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2. 

3. City of Kingsford

   The Progressive City

5. Persons interested in serving on the Planning Commission are requested to provide the following information:
7. First Name
8. Last Name
10. Address
12. City
13. State
14. Zip Code
16. Phone Number
17. Email Address
19. Are you registered to vote in the City of Kingsford?

    1. Yes
    2. No
20. Provide a brief statement regarding why you would be a good candidate for appointment to this Committee.
22. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
24. Electronic Signature
25. Date
    Date
27. City of Kingsford

    305 S. Carpenter Avenue

    PH: (906)774-3526

    Fax: (906)774-7093

    City of Kingsford's Website

    
    

    This institution is an Equal Opportunity Provider and Employer

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field