Communications 01-11-23 — Elk Grove City Council, January 11, 2023

Incorporated July 1, 2000
Website: www.elkgrovecity.org

Bobbie Singh-Allen, Mayor
Kevin Spease, Vice Mayor Rod Brewer, Council Member Sergio Robles, Council Member Darren Suen, Council Member

ELK GROVE CITY COUNCIL REGULAR MEETING
Wednesday, January 11, 2023
6:00 P.M.

Elk Grove City Hall
8400 Laguna Palms Way, Elk Grove, CA 95758
City Council Chambers

The Elk Grove City Council welcomes, appreciates, and encourages participation in the City Council Meeting. The City Council requests that you limit your presentation to three (3) minutes per person so that all present will have time to participate. The City Council reserves the right to reasonably limit the total time for public comment on any particular noticed agenda item as it may deem necessary.

If you wish to address the Council during the meeting, please complete a Speaker Card and give it to the Assistant City Clerk prior to consideration of the agenda item.

AGENDA

1. CALL TO ORDER / ROLL CALL

1.1 Roll Call

1.2 Pledge of Allegiance

1.3 Moment of Silence

2. APPROVAL OF AGENDA

3. CLOSED SESSION
None.

4. PRESENTATIONS / ANNOUNCEMENTS

4.1 Youth Commission Semi-Annual Update

Elk Grove City Council
Regular Meeting, WEDNESDAY, January 11, 2023

5. PUBLIC COMMENT
Members of the audience may comment on any item not on the agenda that is of interest to the public and within the subject matter jurisdiction of the City Council.

Each person will be allowed three minutes, or less if a large number of requests are received on a particular subject. The City Council cannot take action on non- agendized items raised under “Public Comment” until the matter has been specifically included on an agenda as an action item. Members of the public desiring a response to a specific question are encouraged to contact any member of the Council or the City Manager at any time. Those audience members who wish to address a specific agendized item are encouraged to offer their public comments during consideration of that item.

6. GENERAL ADMINISTRATION INFORMATION
Report by the City Manager.

7. CONSENT CALENDAR ITEMS
The Consent Calendar items are those expected to be routine and non- controversial. They will be acted upon by the City Council after providing an opportunity for public comment.

 PUBLIC COMMENT:

7.1 Approve City Council meeting minutes of the: 1) December 14, 2022 special and regular me etings, and 2) October 26, 2022 regular meeting [p. 1-25] (CITY CLERK)

7.2 Receive report on City Manager approved purchases and contracts authorized by Elk Grove Municipal Code Chapter 3.42 Contracts and Purchasing, and projects awarded under the Uniform Public Construction Cost Accounting Act, filed through January 3, 2023 [p. 1-4]
(CITY CLERK)

7.3 Receive report on Requests for Proposals, Qualifications, and Bids [p. 1-3] (CITY CLERK)

7.4 Adopt Ordinance No. 34-2022 amending portions of the Elk Grove Municipal Code Title 16 (Building and Construction) and Title 23 (Zoning) related to electric vehicle charging for consistency with the City of Elk Grove’s Climate Action Plan (Second Reading) [p. 1-8]
(STRATEGIC PLANNING)

7.5 Adopt Ordinance No. 35- 2022 levying and apportioning the special tax in territory annexe d to Community Facilities District No. 2003-2 (Police Services) (Annexation No. 65) and amending Elk Grove Municipal Code Section 3.18.010 (Second Reading) [p. 1-3] (FINANCE)

Elk Grove City Council
Regular Meeting, WEDNESDAY, January 11, 2023

7.6 Adopt Ordinance No. 36- 2022 levying and apportioning the special tax in territory annexe d to Community Facilities District No. 2006 -1 (Maintenance Services) (Annexation No. 86) and amending Elk Grove Municipal Code Section 3.19.010 (Second Reading) [p. 1-3] (FINANCE)

7.7 Adopt resolution declaring intention to annex territory to Community Facilities District No. 2006-1 (Maintenance Services) and to levy a special tax to pay for maintenance services (Annexation No. 88) pursuant to the Benefit Assessment Act of 1982 for the Esplanade West Project [p. 1-119] (FINANCE)

7.8 Adopt resolution accepting the Building Forward Library Infrastructure Grant for the Elk Grove Library Relocation Project in the amount of $4,465,374 and authorizing the City Manager to execute all necessary documents [p. 1-42]
(STRATEGIC PLANNING)

7.9 Adopt resolution finding the acquisition of properties located at 8480 Elk Grove-Florin Road [APN: 115-0180-012] and 8484 Elk Grove-Florin Road [APN: 115 -0180-013] exempt from the
California Environmental Quality Act and consistent with the General Plan; ratifying the Agreements for Purchase and Sale and Joint Escrow Instructions and authorizing the close of escrow for the properties located at 8480 Elk Grove-Florin Road [APN: 115 -0180-012] and 8484 Elk Grove -Florin Road [APN:
115-0180-013] [p. 1-46]
(REAL PROPERTY)

7.10 Adopt resolution authorizing the City Manager to accept an appropriation from the State Supplemental Law Enforcement Services Fund in the amount of $273,331; amending the Fiscal Year 2022- 23 Budget by increasing the Police Department’s revenue and expense budget by that same amount [p. 1-4] (POLICE)

7.11 Adopt resolution approving the City Wide Curb Ramps 2023 Project (WAC035) (CDBG-2022-02); authorizing the City Manager to execute a construction contract with FBD Vanguard, Inc. for the City Wide Curb Ramps 2023 Project (WAC035) (CDBG-2022-02) in the amount of $798,998.50; authorizing the City Engineer to approve change orders not-to-exceed $79,900; or take alternative action as deemed appropriate; and amending the FY 2022-2023 Budget and FY 2022-2027 Capital Improvement Program (CEQA Exempt) [p. 1-12]
(PUBLIC WORKS)

Elk Grove City Council
Regular Meeting, WEDNESDAY, January 11, 2023

7.12 Adopt resolution authorizing the Director of Public Works to execute a Memorandum of Agreement between the City of Elk Grove and Caltrans related to the State Route 99 Pavement Rehabilitation Project Improvements [p. 1-19] (PUBLIC WORKS)

8. PUBLIC HEARINGS

8.1 SUBJECT: A public hearing to consider a resolution approving Amendment No. 4 to the Com munity Development Block Grant (CDBG) 2019-20 Action Plan (CEQA Exempt) [p. 1-17]

STAFF REPORT:

Alicia Tutt, Housing and Grants Specialist

 PUBLIC COMMENT:

RECOMMENDATION:

Adopt resolution approving Amendment No. 4 to the Community Development Block Grant (CDBG) 2019-20 Action Plan.

9. REGULAR AGENDA ACTION ITEMS / RECOMMENDATIONS

9.1 SUBJECT: Receive an update on City Council Priority Projects [p. 1-6]

STAFF REPORT:

Aishwarya Kumar, Management Analyst

 PUBLIC COMMENT:

RECOMMENDATION:

Receive information from staff regarding City Council Priority Projects.

9.2 SUBJECT: Consider appointment of one voting member to the Planning Commission and receive status updates regarding recruitments for other City Commissions and Committees [p. 1-3]

STAFF REPORT:

Jason Lindgren, City Clerk

 PUBLIC COMMENT:

RECOMMENDATION
Receive information from Mayor Singh-Allen, with the approval of the City Council, regarding appointment of one voting member to the Planning Commission and receive status updates regarding recruitments for other City commissions and committees.

Elk Grove City Council
Regular Meeting, WEDNESDAY, January 11, 2023

10. COUNCIL COMMENTS / REPORTS / FUTURE AGENDA ITEMS

1. Reports on Regional Boards, Commissions, Committees

2. T ravel/Training Expenditures Disclosure (in accordance with Resolution No. 2009-212 and Government Code § 53232.3(d))

11. ADJOURNMENT

NOTICE REGARDING CHALLENGES TO DECISIONS
Pursuant to all applicable laws and regulations, including without limitation, California Government Code Section 65009 and or California Public Resources Code Section 21177, if you wish to challenge in court any of the above decisions (regarding planning, zoning and/or environmental decisions), you may be limited to raising only those issues you or someone else raised at the public hearing(s) described in this notice/agenda, or in written correspondence delivered to the City at, or prior to, the public hearing.

ADA COMPLIANCE STATEMENT
In compliance with the Americans with Disabilities Act, if you need special assistance to participate in this meeting, please contact the Office of the City Clerk at (916) 478-3635 / TTY 888-435-6092. Notification 48 hours prior to the meeting will enable the City to make reasonable arrangements to ensure accessibility to this meeting.

GOVERNMENT CODE 54957.5 et seq.

Public records, including writings relating to an agenda item for open session of a regular meeting and distributed less than 72 hours prior to the meeting, are available for public inspection at the Office of the City Clerk, 8401 Laguna Palms Way, Elk Grove, CA.

COMMUNICATIONS

IN RELATION TO THE

CITY OF ELK GROVE
JANUARY 11, 2023

REGULAR MEETING
1 Jason Lindgren
From: Jason Lindgren
Sent: Monday, January 9, 2023 12:46 PM
Subject: City of Elk Grove -- Supplemental Information re: Item 9.2 for the 01-11-23 Regular Meeting Attachments: ITEM 9.02 B Lopes 01-06-23.pdf
Good Afternoon Mayor, Vice Mayor, and Council Members.

Supplemental information was filed with the Office of the City Clerk for applicant Brandi Lopes (the information updates employment information of the applicant).

If you have any questions or concerns regarding this matter, feel free to contact me, 478‐2286, [email protected].

Jason Lindgren | Office of the City Clerk
City Clerk

City of Elk Grove
8401 Laguna Palms Way, Elk Grove, CA 95758
t 916.478.2286 f 916.627.4400
TTY/TDD 888.435.6092
elkgrovecity.org

From:

To: Jason Lindgren
Subject: Fw: edited doc
Date: Friday, January 6, 2023 4:25:52 PM
Attachments: 06 Lopes Brandi 10-07-20.pdf
image001.png
[EXTERNAL EMAIL]
Please see the attached.

Sent from Yahoo Mail for iPhone
Begin forwarded message:

On Friday, January 6, 2023, 4:15 PM, Brandi Lopes wrote:

Best,

Brandi Lopes
Office of Governor Gavin Newsom
E:

Follow on Instagram| Twitter | Facebook
#CaliforniaForAll

3/$11,1*&200,66,21$33/,&$7,21
$33/,&$17%,2*5$3+,&$/,1)250$7,21
3$57,,
Please retain Part I for reference and return the completed application, Part II, to the 2IILFHRIWKH&LW\&OHUN/DJXQD3DOPV:D\(ON*URYH&DOLIRUQLD
by or before the application due date (2FWREHU).

Please be advised, that this form will become a public record subject to disclosure upon request under the California Public Records Act.

BOARD/COMMISSION/COMMITTEE NAME:
3/$11,1*&200,66,21
NAME (First, Middle, and Last) HOME ADDRESS (No. Street, City, State, and Zip) EMAIL Address
Resident of Elk Grove
Yes No
Registered Voter
Yes No
TELEPHONE (Home):

TELEPHONE (Business):

MAILING ADDRESS (if different from home address)
EMAIL ADDRESS:

EMPLOYER NAME (Optional)
EMPLOYER ADDRESS (Optional)
PRESENT OCCUPATION OR TITLE:

PLEASE STATE THE REASON(S) YOU WOULD LIKE TO BE, AND YOUR QUALIFICATION(S) TO BE, A MEMBER OF THIS BOARD/COMMISSION/COMMITTEE:

HAVE YOU SERVED ON AN ADVISORY GROUP BEFORE? IF YES, PLEASE EXPLAIN:

IF APPOINTED, WILL YOU BE ABLE TO ATTEND MEETINGS REGULARLY AND DEVOTE THE TIME NECESSARY TO FULFILL YOUR DUTIES AS A MEMBER?

DO YOU OR IMMEDIATE FAMILY MEMBERS HAVE ANY RELATIONSHIP (PROFESSIONAL, FINANCIAL, OTHER) THAT MAY PRESENT A POTENTIAL CONFLICT OF INTEREST FOR THIS ADVISORY GROUP? ____ YES ___ NO IF YES, PLEASE EXPLAIN:
%$&.*5281',1)250$7,21
A resume reflecting experience, community activities, or other qualifications not listed below may be attached in order to assist the Council in evaluating your application (OPTIONAL)
,'(&/$5(81'(53(1$/7<2)',648$/,),&$7,21$1'7(50,1$7,217+$7$//67$7(0(176,17+,6$33/,&$7,21$5(758($1' &203/(7(727+(%(672)0<.12:/('*(
APPLICANT’S SIGNATURE DATE
Brandi M Lopes
✔ ✔
Elk Grove CA 95758
same as above
State of California
1021
O street
Administrative Assistant I - Governors office appointment Excellent community engagement- A commitment to encourage diversity in representation.

NO
yes
✔
Brandi M. Lopes
1/4/2022

1 Jason Lindgren
From: Jason Lindgren
Sent: Friday, January 6, 2023 2:02 PM
Cc: Jason Behrmann; Jonathan Hobbs; Darren Wilson
Subject: City of Elk Grove - Application Packet for the 01-11-2023 Planning Commission Appointment Consideration
Attachments: 01-11-23 Planning Commission Applicants.pdf Good Afternoon Mayor, Vice Mayor, and Council Members,

Attached is the application packet for the one (1) vacancy for an appointment consideration as part of the Item 9.2 on the January 11, 2023 regular agenda.

Eight (8) applicants submitted applications for consideration. Note that on applications where the PDF limited viewing of responses, there are supplemental pag
es that clearly capture any responses that exceeded the form view.

If you have any questions or concerns regarding this matter, feel free to contact me, 478‐2286, [email protected].

Jason Lindgren | Office of the City Clerk
City Clerk

City of Elk Grove
8401 Laguna Palms Way, Elk Grove, CA 95758
t 916.478.2286 f 916.627.4400
TTY/TDD 888.435.6092
elkgrovecity.org

PLANNING COMMISSION (Listed in order received)

Recruitment Authorization: Wednesday, December 14, 2022

Recruitment Start Date: Thursday, December 15, 2022
(12/23/22 notice in newspaper)

Application Deadline: Wednesday, January 4, 2023

Recruitment Appointment: Wednesday, January 11, 2023

(Listed in order received, the “r” notation indicates they have re-applied)

NOMINEES

NAME CONTACT ADDRESS DISTRICT

1. Oscar O’Con, Sr.

Home:

Elk G
rove, CA 95624

3 2.

Bonnie W. Tam

Home:

Elk
Grove, CA 95757

2 3.

Alan Lee Veto III

Cell:

Elk G
rove, CA 95624

2 4.

Brandon Singh
Boparai

Home:

Work:

Elk G
rove, CA 95757

4 5.

Michael Louis Hill

Home:

Elk G
rove, CA 95624

3 6.

Superna Datta
Mehta

Home:

Elk
Grove, CA 95624

1 PLANNING COMMISSION (Listed in order received)

NAME CONTACT ADDRESS DISTRICT

7. r

Brandi M. Lopes

Home:

Office:

Elk
Grove, CA 95758

3 8.

Bruce Lee Walters

Home:

Elk
Grove, CA 95758

1 PLANNING COMMISSION (Current Appointments)

Name of Appointee District of Appointee Residence
Juan Fernandez 2
George Murphey 2
Sandra Poole 1
Suman Singha 4

VACANT -

Planning Commission District Composition
All Districts are currently represented.

District 1 X
District 2 X X
District 3
District 4 X

Qualifications: 18 years of age, reside in the City of Elk Grove, and be registered to vote.

PLANNING COMMISSION APPLICA
TION

APPLICANT BIOGRAPHICAL INFORMATION

PART II
Please retain Part I for reference and return the completed application, Part II, to the Office of the City Clerk, 8401 Laguna Palms Way, Elk Grove, California 95758 by or before the application due date (January 4, 2023).

Please be advised, that this form will become a public record subject to disclosure upon request under the California Public Records Act.

BOARD/COMMISSION/COMMITTEE NAME:

PLANNING COMMISSION
NAME (First, Middle, and Last) HOME ADDRESS (No. Street, City, State, and Zip) EMAIL Addres
s
Resident of Elk Grove
Yes
No
Registered Voter
Yes No
TELEPHONE (Home):

TELEPHONE (Business):

MAILING ADDRESS (if different from home address)

EMAIL ADDRESS
:

EMPLOYER NAME (Optional)
EMPLOYER ADDRESS (Optional)
PRESENT OCCUPATION OR TITLE:

PLEASE STATE THE REASON(S) YOU WOULD LIKE TO BE, AND YOUR QUALIFICATION(S) TO BE, A MEMBER OF THIS BOARD/COMMISSION/COMMITTEE:

HAVE YOU SERVED ON AN ADVISORY GROUP BEFORE? IF YES, PLEASE EXPLAIN:

IF APPOINTED, WILL YOU BE ABLE TO ATTEND MEETINGS REGULARLY AND DEVOTE THE TIME NECESSARY TO FULFILL YOUR DUTIES AS A MEMBER?

BACKGROUND INFORMATION
A resume reflecting experience, community activities, or other qualifications not listed below may be attached in order to assist the Council in evaluating your application (OPTIONAL)

I DECLARE, UNDER PENALTY OF DISQUALIFICATION AND TERMINATION, THAT ALL STATEMENTS IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

APPLICANT’S SIGNATURE DATE

PLEASE STATE THE REASON(S) YOU WOULD LIKE TO BE, AND YOUR QUALIFICATION(S) TO BE, A MEMBER OF THIS COMMISSION:

I have a professional and educational background in architecture, planning and landscape restoration. I worked at the County of Sacramento as Assistant Planner and understand the local codes and ordinances. I am an active community volunteer and it would be an honor to serve the members of my Elk Grove community (additional information in the attached letter).

HAVE YOU SERVED ON AN ADVISORY GROUP BEFORE? IF YES,
PLEASE EXPLAIN:

While working at the County of Sacramento as Assistant Planner, after the design review process and decisions made during DRAC (design review advisory committee) meeting, I would review the landscape and irrigation plans to check for their compliance with the County code, ordinance, general plan, conditions of approval and water conservation ordinance (MWELO). I gave advise to the applicants on the projects and also signed off permits.

City of Elk Grove
8401 Laguna Palms Way
Elk Grove, CA 95758

Respected Mayor Bobby Singh-Allen,

It is my pleasure to apply for the position in the Planning Commission. I would like to give a brief background about my professional education and experience, and highlight areas that I believe, make me a superior candidate for this position.

I currently work as a Landscape Designer at AECOM and prior to joining AECOM, I worked for the County of Sacramento, Dept. of Planning and Environmental Review as Assistant Planner/ Assistant Landscape Architect. At the County, I reviewed landscape and irrigations plans to check for their compliance with the zoning code, general plan, CEQA, NEPA and Model Water Efficient Landscape Ordinance. I participated in all the stages of planning and design, from initial design review till the final issuance of certificate of completion.

I have a Master’s degree in Landscape Architecture and a Bachelor’s degree in Architecture. My passion for the community of Elk Grove, my interest in social and environmental justice issues and authentic citizen participation has motivated me to apply for this position. I would like to add the for my master’s thesis project, I studied two public parks in New York City (Manhattan and Bronx borough) to analyze the authenticity of public participation in the design of these parks. I independently interviewed government officials, residents and members of nonprofit organizations. In addition, I am active volunteer in the Elk Grove community. I have participated in several fundraising events for nonprofit organizations such as Chicks in Crisis. I volunteer my time and use my technical expertise to educate the residents of Elk Grove about the benefits of switching to water conserving landscape. I also activity volunteer at Elk Grove Teeyaan festival and at the temple.

I believe, I have the technical skills, experience and above all, passion to be a member of the Planning Commission. It be my honor to serve the community of Elk Grove! Sincerely Yours,
Superna D. Mehta

Page 1 of 2 ends

SUPERNA D. MEHTA

Education

Master of Landscape Architecture (MLA) September 2008 – June 2011 California State Polytechnic University, Pomona, CA (accredited University) 3 years degree, GPA 3.59

Topics Studied: Sustainable Landscape Design, Environmental Planning- EIR, NEPA, CEQA report review, California Native Plants, Water Efficient landscape, Habitat and River Restoration, Mitigation, Planting and Irrigation design, Landscape construction, Specifications, Tree preservation, Land Use Planning, Site Development, Community Based Design: Thesis on Citizen Participation - A comparison of two public parks in New York City, Research Methods and GIS.

Bachelor of Architecture (B. Arch) August 1999 –June 2004 Sushant School of Art and Architecture
5 years degree, First Division, Gold Medalist

Topics Studied: Architectural and Urban Design, Construction drawings, Residential Design, Structural analysis, Landscape design, Architectural History, Project management, Thesis: Site plan, building and landscape design of an institutional facility

Professional Experience

AECOM: Sacramento, CA August 2022- Present
Landscape Designer
• Caltrans projects - training modules development for visual impact analysis • Landscape restoration: analysis and planning. Preparation of planting and irrigation plans, sections, construction drawings and specifications. • Preparation of reports that take reference from the City and County ordinances, codes, CEQA and NEPA documents.
• Preparation of landscape material and construction cost estimates • Preparation of performance specifications

Sacramento County, Dept. of Planning and Environmental Review August 2021- July 2022 Assistant Landscape Architect/ Assistant Planner
• Design review of landscape and irrigation plans for their compliance with model water efficient landscape ordinance (MWELO), zoning code and general plan. • Landscape Permit sign off and hold on water efficient landscape projects and issuance of Certificate of Completion.
• Sacramento County Native Oak tree preservation. Application of developmental control measures.
• Coordinate and communicate with private landscape and architecture firms, environmental planners, developers and contractors. Answer project related questions through email, phone calls and meetings.
• California Native plants, Mediterranean and low water use landscape • Project tracking- data input of incoming projects, updating project development.

SDM Design: Elk Grove, CA February 2016- July 2021 Landscape and Interior Designer

Page 2 of 2 ends

• Worked on contract basis as a landscape and interior architectural designer, with Taylor Morrison and KB Homes subcontractors.
• Designed water efficient landscapes. Conducted site visits, supervised landscape installation and project development.
• Interior staging for model homes in greater Sacramento area. • Sourced inventory through bidding and auctions. Maintained inventory and account records.
• Coordinated with contractors, architects and inventory sellers. • Prepared cost estimates and budget.

Additional Work Experience:

Master Landscapes: Monterey, CA October 2011- June 2015 Landscape Designer

SBA Architects: Santa Clara, CA February 2008- August 2008 Architectural Designer

Antonia Bava Landscape Architects: San Francisco, CA March 2007- June 2007 Landscape Designer

BKBC Architects Inc.: Walnut Creek, CA August 2006- February 2007 Architectural Designer

Bobby Mukherji and Associates: New Delhi January 2004- March 2005 Interior Architectural Designer

Volunteer

• Guided Waterman Ranch neighborhood (East Elk Grove) residents to practice water efficient landscaping. Connected them with organizations such as Sacramento Tree Foundation and California Native Plants Society (Sacramento Chapter) to use water conserving, California native plants.
• Ran 5K and volunteered pre run at Dia De Los Miles, Elk Grove. • Volunteered several times at a fundraising events for Chicks in Crisis, Elk Grove. • Ran and helped in event planning for Elk Grove Gobble Wobble 2022 and “Race for Babies”.
• Active community member of “Buy Nothing Exchange Group” in Elk Grove where locals exchange miscellaneous goods without a cost.
• Currently a volunteer at the after-school program at the temple. I do event planning and design decorations for festivals and help kids with school homework. • Currently a parent volunteer at EGUSD.
• Volunteered for Project of Public Spaces in New York City for Placemaking Conference. • Volunteered at Youth Ministries for Peace and Justice in New York City during my master’s thesis project about public participation.

Skills

Software: Word, Excel, Outlook, Power Point, Accela (Sac. County software), Illustrator, Photoshop, , AutoCAD, SketchUp (took advance classes at UCLA extn.) and ArcGIS

Communication: Can read, write and speak 3 languages at expert level - English, Hindi and Punjabi.

Independently facilitated 4 focus groups, 2 workshops and 21 interviews in NYC for master’s thesis research. Presented numerous design projects at both professional and academic level . Skilled in writing reviews, reports and email correspondence.

Please be advised, that this form will become a public record subject to disclosure upon request under the California Public Records Act.

BOARD/COMMISSION/COMMITTEE NAME:
3/$11,1*&200,66,21
NAME (First, Middle, and Last) HOME ADDRESS (No. Street, City, State, and Zip) EMAIL Address:

Resident of Elk Grove
Yes No
Registered Voter
Yes No
TELEPHONE (Home):

TELEPHONE (Business):

MAILING ADDRESS (if different from home address)
EMAIL ADDRESS:

EMPLOYER NAME (Optional)
EMPLOYER ADDRESS (Optional)
PRESENT OCCUPATION OR TITLE:

PLEASE STATE THE REASON(S) YOU WOULD LIKE TO BE, AND YOUR QUALIFICATION(S) TO BE, A MEMBER OF THIS BOARD/COMMISSION/COMMITTEE:

HAVE YOU SERVED ON AN ADVISORY GROUP BEFORE? IF YES, PLEASE EXPLAIN:

IF APPOINTED, WILL YOU BE ABLE TO ATTEND MEETINGS REGULARLY AND DEVOTE THE TIME NECESSARY TO FULFILL YOUR DUTIES AS A MEMBER?

NO
yes
✔
Brandi M. Lopes
1/4/2022

Please retain Part I for reference and return the completed application, Part II, to the by or before the application due date ( ).

Please be advised, that this form will become a public record subject to disclosure upon request under the California Public Records Act.

BOARD/COMMISSION/COMMITTEE NAME:

NAME (First, Middle, and Last) HOME ADDRESS (No. Street, City, State, and Zip) EMAIL Address:

Resident of Elk Grove
Yes No
Registered Voter
Yes No
TELEPHONE (Home):

TELEPHONE (Business):

MAILING ADDRESS (if different from home address)
EMAIL ADDRESS:

EMPLOYER NAME (Optional)
EMPLOYER ADDRESS (Optional)
PRESENT OCCUPATION OR TITLE:

PLEASE STATE THE REASON(S) YOU WOULD LIKE TO BE, AND YOUR QUALIFICATION(S) TO BE, A MEMBER OF THIS BOARD/COMMISSION/COMMITTEE:

HAVE YOU SERVED ON AN ADVISORY GROUP BEFORE? IF YES, PLEASE EXPLAIN:

IF APPOINTED, WILL YOU BE ABLE TO ATTEND MEETINGS REGULARLY AND DEVOTE THE TIME NECESSARY TO FULFILL YOUR DUTIES AS A MEMBER?

A resume reflecting experience, community activities, or other qualifications not listed below may be attached in order to assist the Council in evaluating your application (OPTIONAL)
APPLICANT’S SIGNATURE DATE

Elk Grove City CouncilJanuary 11, 2023

Elk Grove City Council
January 11, 2023