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C <br />• <br />.7 <br />CITY OF FALCON HE <br />COMMISSIONAPPLIC <br />DATE: '~~ ~ Zcx~S GHTS MAY <br />TION <br />NAME: l~un~. }. <br />ADDRESS: I ~D ~ 5+. F scan l~~ kt MN ~1I3 <br />oE° <br />PHONE: (H) ~6s1-~kZ-~~,,~- (~ ar-. <br />6St-~~ib--S E.~,~ <br />EMAIL ADDRESS: nt~7L ~:~rt.~.d~ <br />,~~•~ ) <br />HOW LONG AT ABOVE ADDRESS? ~ ~ -- rs <br />IN WHAT CAPACITY DO YOU WISH TO SERVE? ~ wc~ I~, l~ ~t~ ~ rK- <br />~" IVC~a ti (-cmrhi <br /> <br />REASON YOU WISH TO SERVE ON ABOVE: ~ !~ c~lu~a ~~ ~ , <br />;.: ~acc~ •.,~ til~~ ~ ~,~-~ ~cw rnc~~ aF rn .,~ Z u%cin~--.~ ~( <br /> <br /> <br />PRIOR PUBLIC (OR RELATED) SERVICE: ~. -vac! ~I-~- ~ c1 J~~nfnr <br /> <br />~ , ,~ vt~V1~5 <br />OTHER RELEVANT BACKGROUND (OR COMMENTS): <br /> <br />'~r ~ ~ ih ~~ ~ 1 • ~. ~-' ~lsz~ ~ -~- - <br />~ ~ ~ ~:x; u;'; tl~ ~ /vr -fig l ~h ~.t'2. ~ ~; <br /> <br /> <br /> <br />16 2005 <br />~~ <br />~ ~~~ <br />~~ ~ <br />~~P ~ <br />nr~y ,fv r <br />Ih <br />