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APR 0 5 2005 <br />CITY OF FALCONHEIGHTS <br />COMMISSION APPLICATION <br />DATE: Y/ S G'~ <br /><~ <br />NAME: G Gh °~ aZ~,S~'L/ <br />ADDRESS: ~ / %a ~ a 1 LcJ-~y~ /}"u~ <br />PHONE: (x) ~ ~/- ~'i ?-? f~3 ~ ~s~ - 9i ?-~~v ~ <br />HOW LONG AT ABOVE ADDRESS? ~ ~y ~~ ' <br />IN WHAT CAPACITY DO YOU WISH TO SERVE? <br />REASON YOU WISH TO SERVE ON ABOVE: ~~ !~ ~~ ~ ~ ~Jn ~ ~~ ~ <br />,~ <br />~j ~2~~ ~ ~d L~hS~ j l "2Gr~r~ ~nA'~~ Ai'r' f> ~~~ /~~ ~. ~ ~~~ 4Qs~ ~~ <br />PRIOR PUBLIC (OR RELATED) SERVICE: ~~~°G~>~~~~~9Yi Ll~'~-eC~O~ ~/; <br />~~ ~ ~" I /'-ec~v )rS~ r~ C~~rc'2' _" w ~ ~ ~-~- S ~LV.t~~ '~to~~1 Cdjnm ~ S s; 0 YJ ~ <br />.fin ~ ~ -~~ ~. , ~s mn2~ S ~ ~~ ~k,~yt J ~ ~m~ -t~ <br />~~ ,,, f ~ S~ie ~-~D~'~ . (/~~l~v~ rh~-rd~ j dy,~e-to4~s i~5 rem ~r~ (~u ~ li L~mh~ <br />/ OTHER RELEVANT BACKGROUND (OR CONIlIZENTS): G ~~~~ <br />1'~~ ski-{ ~ ~ ~..~ ~ •~ ~~ 1 ~G ~~ n~,' hf S~~.b~ ~' ~'~-Cr~P~-~ . <br />/ ~ <br />,d.,~L ~,~ ~b rl~r~~a/~`a0~--~D ~, ~,G ~ ~ ~ ~ ©k/1~ ~y L ~v~`5 /~id6~AC~,/S <br />~_ ~ ~'~~ ~ ~U ~ <br />~ ~ <br />svL~,~- --1~cz <br />14 <br />