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Print Form <br />Zip Code 92706 Home Phone NIA <br />E -Mail ohilbacerra@amail.com <br />Fax N/A <br />Cell (323) 363-6063 Other NIA <br />Employer Jacaranda Enterprises Occupation Land Use Consultant <br />Work Address PO Box 2636 <br />City Garden Grove Zip Code 92842 Work Phone (323) 363-6063 <br />5oc, Sec, No.* nomm- Driver's License No. Date of Birth <br />Years Lived/Worked in Santa Ana g years Language(s) Spoken English <br />Organizations (Professional, Community, Service or, other) OCTA Citizens Advisory Committee, <br />Qualifications, Experience, Education <br />13 years of professional planning <br />Remarks (attach resume if available) <br />List Board(s) 1 Commission(s) 1) <br />you would like to serve on: 2) <br />3) <br />Bachelor of Science in Urban Planning & Development from USC. <br />ce in the public and private sectors. <br />Please see attached resume. <br />Select first choice: Planning Commission <br />Select second choice: <br />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 onds a routine background check on applicants nominated for appointment, <br />SIGNATURE - DATE <br />r., <br />This field must be completed in order for the application to be processed. <br />This application will 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 commissionlboard. <br />