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THE CITY OF APPL I CATION <br /> East Pleasanton Specific Plan <br /> pL£ASANTON. Task Force <br /> GENERAL INFORMATION <br /> Name Mr LI_0 1 ‘`1\ Email <br /> (Last) (First) (� (MI) <br /> Home Address L1 � k YAC:) _±PA t �� LA `>' L f\`S t IN V, c A:; <br /> (Number) (Street) (City,Zip) <br /> Home Phone (N 1 t' ' Vi b - 4 tD 3 Work Phone <br /> Name of Spouse Years as Pleasanton Resident 3 <br /> I am able to attend Daytime Meetings )(Evening Meetings <br /> I am applying as: <br /> Neighborhood Representative from: XAutumn Gle Herita e Valley% ❑ The Village at Ironwood <br /> ❑ Mohr/Martin ❑ Ironwood ❑ Stoneridge Par :,E1 Danbury Park <br /> `q At-large Representative (Resident of Pleasanton) <br /> ORGANIZATIONS/ACTIVITIES/COMMUNITY INVOLVEMENT <br /> List in order of importance to you, the community, civic, professional, business, religious, social, <br /> athletic, and other organizations of which you have been a member. Please describe the nature of your <br /> participation, responsibilities and accomplishments. (If necessary, attach additional pages to the <br /> application.) <br /> Organization Dates of Membership Position(s) Held <br /> Describe: <br /> Organization Dates of Membership Position(s) Held <br /> ._ <br /> De Bribe: <br /> Organization Dates of Membership Position(s) Held <br /> Describe: <br />