIENCE APPLICABLETO THE PURPOSE AND SUBJECTMATTER OFTHIS COM- MISSION/COMMITTEE: .I have watched this Valley choke itself on a total lack of planning and foresight. This is in part an accompolisment of the selF serving realators, lawyers, and idealists who have failed to approach their tasks as citizens of the City. I can and will draw from this practical experience. The following may be required prior to appointment: (1) A background investigation. (2) A Conflict of Interest Statement. _P17hefere es ve g availability is required. I decWp�tTi r rnished hereinabove is true and correct to the best of my knowledge. ZZ APPLICANT SIGNATURE 5/20/90 OATS FOA CITY USE ONLY RECEIVED BY/DATE • 0 CITY OF SANTA �"LARITA COMMISSION/COMMITTEE APPOINTMENT APPLICATION APPLICANT NAME ADDRESS -Number, Street, Zip TELEPHONE NUMBER Home: Business:i� ? > ° - 9/ ' L Emergency: rT a ') COMMISSION/COMMITTEE ON WHICH YOU DESIRE TO SERVE: BACKGROUND INFORMATION 1. Are you a registered voter Y' S How Long? 2. Are you now serving on a county commission/committee 7 If yes, which one(s) 3. Have you previously served on a city �x� •.,.> L G •_ Y P Y tY or county commission/committee .� If yes, which one(s) and dates 5c r G .4 cf C .r7, c %- ;h'7 Z - EDUCATION: Indicate the highest year completed and degrees received 1 ✓r✓ •—K'__' i' —J ,— c✓74 r% -/L' EMPLOYMENT: Employers name, address, phone and your position or title j.,US R•�-'C... FL. /as CJ.� NT� toc /aL PLEASE INDICATE YOUR REASONS FOR WANTING TO SERVE u -� Gni •�' q /�.. �— G�-a✓—<1 „tom .�...�/�. A QUALIFICATIONS OR EXPERIENCE APPLICABLE TO THE PURPOSE AND SUBJECT MATTER OF. THIS COM- MISSION/COMMITTEE, /�; Si/Jr� �%✓rim � �u�/� i i��f%L i�r�`7 Tc. i/fa �// C..�,� i� r<-: ��✓l:_C/' /j /�[/r LC.00 li=..it!-i A'� �,l5_" /�'-;a ..r✓/J The following may be required prior to appointment: (1) A background investigation. (2) A Conflict of Interest Statement. (3) References. Evening availability is required. 1 dec that the informati n furnished hereinabove is true and correct to the best of my knowledge. 771,/'=_"e_ S--ii-9U APPLICANT SIGNATURE LATE FOR CITY USE ONLY RECEIVED BY/DATE 0 0 .'I':Y OF SANTA CLARITA COMMISSION/COMMITTEE APPOINTMENT APPLICATION APPLICANT NAME ADDRESS -Number, Street. Zip TELEPHONE NUMBER y Home: _ !} Business:,?)*,) 793 Emergency: 5-90 v— COMMISSION/COMMITTEE ON WHICH Y01i DESIRE TO SERVE: BACKGROUND INFORMATION ��11 1. Are you a registered voter �'� How Long? Y4 2. Are you now serving on a county commis Sion/committee It yes, which one(s) 3. Have you previously served on a city or county commission/committee ?� If yes, which one(s) and dates EDUCATION: Indicate tpe highest year completed and degrees received 7�for` �2TS EMPLOYMENT: Employees name, address, phone and your position or title ti�tle /�'SlOrl�/ PLEASE INDICATE YOUR REASONSFOR WANTING TO SERVE: 7b V�&zP /1�t 72V �c19wNll�G/ ()/„c�9r2 t�.lCdl�i' hS T Vi ft 4'C. jjv.,1 J9/1 Ar C 17 /_3 (5-4 B, 7V 4l LWe Tvw Hiro A C /TY t J /.> C AAIC, 2) QUALIFICATIONS OR EXPERIENCE APPLICABLETO THE PURPOSE AND SUBJECTMATTER OFTHIS COM- MISSION/COMMITTEE, d)S d=)�.j 61Z(,4 _Dc_5/dJ-0A4E l91JO S/i"71C'Ar � .c R/ 1 W (vv2e913/. 7L 2 �r9�vsl7.'�ct�T A� / = S 0731`.r�s a o/ T1,49: I %7 Loi T%�r' . 1AFA1ec 0114 N /TY afvw a/ 7[ TW S l6fii .t" 019'; --co /0(. Cl /ice As A9 7v4f - C /rl' Wiz'rr 3r/c�kr /77Y /LM Df 50ft&577vslw..'CS/ 1),r. The following may be required prior to appointment: (1) A background investigation. (2) A Conflict of Interest Statement. (3) References. Evening availability is required. _,TO I declare that the information furnishe hereinabove is true and correct to the best of my knowledge. Appuc'zNT SIONAruF LATE• FOR CITY USE ONLY RECEIVED BY/DATE