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s. <br />APpLICATION FOR ADVISORY G�OUPS : <br />��aup �pplie� For: - <br />C c-o e� o��'D � F l op,►,,.�� Co,h wt� ss �� <br />Szcond C"oic� (ir any): <br />�Full Vame (�rint or tyoe): <br />���.n�s fl. �'F l�. <br />Address: <br />� �09 IG� � l w�2 �n <br />Years At This Address: Years You Have Lived In �Kounds View: _ <br />Teleohorze: Hame° Work or Other° <br />��6 -8�� I zz q-� �� o� �, <br />Q[7ALIFIC�TIONS YOU WANT TO EiA�TE T:iE COUNCIL COIVSIDER <br />Skills ana Interests: <br />c-�w� ►�.� �-L a,�1� ���� � v��-t A-t a-�-� � y S�s ��.P� ��=N� ��� a-c l <br />-�-��� o-�- b �s� � �ss-as <br />E:nploymer,t, Cccuoation or Ot:^.er �„�erience: <br />5�-r� �'atL.,. C�.,En ��- q�.►�a.l �t s-r— - r�,.t�z-�'uq-►J g a-�r IL <br />�lembershi�s, �c�omglishments Or Ot:�er QualicicaCions: <br />� ObETL� /�.Of�i �.S 1�35 oC� wTl O eJ — l� N►�m 0 N P1-I A-�J oG�R+-�i o ts � pJh'�� �-0AT� PtN O <br />Gft-ED t j O�t t�ti.S W('LdS E Ml S S i OrJ �S '4-� ��.OUt c�� <br />'�(l '�.F �!W �b�s i Orv F� t�.E�1J�"c�. O�rr�,�'�3'�"' C-� i�: <br />M'�+r�.�'j-S . <br />?leasz S�atz Your �easons �or ��ianting To Ser•re On T;�is Commi_c��: <br />-�-o �� �a- �o�-�'u b� -�� � �n b �. e.� �-� ru, �� -�-�-�- S� �n.� �.�{;,, � T,� <br />� a.Fu�=�,,� ,�z �-�.�s�,�y -E-�„c ,��-�S � � � ��,ti�,h,F b�.,s�,��. <br />�-%�( p-�-o c rt �kF -� �� N-�-r�;.� � P o s�-};� F b � s� N�s s c.� � �, �.-� , n�t ��d-a$ .� � <br />b+�,� I a� c�= h �-�► �-� 1'> v S���-s.s d�� �� M��- ���f op.h �r1- .. ���k-�z�+ c.e,� <br />Your r�s�onsz to anv o,: t;�e above ma,� be contin��d on tne bac:c <br />and you �nay at�ach any other mat�rials wh�c:� _rou wan� t:ze Ceuncii <br />to consider. <br />S ig na t 1 re -�..��-�-_ ,��`� Ca `�� �-z� 9 <br />.��e City oz Mounds �Tiew is commi��.ed t� t,7e �o1ic,; t:�at a1i <br />persons s:�a11 nave equal access t� its pr�g�ams, �=acilities, an� <br />Jmp?oyment �.��thout r�gard to rac�, c�a�d, color, se:c, age, <br />national origin, or handicao. <br />