Laserfiche WebLink
CITY OF FALCON HEIGHTS ~Z <br />COMMISSION/COUNCIL APPLICATION <br />• NEIGHBORHOOD COMMISSION <br />DATE: = ~ ~-- ~ - ~ ~ <br />NAME: ~ ~ti,~-~,~} ~i -r ~ <br />ADDRESS: l ~~ J ~ T /Y~ ~ r -~.1 S ~ <br />PHONE: (H) ~ ~%- ~ ~,. ~~ - ~ ~ ~ i (V ~ G~ ~ i - ~? ~ 3 - ~ ~ ; ~ <br />HOW LONG AT ABOVE ADDRESS? ~ 2 <br />,~/ .. <br />IN WHAT CAPACITY DO YOU WISH TO SERVE? -,~- ~~ --~-~ , `, .,~,,,,,,,i <br />/ rL <br />REASON YOU WISH TO SERVE ON ABOVE: --= °% ~- i ~_~.~.._, ; <br />`` ~~ <br />L/ l / ~ ~~ cJ vyt~ <br />~J E'~1~I G! ar ..J t..1 ~LJ --/v~ yr J~,iv) ~ ~ "~7`'~ / : 1~V <br />PRIOR PUBLIC (OR RELATED) SERVICE: <br />3 <br />y C ~~~ ~~~ ~.n a1 '~ <br />OTHER RELEVANT BACKGROUND (OR COMMENTS): <br />~ ~~ ~ <br />J U lam' / v~ ~i v ~a~+~`'> > <br />E" yam/ - e° -~'7 ,vim ~ ~ c~ G~ r 7 7., ~ ~ 7"r`'~i <br />~% <br />~~~ ~ ~~ / <br />r ~- <br /> <br /> <br />~~ ~~~ <br />/"~ YO ~' i <br />