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4. On which Board or Commission would you like to serve? (Please check all that apply):

   1. Board of Zoning Appeals
   2. Downtown Design Review Board
   3. Historic Preservation Board

   1. Planning Commission
   2. Shade Tree Commission
6. To be considered for appointment to a City of Zanesville Board or Commission, you must complete this application and also include a letter of interest and current resume. All information provided to the City on this application, and on your resume, is subject to the Freedom of Information Act. Please do not include any information that you do not wish to become public. Membership to a Board or Commission is confirmed by City Council through an appointment from the Office of the Mayor.
8. First Name
9. Last Name
11. Address
13. City
14. State
15. Zip Code
17. Home Phone
18. Work Phone
19. Cell Phone
20. Email
22. Occupation
23. Employer
25. Please check only one of the following:

    1. I affirm that I am a resident within the corporation limits of Zanesville.(Required for Planning Commission and the Board of Zoning Appeals)
    2. I affirm that I work, own property or reside within the corporation limits of Zanesville. (Required for Historic Preservation Board)
    3. I affirm that I have knowledge of and/or interest in shade trees. (Required for The Shade Tree Commission)
27. Additional Information:
    Please provide a brief response to the following questions and submit with your completed application. Please print clearly and use ink.
29. 1. Why are you interested in serving on a City of Zanesville Board or Commission?
31. 2. Have you had any personal experience in dealing with planning, development or historic preservation? If so, provide a brief statement as to your experience.
33. 3. How will your participation on a City of Zanesville Board of Commission improve the City?
35. 4. Are there any anticipated conflicts that may prevent you from attending meetings or being able to make decisions related to a Board or Commission?
37. Signature
38. Date
    Date
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field