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TOWN OF CARRBORO <br />S. <br />NAME: Jr DATE: I2 <br />ADDRESS: <br />IS THIS ADDRESS LOCATED WITHIN THE CORPORATE LIMITS OF THE'TOWN OF CARRBORO. ?'„uh%I'� <br />• DM "� _ ti. �I. <br />TELEPHONE: [HOME] & -'! 77x7 [BUSINESS" <br />RACE: (, ,) - SEX: M _ OCCUPATION: <br />�J DATE OF BIRTH: rn <br />tot AIZA <br />ARE YOU A REGISTERED ORANGE COUNTY VOTER? LFNGTH OF RESIDENCE IN ORANGE COUNTY. YO_„ TOWN OF CARRBORO _ <br />S <br />wish to be considered for appointment to the following advisory board(s): <br />Board of Adjustments _ Planning Board <br />Appearance Commission Transportation Advisory Board <br />Cable T.V. Committee Parks & Recreation Commission <br />Human Services Commission Cemetery Commission <br />OWASA Board of Directors Downtown Development Commission <br />Orange County Econ. Devel. Com. Environmental Advisory Board <br />Budget Review Committee Other <br />If you apply for membership on more than one advisory board, please indicate your preference <br />by number, with "I" being your first choice (please limit your . selection to two (2) boards). <br />pteYSa ore th ?t or-,Pr9 .0 pc 11'm1tPd to nne advisory board at a time. You shall not be <br />considered for appointment to another board unless you resign before filing an application or <br />you are in the last six months of your current term. <br />EXPERIENCE TO AID YOU IN WORKING ON <br />A M%nPnHV 13n6 one• <br />REASON( YOU WISH TO BE APPO NTED: Jf <br />tl'►'► UM <br />HAVE YOU EVER SERVED ON ANY TO N OF CARORO AD SORY BOARD? IF "YES ",ICH ONE(S)i� <br />