` | City of Pampa Texas

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Board Selection *

Planning and Zoning Commission

Construction Board of Appeals

Hidden Hills Golf Course Advisory Board

Board of Adjustments

Lovett Memorial Library Board

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Name *

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Age (optional)

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Home Address *

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Home Phone *

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Business Phone

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Business Address

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Years Reside * Resident of the City for years.

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Voter Registration No

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Occupations

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Other Information (Civic Activities, Volunteer Work, Etc.)

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Attended Meetings

Yes

No

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Date *

Month

Day

Year

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Signature (if printing)

Please place a check mark by the board or commission you are interested in serving:

Personal Information

I have attended one or more meetings of the board or commission for which I have applied:

You can submit this form with the button below and it will be automatically forwarded to the appropriate personnel.

Otherwise...

Print and return completed form to the City Secretary's office: 201 W. Kingsmill, Room 205 or mail to P.O. Box 2499, Pampa, Texas, 79066. You may also fax to 669-5767

For further information please call 669-5750 or email the City Secretary.

This application will be kept on file in the Office of the City Secretary for one year.

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