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_ City of Mounds View Phone: (763) 717-4000 <br />'~/1'®7 77~7T~C~ jjTL''SAT 24.01 Highway 10 Fax: (763) 717-4019 <br />lvl lJ1~IlJJ 1' it.YY Mounds View, MN 55132 Email: announcements~ci.mounds-view.mn.us <br /> <br />Ste...p 1r Who are you? <br />t7rganization; <br />Name: Day Phone: <br />Title: <br />SVeet: E-mail: <br />SUeet: <br />City: State: Zip: <br />Additional comments or information: Date of Request: <br /> Announcement Start date: ' <br /> Announcement End Date: <br />Staff 2. What's your message? <br />FIII out the message you would like to announce here, or add an attachment: <br />$te~ 3. Get It to. the C[#yr'. - <br />E-mail this form and your message to announcements~cl.mounds-view.mn.us -OR- <br />Faxthis form and any attachments to (763) 717-Q019 -OR- <br />Mail or drop off at Mounds View Clty Hall, 2401 Highway 1 tl, Mounds View, MN 55112 (span M - F,. B am - 4:3t3 pm) <br />zequest from: ~ Staff Use OnIY Dis la off: <br />~ i/ityr ~ P Y <br />1 Governmental Partners ~ Reuiewed by; L] Newsletter <br />7 fVon-Profitsl t ~ Web Site '- <br />Active Cor~Smunity Organizations ~ ` ^ Gable Bulletin Boarii <br />a Other: needs approval t Start Date; End Date: , ^ Electronic Message Boar <br />Appro~ed,by: I j <br />Announcement Request Policy <br />Last Updated 1 i-4-09 <br />Page 3 of 3 <br />