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Millcreek Historic Preservation Commission Volunteer Application Please fill out the information below, and include a resumé. You are welcome to respond to these questions in a separate document. Full Name Address of Primary Residence Council District (mark one) Don’t know your district? Click here District 1 District 2 District 3 District 4 Telephone Email Address Profession Employer Educational Background Describe any qualifications or experience which you believe are relevant to serving on the Historic Preservation Commission Millcreek’s Historic Preservation ordinance requires that at least two members of the Historic Preservation Commission be historic preservation professionals. Do you have a background in a field related to historic preservation? If ‘yes’, please describe: Are you able to serve a four year term and attend all meetings as required? Please advise us of any potential conflicts of interest you may have serving on the Historic Preservation Commission I certify that the information provided herein is accurate, and that I am a bona fide resident of Millcreek. Signature: Date: Millcreek City Council Jeff Silvestrini, Mayor Silvia Catten, District 1 Thom DeSirant, District 2 Cheri Jackson, District 3 Bev Uipi, District 4 Millcreek City Hall 3330 South 1300 East Millcreek, Utah 84106 [PHONE REDACTED] millcreek.us