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BOARD APPLICATION Pahrump Town Office 2100 E. Walt Williams Dr. Pahrump, NV 89048 (775) 727-5107 Nye County Administration 2100 Walt Williams Dr. Pahrump, NV 89048 (775) 751-7075 Name of Board: r A n y J. fl-1 A.l v' c h'--f c "'t'J-1 V'I ;-ft:i:1 Applicant Name: vAc.<--z 5'A'f-lf7E.(e..J Home Address: J7'.JO F, I, -c f ( l!'{j t AA Mailing Address: ( J, 1l lj71 I Home Telephone: 77F-7 Z.7-/77G Are you curre 8 employed by Nye County: Yes O No , City: f' A-l+lt fl1 y Ci/?At-frt'--'f11Y Other Telephone: 7"z- c;r