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-R-ECEIVED <br />ROV 19 2019 <br />INDIAN RIVER COUNTY <br />APPLICATION FOR COMMITTEE APPOINTMENT BOARD OF COUNT Y <br />COMMISSION <br />Last First Name, <br />Name: Brown 1 & Middle Init: Anthony J. <br />Today's Date: 1 11/18/19 Email Address: lbustason0yahoo.com <br />Home Address (No P.O. Boxes): 5-7f11C1, .*z-. egeaelzFZ- <br />Home Phone: Work Phone:17g- Cell Phone: <br />How long have you been a resident of Indian River County? <br />Are you a full or part time resident? Check one: Full Time 0 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 />i ill H- Zk, C eaAl �(°arrsul��r�/ AtdiII <br />. oa/ <br />Z v�er�; <br />Please list any licenses you presently hold: <br />Please list any organization of which you are currently a member: <br />Indian River NAACP <br />Gifford Progressive Civic League <br />Please list any other committees or boards you currently sit on: <br />,5u}n,6L�h'ydre, rP l /j�vrscrrr <br />Xre,-, <br />Continued on next page <br />132 <br />