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rint Forma <br />CITY OF SANTA ANA <br />Y~ <br />Y <br />APPLICATION FOR SERVIGE <br />BOARDS 1 COMMISSIONS /COMMITTEES <br />Name (Mr., Mrs., Ms.) Phillip Eugene Schaefer <br />FIRST MIDDLE LAST <br />Home Address 1141 Riviera Dr. Ward: _~ Qualified Elector: C9 ~ 3 <br />This area"to be completed {~y Clerk tafir.) <br />Zip Code 92706 Home Phone 714-953-1115 <br />E-Mail PhilSchaeferl@gmail.com Cell 714-514-1121 Other <br />Employer Seven Gables Real Estate Occupation Real Estate sales <br />Work Address 12651 Newport Ave <br />City Tustin <br />Soc_ Sec. No * 570-02-7006 <br />Zip Code 92780 <br />Fax 714-882-7782 <br />Work Phone 714-514-1121 <br />Driver's License No. N3134835 Date of Birth 02/25/57 <br />Years Lived/Worked in Santa Ana 27 Language{s) Spoken English, Italian <br />Organizations (Professional, Community, Service or other) California & National Association of Realtors, board <br />Qualifications, Experience, Education <br />Remarks (attach resume if available) <br />List Board(s) /Commission(s) 1) <br />you would like to serve on: 2) <br />Professional Degree in Architecture, Cal Poly Pomona <br />Past chair of the Historic Resources Comission.. <br />3) Select third choice: <br />I am a registered voter in the City of Santa Ana. I have completed this application with the knowledge and <br />understanding that any or all items may be verified, and affirm I have received the Ethics Code, understand its <br />provisions, and pledge to conduct my duties consistent with the code if appointed to a City Board or Commission. <br />I consent to the release of information contained in this application to interested parties. I further understand that <br />the Santa Ana Police Department nducts a tine background check on applicants nominated for appointment_ <br />SIGNATURE DATE ~ ~ ~ ~ <br />This field must be completed in order for the application to be processed. <br />This application well be retained on file in the Clerk of the Council Office for 2 years. <br />Please note that the Code of Ethics and Conduct Certification must be signed and received by the Clerk of the Council Office <br />prior to nomination to a cammissioNboaid, <br />D - 18