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RESUME FORM

Historic Preservation Commissioner:

Background Material and Qualifications

Name: ___________________________________________

Address: ___________________________________________

___________________________________________

Telephone: Residence ____________________

Business ____________________

Occupation: _________________________________________________

I. Area of Expertise

History____ Architectural History____ Prehistoric Archaeology____

Historic Archaeology____ Architecture____ Other (Specify)____

II. Education

__________________________________________________

__________________________________________________

III. Related Work Experience

______________________________________________________

______________________________________________________

______________________________________________________

IV. Demonstrated Interest in Historic Preservation

_________________________________________________________ ________________________________________________________

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