Florence Urban Renewal Agency Board Application Form

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Date

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First Name *

Last Name *

Home Address *

Mailing Address *

Home Phone

Cell Phone

Email *

Number of Years in the Florence Area *

Can you see any potential conflicts of interest, either personal or financial? *

Is your home in the city limits of Florence? *

Is your home in the Urban Growth Boundary? *

Would you be able to attend at least one meeting per month?

What is your occupation / position? (If retired, what was your occupation?)

Are you aware members may have to devote considerable time for study and analysis of urban renewal issues? *

Please give a brief statement explaining why you desire to be a member of the FURA Board

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