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BOARD APPLICATION Nye County Clerk P.O. Box 1031 101 Radar Road Tonopah, NV 89049 (775) 482-8127 Nye County Clerk 1520 E. Basin Avenue Suite, 108 Pahrump, NV 89060 (775) 751-7040 I certify that I am a QUALIFIED ELECTOR, that I MEET STATUTORY REQUIRMENTS of the Board area to which I am appIydth,nformation is true and accurate to the best of my knowledge. Signature The Board to which you are applying meets at least once a month and possibly evenings. Mail or deliver completed form to: Nye county Clerk P.O. Box 1031 101 Radar Road II / ‘ Tonopah, NV 89049 1/1/ /UU 4’ot’ L (This document becomes a public record once it has been received by Nye Count% ( L) /11/! OPEN MEETING LAW Person interested in applying for membership on a Board should be aware of the requirements of the Nevada Open Meeting Law under which iW-8oars are governed. The Nevada Open Meeting Law, NRS Chapter 241, declares legislative intent that all public bodies (Including Boards) exist to aid in the conductfof the people’s business and that it is the intent of the law that the member who takes action in violation Open Meeting law, with knowledge of the violatign, is guilty of a misdemeanor and may be prosecuted. Wrongful exclusion of any person from a meeting of the public body is also a misdemeanor. Any time a majority of Board members gathers together in a place that has not been legally posted per Open Meeting law requirements, they cannot discuss or deliberate on an action. This does not preclude members from gathering together; it does require that they do not dIscuss and deliberate on County or area business. Ver. 1.1 November 3, 2009 Name of Board: Tow cc PwZ.i9 PARc Rjo R-cc Aoviscsc €oc Applicant Name: Today’s Date: DAvio 4AQ tv Zo9 Home Address: City: State: Zip: Iiooi . Lac WV Mailing Address: City: State: Zip: Sb Sç8O Home Telephone: Other Telephone: E-mail address: (7i$’)7s- Ii3 Are you currently employed by Nye County: If yes, which Department: flave attached my resie/letter of interest: Yes Q No Yes EJ No Please provide a brief description of your qualifications, experience, or interests that would be considered an asset to this Board: ySicL( 9’ ci.ice. “ ‘o JQ4Cb VtcL f3, ‘c t 2c cw O . /c0, Administration - Nye County, Nevada Nye County Board Application