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I am a resident of the City of Santa Ana. I agree to notify the Clerk of The Council Office if my residence address has changed. I have <br />completed this application with the knowledge and understanding that any or all items may be verified, and affirm I have received the <br />Ethics Code, understand its provisions, and pledge to conduct my duties consistent with the code if appointed to a City Board or <br />Commission. I consent to the release of information contained in this application to interested parties and I understand that the Santa <br />Ana Police Department conducts a routine background check on applicants nominated for appointment. <br />I AGREE THAT ALL INFORMATION IS <br />VALID AND ACCURATE: I AGREE <br />DATE: <br />January 23, <br />2023 <br />1 <br />Please email signed completed form and Code of Ethics and Conduct Certification to CityClerk@santa- <br />ana.org, fax to 714-647-6956 or mail to 20 Civic Center Plaza, Santa Ana, CA 92701 <br />This application will be retained on file in the Clerk of the Council Office for 2 years. <br />CITY OF SANTA ANA <br />BOARD / COMMISSIONS <br />Arts and Culture Commission <br />Community Development and Housing Commission <br />Environmental and Transportation Advisory Commission <br />Historic Resources Commission Parks, Recreation and Community Services <br />Commission <br />Personnel Board <br />Planning Commission <br />Santa Ana 2018 Measure X Citizens' Oversight Committee <br />For additional information, please visit our website at <br />https://www.santa-ana.org/cc/appointed-boards-and-commission <br />  <br />    <br />