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COUNTY OF ALPINE APPOINTMENT APPLICATION FOR COUNTY COMMISSIONS AND COMMITTEES COMMISSION / COMMITTEE: NAME OF APPLICANT: MAILING ADDRESS: RESIDENCE ADDRESS: TELEPHONE: Business: EMAIL ADDRESS: Please state briefly your reason for wanting to serve on this commission/committee: List experiences that you feel will be helpful when you serve on this commission/committee: Signature of Applicant Date Signed Please return application to: ALPINE COUNTY CLERK P.O. BOX 158 MARKLEEVILLE, CA 96120 COUNTY CLERK’S USE ONLY: Date application must be returned: Meeting date to be considered: Commission / Committee Name: Position to be filled: Term of Office: