PLANNING COMMITTEE MEMBER APPLICATION

Name: __________________________________

Phone Number: ___________________________

The Town of Kickapoo Board is requesting interested township members to indicate their interest in serving on a five (5) member planning committee per Wisconsin Statutes.

The purpose of the planning committee is to oversee and coordinate the development of a comprehensive plan by providing a public forum for objective and rational development of proposals ensuring citizen involvement and public support.

Upon receipt of this application, the board will then appoint the committee and chairperson, during April 2004. See ordinance.

To assist the board in their selections it is requested that you complete the following thought: “I would like to serve on the planning committee (because/to) ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

If you are not selected, your interest is appreciated and we encourage your participation in this important process on behalf of Kickapoo Township.

Application due date:  March 18, 2004, 1 p.m.

Return to: Kickapoo Township Hall

                 120 W. Charles St.

                 P.O. Box 1

                 Readstown, WI  54652

                 tnkickapoo@mwt.net