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2. First Name*

3. Last Name*

5. Address1*

   Some boards require residency within the city limits or other eligibility criteria.

7. City

8. State

9. Zip

11. Contact Number*

13. Which board(s) are you interested in?*

    Please select all that apply.

    1. Planning and Zoning Commission
    2. Board of Zoning Appeals
    3. Board of Health
    4. Design Review Board
    5. Civil Service Commission
    6. Airport Commission
    7. Other
14. Please describe any experience or qualifications you have that could benefit the board on which you want to serve.

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