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Reynolds, J. Dean e"E""k City of Anaheim ,, A RECEIVED 11 _, : -._:. > APPLICATION FOR APPOINTMENT JAN — 5 2023 __ CITY COUNCIL DISTRICT 4 Fo` r`- t CITY OF ANAHEIM ���YDtD OFFICE OF THE CITY CLERK * ~v The City of Anaheim is accepting applications to fill a District 4 City Council seat vacancy for a term ending November 2024.Pursuant to Section 501 of the Charter,interested candidates must be a resident and qualified elector of District 4 at the time of and for the thirty(30)days immediately preceding appointment. DUE DATE:Applications are due to the Office of the City Clerk by Wednesday,Jan. 18,2023 at 5:00 P.M. (Postmarks not acceptable) Submit to: Office of the City Clerk, City of Anaheim, 200 S.Anaheim Blvd., Ste. 217 Anaheim, CA 92805; Email:cityclerk@anaheim.net Fax:(714)765-4105 Note:This application is considered public information and will be released to the public,including being posted to the City's website. Applicant Information Prefix: , ' : ' t\ Kle—YY\0\ *..-5 Address: City: State: Zip Code: - NA cANQ;vv\ C,,,, 9=2$0 5 E-Mail: Phone Number: Alternate Phone Number: 'rHome ()Work )Cell ()Home 0Work °Cell Years lived in District 4,City of Anaheim: Years lived/worked in City of Anaheim: 5 5-8 Professional and Educational background(may submit Resume): ec r S fro \ U4.Cc t ; Ova , Vie.\Aevral S1- a.c,-‘ Q.5) th irc Qv\Q\t' c`± 1CV\ 11n Corr S- h c t A r t, 1 c--Cf cc ty a e S • Office of the City Clerk•200 S.Anaheim Blvd.,Suite 217,Anaheim, CA 92805•(714) 765-5166 Name: List any City of Anaheim,County,and or other Board/Commissions and/or organizations on which you have served(professional,technical,community,service): ast' b covrck e .\\A\o ,v-- o AV\ah�� t--\ s ar ,C � SOc_ 1€ / Reasons why you are interested in serving.State your interest in the position,qualifications,skills,or experience that can best serve the residents of District 4 and the City of Anaheim(separate attachment may be included): �-1`^;) °` `0\1 J 1w `\� t—S C\Z\ ) V\ow e- a C, ose, ? & \ o ers-A- eA Ax\ c x-- C owe mkivr ,.vy Office of the City Clerk•200 S.Anaheim Blvd.,Suite 217,Anaheim, C4 92805•(714) 765-5166 Name: What do you see as the top issues facing District 4 and the City of Anaheim?(Separate attachment may be included): ck\l' Qx\.c_, 'eff Ni"0 7\- ire , L, ow 5 }n ( \\ r r e.:88pnIN\VOA k CS d04 r e c`t eA\ e,v`- o C Qvvw e.Ni\'C 0 + 42_,T\5 v\-`, yVar NAL) u..5 What are your priorities for District 4 and the City of Anaheim?(Separate attachment may be included): S`r V C oWvnv.�`*- \(\ 17 5 ;\A,- .x` e- Y Pursuant to Section 501 of the Charter,I am and have been a resident and qualified elector of District 4 at the time of and for the thirty(30)days immediately preceding possible appointment to office. I declare under penalty of perjury under the laws of the State of California that the information contained herein is true and o accurate to the best of my knowledge. I acknowledge that the City has the right to verify the truth and accuracy of all information submitted and that LL w this is a public document. ure: Date: 1 3 2 3 Office of the City Clerk•200 S.Anaheim Blvd.,Suite 217,Anaheim. C4 92805•(714) 765-5166