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CITIZEN APPLICATION FORM FOR tUL <br />MEMBERSHIP ON ONE OF THE I <br />COMMON COUNCIL STANDING COMMITTE <br />.«..._.... ,..._ G., t�... <br />CITIZEN APPOINTMENTS MADE TO OTHER BOARDS <br />COMMISSIONS BY THE SOUTH BEND COMMON COUNCIL <br />(01 /IS) <br />Informational Listings of SBCC Standing Committees: <br />Community Investment Committee <br />Personnel & Finance Conn ittee <br />Community Relations Com ati tee <br />Public Works &Property Vacation <br />Health &Public Safety Committee <br />Residential Neighborhoods Committee <br />Information & Technology Committee <br />Utilities Committee <br />Patks, Recreation, Cultural Arts & Entertainment <br />Zoning & Annexation Conunittee <br />Section 2 -12.3 of the South Bend Municipal Code (copy attached) sets forth the <br />regulations addressing "Procedure for Addressing Citizen Appointments", <br />Section 2 -10 of the South Bend Municipal Code (copy attached) sets forth the <br />powers and duties of the eleven (I 1) Standing Committees of the South Bend Common <br />Council. Each Committee is required to have not less than one (1) citizen member and <br />no more than one -third (1/3) of its membership filled by citizen members. By completing <br />and filing this application form, the applicant agrees to abide by the rules and regulations <br />set forth in the South Bend Municipal Code if selected to serve as a citizen member for <br />the current calendar year. Any person selected will be required to be sworn in by proper <br />oath by the Office of the City Clerk, with the Swearing -In Sheet being kept on file in the <br />Office of the City Clerk. <br />Name of Standing <br />IZ-z ALr�1\) <br />S7 K- zz6 - <br />j a,---Z. p <br />Zp Code <br />S,a.al c- <br />CelPhone um er <br />Fm ad nAA..n� <br />