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HomeMy WebLinkAbout4A-HurleyApplication ~~LU ~~; -. -.: 'W ~ Qi ~ pp7~ }y~~,~) ~yS,/p gp pq g ,( ,(p Ap ~ p ~{ g~7 p,~p ~ ~6d~~ ~~~~![ iL--(Lll4l G3~9~f1~g ~64HfI~GlY~0861LY .'~. _ l ".` _ . City Board, Commission' and Committee ,4pplicc~$ior j85$ Instructions: Use this form to apply to serve on any of the City of Petaluma, Califor~~- Comm. fissions, or Committees. Please fill out the form completely. If a question does not app!}. ' write N/A in the space provided. When completed, please forward to the City Clerk s Offices ._:,,.rmu,- Petaluma, 1 1 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. flame:, r~~~~~~~F~ ~~~~~Y -Home Address, City, State 'and Zip Code: i 5 {~vwa~~ s-r. ~F-ra~~~tA, c,~. ~gR~tz Home Phone: If a~ ~oint~d, :~'o Y~~ ~ ~s:~~~E~t this nur,her to f:ravaU~~~~;e r~ +r-~~ put I~_~'; yyork Phone: YES ^ NO ( X07) -t 7 5 - -~- ~f s 8 (7a7 J ? ~ 9 - S~ SZ x Z 13 E-'flail: (It ~ahl ;~~+~d; ~-1o yuu ~,~c~nt tPris c~~1~lr~=~ to FAX: ,V~~ ~ ~ f i~ wUd~ble 1c~ the-/~ut~i~~?J ~ YES ^ PLO ( ) - Inariahne, hurley @ 9-bT ba l • net A,re you a registered voter in Petaluma? If o, for how long? L_I YES ^ NO Board(s), Commission(s), or Committee(s) of Interest*: ~Lt~N~ t NG GDM-~tI 55i~YJ *Note: To serve on the Senior Advisory Committee, you must be age 55 or above. Have you altenderl a meeting of this °Have you served on; interviewed, or app9iedfor body? this body previously? - u YES :^ Id0 ^ YES u NO Hurley, Marianne ~ r resent Employer. G~c !-1 ~le.N (~ STa T~ ~'AcRltS lob Title: S raT~ ~ t S~DR,I AN ~ - ,~~c(~t trECT~R~ f-~ts~Rr~iJ Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dater. '~I/T~~~M,~: 1~1s1~'~.lc s c~~-N~~ ~Es,:~.u~rno~ ~~t~r7'-r~E- 3 f R9 - G~o3 I ~o? - ~RES~NT Civic or Charitable Organization to which you have belonge"d, Position/Office Held, and Dates: ~A~7 M EM.B~~-- I-I~~e~r.~6~ ~-JDMES 4t~ ~~'ff 2.UMq. t gq4 --,za~vs ~~7"A~VM~ s~'SQulc~NfENUl~4L GOMM~~7E~- Z~?-tee - ~USUCATi~M "CE~ES~riNG ~rf4c~MA .. ~E'V~LOYMEN'r CDDE ADVISORY COMf~tlTTlr~ - Zoo?-2008 - Zoo4~ t30~4R0 M~MB~E~- VERNi4GU[.AR ~hRct-rlt'~CTVR.r= ARUM Cr~~--naN~. ~fhat Special Interests/Skills/Talents would you bring to this Board, Commission, or Comrv~ittee? DE51GlJ 'R~~t£W. Zo YE,~kRS ~XPF~Entc~ wITN- ~(~ttflT"FCTVRA~I-- ~'~20•T>/C'13 W t+ I C E vV ORk I N~ I N Ttf'~E 'PR! V ~trE S E C?a R ('rE'~C ~1"1'[r- G-N'R~Y~ ~~R6~'1- S.F, ~ Sr'~+rE 51/RvIC>=~~Rk ~r4G~c-Ti~>> ~rtD a5 A MGM p~i2 0>= `~ Hl.s7aR(L 5 ~~I~c•', 2, ~LA<N 1J r >`1 G ; CDII-7?Zf 13 ~ T>tA -7-0 ~ ~N ~R~F!- ~- ~ N 5 ~ 1Z. ATE ~,~ let;S 3~ ~N V t Ro N M ENT L Cok( ~L ~,4 N4~: (n Y~tRS ~x~E~2(,~ N4F UvoRtct vu rn+ G~Qa 3o-l~f ~OTZ ~LTJ2fi ~S s s7-,~-rE ~~,~ks -41 ZONING.' ~'~TZ-I"1,U~~T~D 11.1 UP~~}'T1/J6 P>:7~~UMq~'s ZoN«rG JJ o1ZP)N,~NCE g ~oR.k~~C w~~ 5T-~`t~ ~,>cGUL,4fiaN5 5'r~TE ~R k~5 , a~ ollege, Professional, Vocational Sctnools Attended (AAajor Subject, Dates, Degree/Date): • 'B ~rG4~'~1.0 ~,. O~ ~~17~CTI1l2E / q ~ 3 C F~L i ~ORNI ~ Co L~ EG E of ~R'75 : C i~'A'F(.3 MPrs~~R o~ f~K13 - i~R-r N'i5?DRY CfkiZ~H (t'EG7U~k L H151vR.7~ X998 UN~ vrKsrr'( ~~ oRE6o>v ~~ST~K DF SGIt=.~.~-~ ~'~'IS~1CfC.~ ~ZESERV~fI®N 149' uu(vFR s(rY o~ o~E~DN ----- Special Awards or Recognitior- Received: OU"1`S7"~N~/AJ6 IND~V1Dt1~}L tr~p~RSf+rP ~S~i~.ddmD~1 ,4~I,~.11~1:D. .ZoQ3 .j-f,~RI~~E NaMES ojr P~7AL tJMf~ Pfease state reasons why you want to become a member of this Board; Commission o~ Committee; including what specific :objectives you vdould be working toward as a member of tdrois advisory body:. ~u~uG 5~i2vicE.: 1~`PR.ES~N77ti)6 7~fE GoMMv~i~/-'4r. ~~~~, WORk(NG w ~~f' 7~ ~[.>cG7FD O~~CiA(.s ~'oR.- ~L7,4 G c1ti(,4'S ~ljlvle~. 2~ ©B~cTJ 1/~S.' -jb ~FZD~IDTE 5 vs~~N ~-a~E ~pL ~4NJV iS~l1G ~1~D ` a7 v~~NS/T1VC- ~~SiGJJ T~fleOUdff f,'N~LYSIs 5- C®LL~~v~~1'lt0 . Is there any other information that you feel would be useful to the City Council in reviewing your apPNcation? ~3 re you associated with any Organization/Erv~ployment that might be deemed a conflict of .interest in performing your duties if appointed to this position? ^ .YES L~J NO If yes, please state name of Organization/Employment: City policy directs all dppointed; advisory body members not to vote: on matters where there exists a potential conflict,of interest. NNoutd you 6e willing to abstain from voting if such a conflict arises? L~J YES ^ NO Hovel did you hear about this opening? N~ws~~PF (t Applicant's Signature Date G Revised August 12, 2008 ~~~LU ~ ~'~~~~ ~~'~~~~$1~~6~~~~, c~'~~Idf~~~•~~e~~ Su~~~~~er~~a~ ~ues~i®~~®a~~ ~®~ ~$~$ ~9~~a~~~ag C®~~~ss~®~ C~~~AC~®~es Please return completed,questionnaire to the Office of the City Clerk, 11 English Street, Petaluma, CA 94952 ~ fac R t Pt N N C I-4 tJ R L E`( 15 {-~-n~ttl ~Ra 5T. P~-rA~~r~tA, ~ ~~942 707- 775 - ~-g 58 707- 7G ~- S~SZ Please print or type your answers to. the following questions. and submit to the City Clerk's Office. You may submit additional shee#s, if necessary, to.complete your answers. Hr~ ~~- , ~!~~ arirn-. ». ~7r , ~:~f the f~lio~,N~~ ~~a ; r,~~ti, ~~~~, Planning Commission Orientation Session ^ YES `CYNO Date: Planning Commission Meeting ~ YES ^ NO Date: ~{AS-r `(~~S `~"J}, t :_i;, ,~;,~_~ thin4 ~a~~alrfi?~ yc~~ t_- ser~~on the P'~~~r~inc~ :~~m,rr~,~ssi.~n~; ~jC~~fel~l•1G~ /ti ~5flo/V I~EvI~WI ~f L,41~iN/~1G~ ~NV12o1JM~EJ~rt~4 ~M ~Li~4NGE ~ ~rJD SON/~1G . ~5~ ~a.~e 2 of M a ~ n ~k'pp~[ cA~na >s ~ ,~Up[~oN~-L iiu~ox~~n~~~ . ~S dl~l~t '_id ~~~,~~ see- cas th~~ r~E~t ~~lutlor~~, k~ott-, I. rlc~ :_~n~i~short te!m f:~r ~=c-,I Komi ~~ev~ I~,pmenrir~ Pr`t~i~!~>i~l? ~ucoo~yE ~Np SJ~~o~ uxq-l- T3usi~~ss~5. . CL~'21~Y T~~ D~VEGDPrLJENT" t~lQvcE55 ~P ~K-~ ~4-PPcic~I15 ~r~B~iS~fME~7" ~ NE'W .4-ND i~'Nov,fm v~ fl usi N~ss.~s ~(I !lUil"I r; ~rjl~if'~Cf ;,S ;] llClt.>f iv F'=tC1!~+rl"1tJ: /ti.'~fl~lt '~U y~~U ~E" ~ifii/~ICiall~/, ~~C~I~?!I'~JC 71`,/; '_1 f1~_!=rlWf~'rlfll~flti~l~~`y' C1C=« ou walk a~e~und;tawn? - ~~ ~' /~ !S S~;rN~ C. !N l ~ S~?I rl G ~'GDAJI~ 7'~'j~~ ~r vEl~ W ! ??f ~N ~5'TnRt ~ 7~wx~u~, ~loc,Es o f ltiis-f~vr,~ ks~ ~ev-. fia l ~~ ~~s,~ ~ ~~ ~~~3 d F ~ i-.»USTR.~ A-c, ~ ND ,4~ RI G~(.77J~L P~ ~s /-~cs~~et ~ D,e.~ t s SuR~ovNAF~ ~ n1Et,J sv~~~ vi3 i or~5~ C3 usi ~+F_ss "'t ~-R~ ~ ,4 x.tD SG~evicrD 1~`f ~ ~u~7ai2, ~RE~w~a7• ~~~~ ~~~.sY t~~s, AND ,~Dj~•c~Nr RA~NCF~S /YDD 7a T~ cf-f-~{-~Ac~12. ~co~Dµ~C~kc.~~ 7~ ~U,uB~te of F,u.P7'~ Co.`c~t~u'h~ s' ,~ET~~ ~. (S l YDU~i~iI~G , - -< 'Th . ~~~~n~ral Rlar~ ~Plal~lu tf~F_ al_iidir~G ~~:~~:,rr~en' 7n~1 vi i,,~~ fc:,` the_City-~ H:. ,. w~!~ui~J)<oU int.<rF__,r~, ih~ F_~"iC,iP,sr grid g~al~articulated i~~ trie~l,an~ N~,,v fl_E~Ible ~~N-uI~J}/ ~_~ b~~ nn~lw~ X1:1 yo~~ fFel ~~~~mforf~7l~le rl~~ta~F~i~~'~.in~=~ s acific land usc, allowed in the Plarl? _ - Ix/~1eR~`t" 7~ ~`1GES AND 6D~Ls ~~Eo,4Azy , w rr~ cc.EAR, D~R~DtiJ /NDrCs~T~D ~ ;3c?7r W i77f- ~E vk~DE~. S?~~~ ~u~ 7~f~4-7' 7~ ~Ex~EK~4-~ ~L~1•N Gi vEs ~4 I~~NG~ o~ G~'OIGES. ,5'DME~7ME5 /7- Lc, /I1.F~E.S59-12.y ~a pEVitf'~E ~i20~+ 7}f-~ G ,ENE~•4~- P~f}-JU ~DV~ /~lA•`~ ~ I 6tEJJ ~ w~1Ph ~ ~av- was wnr~, ~ (~CVM57~k~~S ~~ ~~r _)~c:,v~ri man~~gerrF~~r ~ystFrr~ F~~~, l~~er~anelement~otth~ cievel~,~;r~ier~t ~roc~,~ in P~talun~~~~ sirr~c I`~/2 af_i~ :~~~-Urr»r Ci~,~-vth ~,~und~~~~~v~a~ ~~d~pted ire li~~~';t~~~rontrol thr~~~:h~~.i~~~~l grovrth of.P~~t~luma.~ Iti'ifh tli~sr~ t.v~ r,~cijoi ~~oiicir s in~riind ari~J giventh~ ~r~~;~ur~?oron~oing ~~~o;~itl~~ J~Jririy the nextdeca~~e or-o, ,~~hut t,~.~b c~rthr~-~~,~,,li~-ie~ :~~aei ~ro~~i~~i~~<_ woul"i yon, ~~iom~ t~- t~~ F~roieci tl-~et~i~i~;~ic, cultural, and phy~fcal a~~ ~.1~ of ~> ~~~"1?VE ~R.~uS~ D~ ~X(~~G ~ ~$ul~~i~J~s Z~ ~fX.U 5 ~EV~I.o~ ~ ENT' a~ ~c~r`I c~!"S 3> CpNGEti-%R~{'f~ GIeO~ ~IUG ~>~1~15~~T"fl'17D~ CDRRI DDS -Hc~ v~~ould ~ou ~.~~.~re~~ ~urrFntan:~ future ficn~~in~ i~~ue;fnr Pet.~lurnu? -- ~%4~roDiNG is ~~~ ~SoCi~D bV /~ T/P+~ •4'm,p C.f~c~l'RDN c~F ~EUEWPME~ M~1cULDUS ~c..~l-~eN/AlG !S ~JEED~D 7a ,~UO~D D~.. ~l c-ti G ffi~ ~o7~J~Ti~E ~ ~~~ i1JG . `Howwould youaJdres~ current anti future traffic r~r;nc~estioninPPtalurra Ll ~~ ~Ltx~DixJ 6 J j ~!} ~FrL CD NG FS?t old !s ~{~ R~uLT Off' "~[.,41~6N/~t/~ y~c IS rONS 7~~?" /~vl~T7EcPu ~D~RE55 'T~fE' cUM IJL.4'17 V6 ~~>~~-7~S ~ ~~,-naN~ cs~ o~ 7z~~Dw~ys, cv,QR.~a~r iss~~s cA-~ ~~ .~L~ ED W rl}F ~D~4.D ,D l~`f3 ~ ~D(~r1 A . q- t3 0 ~ri3 , ~D >: ll1CDvR~g /1JG W,4-1- K I,tJG ~4~~ ~JBuc. ~1J5!%. Soc.unan~.s ~~4TivE ~~~ ~~v~c-oP ~~N1- Nt vsT co,~ra~Ur-~ ~ ~ /~R.EAS£~ '~'RA'~lL . hat i~nfill ~~!ici~s cio yo~~~thinF:~houl~_i~~c ad~pied in light ~_,f tii~ Urbc~r~ Growth B~unJ,ary ~, a ~~~~~i h,~ the ~ct~~rs ~~J~'G!/~l~ ~~I'S /~~ll~ I~i4G~-Vr L~ s`-Al'D UND~i~ IlRL~'zED f ROf~i~~277~5. w,f,h'L~ ~~,pT~C~ING ~57a121L 1~~SVU2CG~~ 7"fFESE ~~45 SffvvLD ~E SOWS of ial~rc.... sigT~~t~~~F ~~t~ ~~~~~c. ~ - ~?q- oq V Revised June 1, 2005 ~~