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CITY OF SANTA ANA <br />APPLICATION FOR SERVICE ■ <br />BOARDS f COMMISSIONS 1 COMMITTIWJAN _3 AN �X f <br />CITY OF SANTA ANA <br />CLERK OF Coij <br />Name (Mr., Mrs., Ms.) Cinelle A Hardy <br />FIRST MIDDLE LAST <br />OFFICE USE ONLY <br />Horne Address 322 South Van Mess Avenue Ward: 5 a Qualified Elector: <br />Zip Code 92701 Home Phone <br />PD Background: Date to Council: <br />714-973-0815 Fax <br />E -Mail ginelleann@gmail.com Cell <br />Employer retired <br />Work Address <br />City -� <br />714-905-5951 Other <br />occupation graphic artist <br />Zip Code Work Phone <br />Soo. Sec, No. river's License No. Date of Birth <br />" Required <br />Years Livedl�in Santa Ana 29 years Languages) Spoken <br />English <br />Organizations (Professional, Community, Service or other) Heninger Park Neighborhood, President <br />Heninger Park Architectural Review Committee, Santa Ana Healthy Neighborhoods, Board <br />Oualifications, Experience, Education I have knowledge and experience with architectural drawings, <br />reading plans, construction, architecture and preservation. <br />Remarks (attach resume if available) Please see my attached resume <br />List Board(s)1 Commission(s) 1) <br />you would like to serve on: 2) <br />3) <br />SelectFirstchoice: Historic Resources Commission <br />Select Second Choice: <br />Select Third CY okw <br />I am a registered voter in the City of Santa Ana. I have completed this application with the knowledge and understanding that any or all items may <br />be verified, and affirm I have received the Ethics Code, understand its provisions, and pledge to conduct my duties consistent with the code if <br />appointed to a City Board or Commission. I consent to the release of information contained in this application to interested parties. I further <br />understand that the Santa Ana Police Department conducts a routine background check on applicants nominated for appointment. <br />SIGNATURE <br />DATE, January 3, 2017 <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 commissioniboard. <br />