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Home My WebLink AboutCouncil Packet - 12/18/2017 BOARD AND COMMISSIONS COMMITTEE December 18, 2017 5:05 PM Harold E. Getty Council Chambers Members Chairperson Jerome Amos, Jr. Vice Chairperson Bruce Jacobs Tom Powers Roll Call: Approval of Agenda, as proposed. I. Motion to receive and file Mayor Hart's recommendation of the following appointments: A. John Chiles Board/Commission: Board of Adjustment Expiration Date: 12/18/2022 New Appointment B. Jeri Thornsberry Board/Commission: Board of Adjustment Expiration Date: 12/18/2022 New Appointment C. John Beckman Board/Commission: Board of Adjustment Expiration Date: 12/18/2022 New Appointment Adjournment Kelley Felchle City Clerk Page 1 of 7 CITY OF WATERLOO Council Communication John Chiles City Council Meeting: 12/18/2017 Prepared: 12/8/2017 REVIEWERS: Department Reviewer Action Date Mayor Office Westphal, Michelle Approved 12/8/2017 - 1:27 PM Clerk Office Higby, Nancy Approved 12/12/2017 - 9:28 AM ATTACHMENTS: Description Type D Application Chiles Cover Memo Page 2 of 7 RECEIVED �6V 1 7 1� '—' ` , °w= CITY OPWATERLOO, IOWA BOARDS & COMMISSIONS APPLICATION Date: |. request hobnappointed to (state proferenpa): 1. 2. Home Phone: 1411* Cell Phone: Work Phone: Home Address -Zip Code S 0 q 0'4, EmployerTitle Employer Address Zip Code How long have you resided in Waterloo? years List current membership inorganizations and offices hold: / am available for meetings: Noon | �mmwnUmb/etnnen/eonaB��d/Cqmn�kslontheondnoyooc /ypq) No \fno, Uutmonths not able toserve: ~~~ Briefly explain your qualifications for appointment hoadesignated Board/Com mission: _________ ' � Additional information and comments that may not be evident from information already on this form: ` References(include phone numbers):... 6!L& / understand this application does not bind mm to accept on appointment should it be oOened, nor does it guarantee an appointment to m Bmurd/Cmmmission. K selected, | will be available to attend appropriate training sessions. This application will remain valid and on file for one calendar year from above date, Signature 51 RETURN TO MAYOR'S OFFICE, 715 MULBERRY ST.,WATERLOO, IA 50703 Rev 0411412014 FAX 291-4286; EMAIL: � PN��E 291~��1 Page 3Of7 CITY OF WATERLOO Council Communication Jeri Thornsberry City Council Meeting: 12/18/2017 Prepared: 12/8/2017 REVIEWERS: Department Reviewer Action Date Mayor Office Westphal, Michelle Approved 12/8/2017 - 3:29 PM Clerk Office Higby, Nancy Approved 12/12/2017 - 9:29 AM ATTACHMENTS: Description Type D Application Thornsberry Cover Memo Page 4 of 7 CITY OF WATERLOO, IOWA RECEIVE® NOV 2011 BOARDS & COMMISSIONS APPLICATION Dat o 1 ,7 , request to be appointed to (state preference): (Name) . x2. Roma Phage- _�l�-, '� °�@ 0641 phone: _ Work Phone: Home Address. 1p . ....._ Zip Codd` __ _ Employer- Employer mployerEmployer AddressZip Cade How long have you resided in Waterloo? yrs E-mail address._ 1►_„( „J` -:�' ',: �r. T (', a ! List current membership in organizations and offices held: 6,612 ., { Vii.>a � � , , rf,k > 7 '-,�7� .�7'J .1 '�/Y»J J "f lfilrx fi/1 �# �[}r!d� i i am available for meetings: AM L] P M [;l Noon J1-f:vonings I am available to serve on a Board/Commission the entire year: G. Yes [] No If no, list months riot able to serve: Briefly explain your qualifications for appointment to a designated Board./Commisslon, �t�.:�t L,LI_Y�r' ,L;; iJ ✓r l� 7 .�1115�_ ' X*J K._ l ))L , e is Additional information and comments that may not be evident from information already on this form; -)v. fir/ e� c'r. 1J i�? jl f 1rC f il �ky■ �: References (includee pbane numbers):, 2L zj'77 1 understand this application does not bind me to accept an appointment should it be offered, nor does it guarantee an appointment to a Board/Commission. If selwed, I will be avail3bte to attend appropriate training sessions. This application will remain valid and on fits for one calendar year from above date, JSignatur E i RETURN TO MAYOR'S OFFICE, 715 MUUBERRY ST,, WATERLOO, lA 50� [ FAX 2914286; EMAIL., mayor w :eriop-ia.org; PHONE 291-4301 Page 5 of 7 CITY OF WATERLOO Council Communication John Beckman City Council Meeting: 12/18/2017 Prepared: 12/8/2017 REVIEWERS: Department Reviewer Action Date Clerk Office Higby, Nancy Approved 12/12/2017 - 9:29 AM Mayor Office Westphal, Michelle Approved 12/8/2017 - 3:38 PM ATTACHMENTS: Description Type D Application Beckman Cover Memo Page 6 of 7 RIFICEIVED NAR 3 0 2019 CITY OF WATERLOO, IOWA BOARDS &COMMISSIONS APPLICATION Date: i, , request to be appointed to (state preference): f (Name) ( r� •_�Ii:r.._f)fs�.'%�J 1 Sic7t5.'.'t--T[I'll,l.Amt 'l J t : Z Home Phone;__,3.2—r17�-f S' CellPhone: -11 -T , 4/ qr2 Work Phone: •-'�-� Home Address 3 31lug. r(Z;.ZF. ��:s,y-J,1 j.A-7—,4-Lc Zipcode- Employer .(z Title Employer Address --"� Zipcode How long have you resided in Waterloo? ? / years List current membership in organizations and offices held:- T afl- P0 .7-- PIC' N am available for meetings*c:: I am available to serve on a Board/Commission the entire year: CYes No(check below) 4 Spring Summer Fall Winter All Seasons i' Briefly explain your qualifications for appointment to a designated Board/Commission: r- 471— Additional -Additional information and comments that may not be evident from information already on this form: i 1 ) y r I References(include phone numbers): bektj Qlt'-71 / - 6—72'1 5 S z J 31 ' r I understand this application does not bind me to accept an appointment should it be offered, nor does it guarantee an appointment to a Board/Commission. if selected, I will be available to attend appropriate training sessions.This application will remain valid and on file fchr one calendar year from date above. r � ig ature RETURN TO MAYOR'S OFFICE, 715 MULBERRY ST., WATERLOO, IA 50703 oarM010 FAX 2914286; PHONE 291.4301. i Page 7 of 7