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2. First Name*
3. Last Name*
5. Address1*
7. Address2
9. City*
10. State*
11. Zip*
13. Email Address*
15. Phone Number
19. Boards of Interest*

    1. Inner City Improvement Plan
    2. City Utility Commission
    3. Civil Service Commission
    4. Water & Sewer Commission
    5. Municipal Housing Commission
    6. Code Enforcement Board
    7. Board of Zoning Adjustments
    8. City-County Airport Board
    9. Parks and Recreation Commission
    10. Henderson City-County Human Rights Commission
    11. Ethics Board
    12. City - County Planning Commission
    13. Tax Assessment Appeals Board
    14. Board of Appeals (Net Profits & Occupational Tax)
    15. Henderson Tourism Commission
21. Expression of Interest*

    Provide some information explaining your interest in serving on a board.

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23. 1. Receive an email copy of this form.
24. Email address

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25. Submit

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