HomeMy WebLinkAbout02.A- Mayor's Office CITY OF SAN BERNARDINO-REQUEST FOR COUNCIL ACTION ORIGINAL
From: Mayor Patrick J. Morris Subject: Approve the appointment of
Lance Durr to the Planning
Dept: Mayor's Office Commission per Mayor Morris'
request.
Date: October 11, 2010
Council Date: October 18, 2010
Synopsis of Previous Council Action:
Recommended Motion:
Approve the appointment of Lance Durr to the Planning Commission per Mayor
Morris' request.
�ignature
Contact person: Mayor Patrick Morris Phone: 5133
Supporting data attached: no Ward: None
FUNDING REQUIREMENTS: Amount: -0-
Source: (Acct. No.) -0-
_(Acct Description) -0
Finance:
Council Notes:
Agenda Item No.
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..... ._._.. ■I.11 III
CITY OF SAN BERNARDINO APPLICATION
FOR APPOINTMENT TO BOARDS, COMMISSIONS AND COMMITTEES
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List, in order of preference, the committee(s) on which you wish to serve(see list on reverse side).
1) 3)
2) 4)
Name: — Date of Birth:
Home Address: 7-Z 00U il-Z City:5" 4?AVA0 _ Zip:
Home Phone: Fax: ( ) E-Mail: L&L4,Dqgt Qi�i '�C~
Employer: S7rX73W ,B42� Occupation: 5;Cj1fV0 P4Vyr. 4f$ ,$
Address: 3 ZS� 12f&W y City: Zip:
Years lived/worked in San Bernardino: sQ Work Phone: ("
Educational background/degrees: Sig- U/},CIDIl,S 7&11 Z4fZW-I oKoK CIVOE-
I amV am not❑ a registered voter. Ward(: �
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:censes or special certificates.
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Previous City of San Bernardino Commissions/Committees: From/To:
Organizations to hick you belong(professional,technical,community):
The information provided is factual to the best of my knowledge. I understand that I may be required to
complete a Statement of Economic sts Form as required by law, and that I will abide by all the codes,
ordinances an ulaJ11ons of t of San Bernardino and the State of California.
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Mgfiature Date
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