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RECEIVED <br /> INDIAN RIVER COUNTY APPLICATION JAPE 0 8 2014 <br /> FOR COMMITTEE APPOINTMENT <br /> -- I - - - --- --BOARD OF COUNTY <br /> Name:�Alan S. Polackwich, Sr Date: 01/08/14 , COMMISSION <br /> Full Name:lAlan S. Polackwich, Sr l I <br /> I Email Address: (Polackwich@bellsouth.net I <br /> Street Address (No P.O. Boxes):'1215 Marina Village Circle, Unit 301 <br /> Home Phone:[--- Work Phone: N/A Cell Phone: 772-538-20631 <br /> -- . -- ------ �--- - -' ---- -------- <br /> How long have you been a resident of Indian River County?1134 years <br /> Are you a full or part time resident? Check one: Full Time,✓Part Time -� <br /> Please list current employer or business. If retired, please list any business experience that may be <br /> applicable to the committee. <br /> See attached resume. <br /> Please list any licenses you presently hold: <br /> See attached resume. i <br /> i <br /> Please list any organization of which you are currently a member: <br /> 'See attached resume. j <br /> i <br /> I <br /> Please list any other committees or boards you currently sit on: <br /> !See attached resume <br /> i <br /> _____- __-------- --- -__ <br /> Continued on next page <br /> 10 <br />