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APPLICATION FOR HENDRICKS PARK DEPARTMENT ADVISORY COMMITTEE <br /> Please Print <br /> NAME <br /> Last First <br /> ADDRESS PHONE <br /> Street City Zip <br /> Do you reside within the Eugene Urban Growth Boundary? Yes No <br /> 1. Please select one of the below groups which most closely fits the interest you would represent? <br /> Wildlife/Natural Interests Park Patron, residing outside the immediate neighborhood <br /> Tree Related Profession Resident of Fairmount or Laurel Hill Neighborhoods <br /> Rhododendron Society Immediate Neighbor of the Park <br /> 2. What experience or qualifications do you have? <br /> 3. What specific contribution do you hope to make? <br /> City Council Policies: <br /> City of Eugene Employees: City Employees may not serve on City of Eugene citizen committees except as <br /> specifically provided by City ordinance or as required to perform official city duties. <br /> Residency Requirements: Citizens must live within the Eugene Urban Growth Boundary to be eligible for <br /> appointment to a department advisory committee, unless otherwise approved by the City Council. <br /> Public Information: Information submitted on this form shall be considered public information. <br /> Signature of Applicant Date <br /> Application may be mailed or submitted in person until 5:00 p.m. on February 20, 1998 at: <br /> Public Works Maintenance <br /> 1820 Roosevelt Blvd. =_ <br /> Eugene, OR 97402 <br /> EUGENE <br /> Esta forma esta' disponible. Llame numero 682 -4800 para pedirla <br /> III -6 <br />