The City of South San Francisco
Office of the City Clerk
400 Grand Avenue
South San Francisco, CA 94080
(650) 877-8��--
�co lJJ(T:)
...) .. BOARDS AND COMMISSIONS APPLICATION "--''i
;)- CL
I- ,._
·•!.l:.lai n..,nlltPl�P' tllrim- ,,, �
,,. .ft - - u.,... 'r.ll!JJ
Bicycle and Pedestrian Advisory Committee* {
(.) 0
*Must be a resident of/or employed in South San Francisco �le Conference Center Authority -Business Representative �
•Mu.st represent a Business in South San Francisco Business Name:
Conference Center Authority -Community Representative
Conference Center Authority -Hotel Representative*
*Mu.st represent a I lore/ in South San Francisco Hotel Nume:
Cultural Arts Commission
X Equity and Public Safety Commission
1 Housing Authority *
Housing Authority Tenant Commission*
*Must be a resident of the HousiTI!! Authority
� Library Board *
Measure W Citizens' O,1ersight Committee
X Parking Place Commission *
X Parks & Recreation Commission *
,
Planning Commission
X Traffic Safety Commission *
APPLICANT INFORMATION
Full Name:
Address:
Telephone:
6A Rel c:t't 14
Last /
--- Email:
1 District:
(Select One)
*Applicant withdrew interest on 11/27/2025