Laserfiche WebLink
CITY OF FALCON HEIGHTS <br />COMMISSION/COUNCIL APPLICATION <br />~ °E~ r 7 200 <br />z <br />DATE: ' '~~.. , 1 ~ . O ~ <br />NAME: avh~V~ w~~,~ w`~v~ <br />ADDRESS: Z ~ L~ ~ ~ ~ e=y` ~~ <br />PHONE: (I~ (~l ~ h'~~r-Z~.L~r ('W) ~Oi ~- --- ~,2 ~ ` ~ 3 ~ ~ <br />HOW LONG AT ABOVE ADDRESS? L~ ~ `F <br />IN WHAT CAPACITY DO YOU WISH TO SERVE? <br />~ ~~ ~ ,~~ ~~be <br />~~ <br />REASON YOU WISH TO SERVE ON ABOVE: (. ~ o~ c~vl /c ~ T~ <br />rr <br />PRIOR PUBLIC (OR RELATED) SERVICE: ~~.: ~v , ~ ~ a~.~~l~ l.o ~~~1 <br />` 1Me w.. <br />OTHER RELEVANT BACKGROUND (OR C011~IlviENTS): <br />~~-~--c~- ~a ~-~ :a.~ ~ ~ ~ vim. ~ ~~ l~ . i <br /> <br />~ ~_ ~ <br />~J <br />