HomeMy WebLinkAboutStaff Report 5.B 03/19/2012 }
w�ALV I �l0.e�'/tawIteAWli#5 .3,eir
Sj
c
185e,
DATE: March 19, 2012
TO: Honorable Mayor and Members of the City Council through City Manager
FROM: Claire Cooper, City Clerk
SUBJECT: APPOINTMENTS TO FILL VACANCIES ON THE ANIMAL SERVICES
ADVISORY COMMITTEE, HISTORIC AND CULTURAL
PRESERVATION'COMMITTEE, TECHNOLOGY ADVISORY
COMMITTEE, AND TREE ADVISORY COMMITTEE
RECOMMENDATION
It is recommended that the City Council adopt the attached resolution appointing individuals to
City Boards, Commissions, and Committees.
BACKGROUND '
Vacancies exist on City Boards, Commissions, and Committees for unexpired terms created by
resignations, plus one position that was not filled when the previous member's term expired June
30, 2011.
DISCUSSION
Members have resigned from the Animal Services Advisory Committee, Historic and Cultural
Preservation Committee, and Technology Advisory Committee. Additionally, one vacancy on
the Tree Advisory Committee was not filled last summer.
The attached "Get Involved" flyer was distributed at City Hall, the Petaluma Community Center,
the Petaluma Library, and the Petaluma Campus of Santa Rosa Junior College. Petaluma
Community Access (RCA) ran an announcement of the Openings as well. The deadline for
applications was Monday, March 12, 2012 at 5:00 p.m.
The flyer does not list the vacancy on the Historic and Cultural Preservation Committee because
the two members of the committee are recommended by the Petaluma Museum Association and
Heritage Homes, and appointment is confirmed by-Council. The Museum Association has
nominated an individual to fill the vacancy, and that letter is attached.
Agenda Review:
City Attorney Finance Director City Manager
FINANCIAL IMPACTS
None.
ATTACHMENTS
1. "Get Involved" Flyer.
2. List of Vacancies.
3. List of Applicants.
4. Applications from citizens interested in serving on the City's Boards, Commissions, and
letter of Nomination from the Petaluma Museum Association.
5. Draft Resolution Appointing Individuals to Boards, Commissions, and Committees.
ATTACHMENT 1
GET
N V O L V E n ' APPOINTMENTS TO
CITY OF PETALUMA
APPLICATIONS NOW BEING BOARDS, COMMISSIONS, AND
ACCEPTED: COMMITTEES!
Petaluma encourages residents
to become involved in their
local community. One way to
do so is to serve on one of the
City's various boards; Animal Services Advisory Committee:
commissions, or committees. One Vacancy
The City is accepting
applications to fill positions on One vacancy to complete a three-year term expiring June
several City bodies. 30, 2013. The committee meets'the first Wednesday of each
month at 7:00 p.m. in the City Council Chambers, City Hall,
Applications must be submitted
11 English Street.
to the City Clerk's Office by
Monday, March 12, 2012 at 5:00
p.m.
The City Council will review the Technology Advisory Committee:
applications and make One Vacancy
appointments at the March 19,.
2012 City Council Meeting, 7:00 One vacancy to complete a two-year term expiring June 30,
p.m:, Council Chambers; City 2013. The committee meets the fourth Wednesday of each
Hall, 11 English Street, month at 7:00 p.m. in the City Council Chambers, City Hall,
Petaluma. 11 English Street.
HOW TO APPLY:
Applications are available Tree Advisory Committee:
from: One Vacancy
City of Petaluma
City Clerk's Street
One vacancy to complete a two-year term expiring June 30,
11 English.Street 2012. The committee meets the third Wednesday of each
Petaluma, CA 94952`or at the
City's Website: month at 3:30 p.m. in Conference Room 2, City Hall, 11
English Street.
FOR MORE INFORMATION,
PLEASE CONTACT:
CITY OF
City Clerk''s.Office PE a-p-� 1/ Char
11 English Street
Petaluma, CA 94952 )2,4 e"•19
707.778.4360 cityofpetaluma.net '1 '..
cityclerk @ci.petaluma.ca:us 185e
a
ATTACHMENT 2
City of Petaluma, California
Vacancies.on Boards, Commissions, and Committees
As of March 12, 2012 •
Bod R r Vacancies; r Term Expiring 0
0
Animal Services Advisory Committee 1 -unexpired term 3 years 6/30/2013
Historic and Cultural Preservation 1 -unexpired term 1 year 6/30/2012
Committee
Technology Advisory Committee 1 - unexpired term 2 years 6/30/13
Tree Advisory Committee 1 -regular term 2 years 6/30/2012
4
ATTACHMENT 3
L
6 O ,, o- O
O U
Fit—W. E C •L11 - r'1 vW o t 1W' Q)
2 O L '� n 'O i<1 E _ O
O U N
4 4/ its
O 'O &.' 0 ,4
L N ''i."x r *- O
107 d '-`. ., -':410 , s-
'N, .-0 .5= .,; P?
101 13 .
yA x C 1-- y
N =0f hx a to •` . a O.6 • `. ::r,' O N
E O) C � C; �' C:
.Cq O: n O " ' Or `Cx 4 or 70F -0 W 1.0
aL;a, '- ;ate Jam' as R r r:d"
C 0 X' O M
O 0d N. V j mtl ^ -0) -
m'Y
,O cc ,,E,a c,j *
T F O v N
a n.
tit O. r n..Gle _ - ,Q
•i. L s,-d Yv f>. a
tt C N N L 0'E E O t/7 c V
p N
N ? — v 6 '°u w
a " � o `w
O• v X0 i0 <t ;= 0: ,
T:)...- c ru O ,> ,Ep •
o . c . ° 'Qt.
0. __ 9th tit) Of "o re ;44
of Mc. E c
E ! a 5.0 °- :p o W `4
tot u Rai
dN '.� uE N. or
Un "t.
5
at ;. CP. E 'o.
E . • > :, .E,
:N , - O
COD' D a U,
;
1
u ` V ,IQ
•N
y x e Y 'O '.� - 2r
-4�$"c1 0 a Otl , J d Sao Qa
qq5 U' i0 t e
a c
ATTACHMENT 4
APPLICATIONS AND LETTER FROM PETALUMA MUSEUM ASSOCIATION
C2
APPLICATIONS FOR THE ANIMAL SERVICES ADVISORY COMMITTEE
(One Vacancy to Complete a Three-Year Term Expiring June 30, 2013)
bl 8 970//7
<0
AD*
4
rkt c),„ P S1/2.
,./..'.'...,..,..'....Hr. :,',?. 'O.;:'fFe.',•::.t'''::'''t''''' i..:,lii'.' i
a ) 10tyooid:Commissloyand.O,.:bH'''i'''.;66,•1*:1i,':. ,,'.„3O•7Cr':r'g. !''.'i
lhstructior s: Use this form to apply to serve on any of the City of Petaluma, California's Boards,
Commissions. or Committees. Please fill out the form cornpletelyit a question does not apply, type or
write N/A in the space provided. When completed, please tannic:1rd to the City Clerk's Office City of
Petaluma, 1 t English Street, Petaturhci, CA 94952.All applications are reviewed by the City Council.
•:1000* :.;1- ,■-! ,:.„.:!..i.: ).;.".:;■ '!..!..fli;■!'cl,:-; f . '.::i ":;;:.:,:i•I' ' ' :Tc.: ' '' . ' .;,'.1 1.:"'"'t
filAilOC‘ IeW
/
fiiiiiiii^,kiiO4ii0iiii:'iindS*Ook :,';' . ''.::..? . .,:.;0:.... 1;:.:ni:L4,:::.i!;;::1.1. ,. ..,:i.11iiiii:(Ir:"'
I k:5. rF Lfridtaki aeiVe___
f:k3--1LEkty\44) Oct qqqs-LI
Home Phiiiitrtitd0061610#.;#14d06WOritlhts'i,;!-,:.', :;,. .." H....,,..1..; ..i''.;; ,, , ..e.„ , ii,.,,z,')::,.r ;...0,";,,i,i.i .",,7±. ,:...
ri(joibet tat,bi;.6,6iiii166•36,ini 0116filj•J•,•••.,'•••;'• ,•::icbt.,{014iiii• Iiii ,,,;.,..•.. ...,,,,...:. :;::,.. ,,..':.!•'-!:F.:.:- (.1,:i... '!, ..:::..]../,.!:-.'.....
.,.: ! : . :ti. ..:..::.t.4:..E:.., . ,-..,,,,, y,:,.:.,Ey..,:. .,.:-., . .',.:.1. ...,-, ,r 7,--.. ::.,,,- y ., ..,,:...,..,.1F,,,,,:)...i..,,,,,..::::,--:..:::!:7::::i....:v:,:i..,.!...H....:,
ypo
( 10 ) aci_ - -z4t7i I (/,:cfl- ) 510 - 3ici0
rAx:. ) :...,:::: : H.::::;.. ..::.. ..: .:::::!::.,:y.,.:,:.......::.:..:....:,..i::: ..Elmcip.::;fif600fritee:1,*yaofiri).ti:4 : :it to ::
r,%,:!;:•;.: ,,:' ] :' rj,ii,:::,;•'.:;;,1 .:,1,,::.:.::::::;: ,,,:,,:.: ,:', b ...ib■iSildSie:.:t8iiiliiiitaia411:4:1',/iffstA■, ,: 0i:', '..,•'„,
( i--1- - . igre
f1,411**K. ?Vat ti- in_
I-icti lOOLOcrtir b. st-na241) corn
Aifii youtcrietkoreiti4biiiiii0,iiiiitai",iiitia: :,..1'...'Y.. :.)i itiiii;!fcifibikke'llObtii, ';.".1. ;.:0!;:::',1i.:',.,.:iii,-,.6:::.•,.1:,.,.., ,:".,,E.,',.',1.'„,„'.).,',H,...,ri
51 YES 0 NO ra,V, tiOeci.) 1.
Board(s); :eittiiicilkslero).a.,6*tputifatiytiiiie4eiti:..: %- H.: • .-:. :],:t•:. : ...::•:-..2:.:" t: ) ;,i' :: ?: - ..,. . : -
All 1 fl A1 SQ-Cul•citS 7q-C4sQl2An CZ3tql lieu-1+Q-St._
'Note: To.stirve onithe'Senior AclyisoryrCoramittee, you must btage 55 or above.
Navetab4 ii0iiieel*iiii.e.t4ititi.iii ibis • ; :,iiciyilt*ouletiloa'6b;IiifejtviSedi of attiSleatoF: .•
body? '. • I ' ' . ',•••• ,,, ' .. " " this SO(Wistik4itooliirt.:.' ''..:71"'•• • •".. 'tHir ' ' ' ''' •''
'YES Elilo ski TES 0 NO XtD87-' •— 0640
.
Eileen HALLOCK
Animal Services Advisory Committee
13
IL
o biggic
j ' -fl- =14--ous\ifief M eauxt-
lk-A
cao -Pi
JobTMe
e,u -Atryvbe_ _aesaiii‘cc 4 gs-1/4-kts
Dote it; I L " . .
NI.46 .suaolits ildca
sCer
CZnivneudokt_.
Vtafeto trKildo 41Q,c6A rtve4IN LAI&
ceimpliztto
C1414 Or C haAloble ötgonlzatSn to Whkth you have belonged, dsflIonfóffice kId, : ••
Dates' I
Lirnft ‘14sticithilla7L numNickz austmd-
Avnui Cote Oae- ameDictiatc,cuiee,441-•
ins/Mbek,
What
C4:)kLA.4,,E51`et_ -itz) kutp "id r
zi rit cfnweArc_. '
A-.7-ekt
ski-but 1 ( ichLCArraeS kig_ L:O{Ca
4 . aft et fl• 2J94tJsxh . •) r . eCUdil
L1/4-A-14- urt AitlAA -17-) 1 ." 51S
u eit-{
Aonas - cC k rnt cefecisictitim -
aVA.tis
w-tcrks nejg-fi
diC-
•c
oiieóe, Professional,Vocational khOoi Mfen05!10,00-?!
special i iqq3
*atiii cc iteept0010:$0**t'
' " " tritnitthoslOmot.
_to tt_ you wo...tri:becoireire member:4tP .:„ . !!
YotsiOld be Working toward o:tko MOrrabet.of,
thii•Ottili4ty.'boor ". ; : • : • ;;;. .f ;
flthr eetabasao 603.44(Ak _tiocerict Avallac
al tfeWIPOS 7-r- Lc-a/3
tLW' -it Creln ceu'LL turit:Akd l_n4t).Q •
e_ RAP tikl) ,se"A' .;-1r0 ItufAit
(../Thsfrivar- Luc la(Th•
—ekat- icAnuogeLiaina yi-ND
you tiOl$10 be useful the CUt Council In ev1e+EIng
your apli cation? : : ' • !: • „ . . , !
lit_ ITEAKZ--- ITY-QtrYtheS-- • I It( Sot-
tw-Tv anktio i&A-1,91._, .20 sa WeetSzt-,“_.
-t Yvoc31
•As ChitarykonA___ . 0..p il—tua • 111;111 01
• ' Ujcs a 4
A--yuvy gala- ca 'SU adidb cskAtti-42.
ID
Are you ossodded with h any rgonlzailon/t hiployrnetitthat might`be dleerried a conflict W
interest i n perlorrningyour duffles it appoittifed tothis'position?
❑ YES No
If yes pi+tstse state nkime of O[ ahlzanon/Efnpl ens
City palls y directs oil appointed, odvisriry body•mmembers not to vote on rrraiters where there `
exists a k atential conflict of Jrjterest.'Would you be wilting to stbslafn from voting if suoh a
confl ct r rlsea
I YES ❑ NO
stow did J'rou'hear about the§apenfnff'?`'';
r
I
I
Appfconl's Signature Date,
Revisec August 12, 2008.
'
1 l
%g10111?ter.
cce
Wtfi 2012
4�AZa —,
CityofPetaluma, -
City Board, Commission and Co • .; _ 4/
e6 a CEO - 1R�
instructions: use this form to apply to serve on any of the City of Pet. <. ._ r':'js Boards;
Commissions, or Committees. Please MI out the form completely. If a question does apply type or
write N/A in the space provided. When completed, please forward to the City Clerk's Office-City of
Petaluma, 1 l English Street; Petafumo, CA 94952. All opplicationsTare reviewed by the City Council.
Name:
Christina J. Stager
Home Address,City,State andlip Code:
411 Lindberg Circle, Petaluma, CA 94952
Home Phone: (If appointed do you want this Work Phone:
number to be availoble to the public?)
No
•
(415 ) 509 - 0959 (415. ) 623 5330
FAX: E•Mait.(If appointed, do you want this address to
be available to the public?)Yes
( ) - christina @ 'bay.orq
Are you a registered voter in Petaluma? If so;for how.long?
Yes Four years
•
Board(s), Commission(s), or Commfltee(s) of Interest':
Animal Services Advisory.Committee
• *Note:To serve on the Senior,Advisory Committee, you must be age 55 or above.
Have you attended a meeting of this Havegyou,served on,.Interviewed,:or applied for
body? .this body previausiy?
No No
Christina SLAGER
Animal Services Advisory Committee
Present Employer
Aquarium of the Bay
Job Title:
Director of Animal Care and Exhibits
Previous Governmental Bodies/Elective Offices you have served,Position/Office Held and
Dates:
N/A
Civic or Charitable Organization to which you have belonged, Position/Office Held, and
Dates:
FOPAS (Friends of the Petaluma.Animal Shelter), Board Member
February 2011 to March 2012
What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee?
I have 30 years of professional experience in the non-profit field, working with and
managing animals and animal care issues. l am also very experienced in project
management, production of reports and evaluations, and working with volunteers.
•
13
College, Professional,Vocational Schools Attended (Major Subject; Dates, Degree/Date):
Lehigh University, BA
George Washington, Graduate Certificate
Special Awards or Recognition Received:
N/A
Please state reasons why you want to become a member of this Board, Commission or
Committee, Including what specific objectives you would be working toward as a member of
this advisory body:
I'd like to become more involved in my local community, and given my background,
this seems an appropriate way to make a contribution. Presently, I have no specific
objectives in mind, other than serving the needs of the Committee.
Is there any other information that you feel would be useful to the City Council in reviewing
your application?
II*
Are you associated,with any Organization/Employment that might be deemed-a conflict of
interest in performing your dutieslf appoinfedto this position?
No.
If yes,please state name of Organization/Employment:
City policy directs all appointed,advisory body members not to vote on matters:where there
exists a potential conflict of interest. Would you be willing to abstain from voting If such a
• conflict arises?
Yes.
How did you hear about this opening?
From a friend.
Applicant's Signature Date
@ • G f 3.12.12
•
LETTER OF RECOMMENDATION FOR APPOINTMENT
TO THE HISTORIC AND CULTURAL PRESERVATION COMMITTEE
(One Vacancy to Complete a One-Year Term Expiring June 30, 2012)
ICP
c, PETALUMA MUSEUM:ASSOCIATION
20 FOURTH ST. PETALUMA - CALIFORNIA• 94952
• i '' 1, 4 TELEPHONE: 707-778-4398 FAX: 707-762-3923
www.petalumamuseum-com
•
March 20, 2012
VIA FACSIMILE 778-4554 •
Claire Cooper,CMC
City Clerk
City of Petaluma
11 English Street
Petaluma,CA 94952
Dear Ms. Cooper:
The Petaluma Museum Association seek the City Council's approval of our appointment
of Joe Noriel as the Museum's,representative to the:Historic and CulturaIPreservation
Committee, to complete the term expiring June 30, 2012, which was recently vacated by
Marianne Hurley.
Please feel free to contact meat,(707)776-7534 should you require additional
information.
•
Sincerely,
Joe Noriel
President
JN:ec
•
Joe NORIEL
Historic & Cultural Preservation Committee
r-
APPLICATIONS FOR THE TECHNOLOGY ADVISORY COMMITTEE
(One Vacancy to Complete a Two-Year Term Expiring June 30, 2013)
IS
, L0.
aw =�- �Ctty,,, Petaluma; Cealifornia -E
',` r... • A '" City-Boa-- 'Comrmssion andCommittee,Apphcat _�
1868 _ �-. F....
Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards,
Commissions, or Committees. Please fill out the form completely. If a question does not apply, type or
write N/A in the space provided. When completed, please forward to the City Clerk's Office City of
Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council.
Name — �h��11819Z0a
e
Stephanie M. Glenn FFB - c3
Za'`' ti
FHome;:Address gCity Stateaand Zip?Code=s- �_ - r 5 A = t� v
10 Freedom Lane South ill Ago
Petaluma, CA 94952 195bfi?�\5o
i 4 alh-Try c.
sH Ph--- - r- f appmnfed do you want3hs �
anumberto be availableato the%pub6c?J °
^ WokPhone% — _
�-� = " �:I iYES _ NO=D` s-� ° _ x
( 707 ) 654 _ 4443 (707 ) 773 _ 3190
X a t E MTI(If ppmnted actiyou wahlIthis addressto
_ 0 Vic= „ he•availgbleko the pubc?)
-YES'' >NO
( ' - smglenn @ pca.tv
g c
rAre youjajregistered votetim Petdluniat r, Ifcso'ffor howlong? '
_
YES ❑ NO Unknown
Board(s) Commission(s)uor Committee(s)tof Interest* - ° d
Technology Advisory Committee
*Note: To serve on the Senior Advisory Committee, you must be age 55 or above.
• r r _
4Have you attended a e g of this `Have y u's rve edion `interviewed'or pa plied fore
(bod ?—x " " _ ' :aree this-.bL. 11. reviousl .
0 YES ❑ NO ❑ YES 12 NO
Stephanie GLENN Id]
Technology Advisory Committee "-
Mres n_Employ_ -
3
Petaluma Community Access
205 Keller Street, Ste. 102
Petaluma, CA 94952
-
=Job Title
L _ -.
Technology Specialist
ti°revwus Governmental Bodies/Elective Offices you havemserved Position/Office lelItand
n Dates: P = _ = � _
N/A
4Civic or Charitable Orrgam anon to whichtyou have;belongen/EOffice'Held and
_Dates: p ' _=¢ = •
2008-2011. NAMI Sonoma County Technical Specialist, Volunteer and Supporting Member
2009-2010 Sonoma County Jail:- MADF Volunteer
1998-1999 Sonoma County Teen Court - Volunteer Lawyer
1995-1997 Cleveland Free Clinic - Volunteer Peer Educator
-What Specialilnterests%Skills/Tale s would'you bring tohthisSBOard Commission orrCommiffee?
4.2 - _ _--
I have a-strong background in consumer-and small business technology needs. In the last
few years alone I have worked with many types of businesses in and for the County of
Sonoma including wineries, vineyards, olive oil presses, various sectors of.non-profits,
specialty retail businesses and healthcare centers. I also worked for a large corporation at a
retail, district and corporate level and helped train employees on home user and business
technology needs.
cO
a . - =- T°' - ✓t omT-°° f =,•
College'rAP or fesssiional N,o rational Schools Attended"(MafordSubfect- ates Degree/Date) -
�
1998-2002 Santa Rosa Junior College - Philosophy and General Education
Privately trained by a University professor in the fields of,web design, software programming,
graphic design and animation, robotics, telecom, networking-and electrical engineering.
€Special Awards o r Recognrtibli-42eb ed =° _
Recieved recognition as a Woman of Leadership and was invited to become a member of the
corporate Women of Leadership Forum at Best Buy / Geek Squad.
Pleasestatereasons why)you want to become a member ofahis curd Co misswngor
kCommittee including wli_at{specific obtectivespyou wouldt6e workmgtowardsas a member of
this advisoory'body = _
I want to take an active role in bettering our community's ability to meet the technological
needs of its businesses and residents. If given this opportunity, I will help to encourage the
growth of Petaluma by meeting-the needs and expectations of our growing division of
technology based businesses. My wide range of experience in this field will add to the
diversity of the committee to ensure that Petaluma is seen as-a technology forward city
making it an even greater place to live and have a business.
Is there any otherumformation thatLyou,feel-would bebusefultoAthe:GityCouncil in review ng
=yourbapplication? _ -
I am a perfect fit for this position. I have a career long focus in technology, specifically in the
non-profit and community context. This paired with my passion for Petaluma sets me up to
be a successful member-to the Technology.Advisory.Committee. I have been interested in
joining this committee fora while and even mentioned my interest to the committee chair,
staff liason as well as a couple other people on the committee. I am thrilled that a seat has
opened up and want to thank you for your consideration, I hope to have the opportunity to
show what a vauble asset I can be for the City of Petaluma.
d-1
�-_
Are&yoou asssociatedhwitth any Organization/Employment•thaf m ghVbe deemed a conflict of
interest in performing your duties if appointed
irt to�this position'
• , � _ � .� -
❑ YES NO
=1f yes pleaserstate name of Organization/:Employments
-t
City,pol cy;directs all appointed gadvisory kiddy membersrnotjto otecton matters where therei
6existsa-potentaallconflict°of interest'Wouid-yoube::willmg,to afistairi'from}voting if=such a -
,▪conflictfaarrsest "- -
0 YES ❑ NO
—
e..i i cam•
• oWIdid youEhear,,about-this�openng�
Jason Davies and Thomas Harrigan of the Technology Advisory Committee
- L - -
>AppIicantgsSignature, - `Date-
6 Monday, February 13th, 2012
Revised August 12, 2008
as
APPLICATIONS',FOR'THE TREE ADVISORY COMMITTEE
(One Vacancy to Complete a Two-Year Term Expiring June 30, 2012)
a-3.
tr
'c
a ��1 City of Petaluma, California
City Board, Co"mmission and Corrimlftee A"_lication; -
Pp_
�Hse •
Instructions: Use this' form to,,apply to serve on any of'the City of -Petaluma, :California's Boards,
Commissions; or Committees. Please fill out'the form completely. if a question does not apply, type or
write N/A in.the space provided. When completed, please-,forward to the City Clerk's Office City of ,
Petaluma, 11 Engli3h•Street, Petaluma i'C4 94952. All applications are reviewed'tiy,the:City Council. '
N •me_:
%\ 141515 f
Home Address Y
Cit ; ode,,
p State.iand,Zi C � _�
DCC 2011 co
t. CITY CLERK
ti Pitt' (,l�'I. Ci a PETALUMA ti, 41°
/7 -lee teAll
.Home Phone t4 f aponted do you want this
number to,beiavva�ai{lablesto the publie_'?J Work P,honeC,
t IL' YES'-0 NO .
( 707 ) '77i - 7/Q 0 ( y/f ) -JZ1 - 11=2 °i `l"
■
FAX r
- E=Mail ihf(dppoihfed, db you want this;dddressbtoi
. 'b'e available to thepublic2l Z YES; �,.NO' '
Are�you a;reg steired_voter rn;�P:e'taluma If+so ,for'howwlongY'
YES ❑ NO C Y11,o`n RJ`.
Board(s),'Corrrmission(s) or?GommiHee(s),offlnf`eiest* _
1 J'-e C Aat v i J a r y a p An r/( _
•
*Note: To serve on the Senior;Advisory Committee, you:must be age 55 or above.
Have you attendedna meetinglof this Have"you-served on '.interviewed, orxapplied for
body = e 'ttistbodyrpreyiously?,-`
qYES: U
NO • ' .❑ YES 4 NO
/ -.
Peter ERLICH
. Tree Advisory Committee _
at
Present Employer., -
._
er.Q.S (. [ 11j
., . J e Jx
J'A-Ai I— 1Ct h C. i J cc C H}
Job*Title:
Fokns'�
Previous"Governmental Bodies'%Electiveioffices.you Piave='served',Position/Office Held and
Dates: 1
2. e to q.,., 170 reI at Ar Fns kte' ixLo Rec--Lz'z:c,17o-h 4 i°ar rc,
Civic;`or;C haritabiesOrganrzationlo whict you havre belonged Position/Office Held, and
'Dates:-:' ,
Whd`t speciaI",,Interests/Skills/Talentsxwould you=bring to this Board 'C-ommission;'orCommiffee?
T(ue kNnwlePd
•
aS
College 'Profess,onal; Vocational SchoolssAttended'(Major$ubfect,;Dates;`Degree/Dafe):,,
N i' e I t y o f (/Gz l i o r` ' n
11 P I4y CA cyy a 0
•
SpecialtAw,ardsror'Recognrfion•Received:
•
Pleasestate reesonswhyyou:wan#to become"a member of.this„Board, Commission or
`Committee mcludingwhat specific objectives:you`would be;working toward;as,a•member of
rtFiis advisory':body: _
I 1- '- ^G( A- ham, �j F/ 11' O(e c 1.1 i i-'✓vL/7
e i` r- }J r b o r C vt 1-1-74-1-66---{
r PJ OL,v zeLe- = A rv/ A d �"1 r-1 7 r x p u : r n
n/ "N-e- If , N%1 Pe„ btu m (} Iore3LevZ Irk s uC Ote‘yu:e''
lsythere;Ony other iriformationithat`ybu feel Would;be useful'ito the City CounciLin reviewing
your applicatio , -
-
n
-
r ' 4- -
-, a A (- r- 4 1
Art C{ , +i fl-i
Vv 41k ` o N t r2P
•
Ng'
O c tt it +7
a(P
Are you associatedrwith any Qrganization/Employment that might be deeme_d..a conflict of
interest irt dedorrhing yatirdirtiS if;app—Wiited to'this position?
YES E -NO
If yes, pleasetstate,name of'O'ganizatidh/Employment:
City policy directs all appointed, advisoryibody members not to'vote,on,matters where`there -
exists'a potential conflict of interest. Would you be;willingrto absfainfrom votingEif such a,
conflict arises?
briol YES El NO
How did:you hearaboutr-thisaopening? -
•
l� l ' sv W ( j--brie `
rApplicant's;Signature: 'Date - -
i
%7///
Revised August 12, 2008
•
OL"I.
_xs:
ATTACHMENT'S—DRAFT RESOLUTION
Resolution No. 2012-XXX N.C.S..
of the City of Petaluma, California
APPOINTMENTS TO FILL VACANCIES ON THE ANIMAL SERVICES ADVISORY
COMMITTEE, HISTORIC,AND CULTURAL PRESERVATION COMMITTEE,
TECHNOLOGY ADVISORY COMMITTEE, AND TREE ADVISORY COMMITTEE
BE IT RESOLVED, the City Council does hereby appoint the following individuals to
City Boards,Commissions, and Committees:
Name Appointed To Term Ending
Animal..Services Advisory Committee 6/30/13
Historic and Cultural Preservation Committee 6/30/12
Technology Advisory Committee 6/30/13
Tree Advisory Committee 6/30/12
Under the power and authority conferred upon this Council by the Charter of said City.
REFERENCE: I hereby certify the foregoing Resolution was introduced and adopted by the Approved as to
Council of the City of Petaluma at a Regular meeting on:the 19th day of March. form:
2012,by the following vote:
City Attorney
AYES:
NOES:
ABSENT:
ABSTAIN:
ATTEST:
City Clerk Mayor
` �V