The Summit County Planning Department accepts applications from residents interested in serving on the Lower Blue, Tenmile, Snake River, and Countywide Planning Commissions and Board of Adjustment. Please complete the form below to apply. Alternatively, you may send a letter of motivation, including your background and certifications, to Margaret.Citak@summitcountyco.gov.

Name (last name, first name, middle initial)*

Physical address*

City*

State*

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip*

Shipping address *

City *

State*

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip*

E-mail*

Telephone number *

I certify that my primary residence is located in Summit County, Colorado and that I have been a full-time Summit County resident for at least the past 12 months.*

yes

no

I am interested in participating in any of the following *

Lower Blue Planning Commission Upper Blue Planning Commission Ten Mile Planning Commission

Snake River Planning Commission Countywide Planning Commission Board of Adjustment

Tell us why you are interested in serving us. *

Briefly describe your background, skills and relevant experience.