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MQv�s VIEW 2401 Mounds View BoulevardMounds View MN 55112-1499 (763) 717-4000 * Fax (763) 717-4019 barb. beneschna,ci. mounds -view. m n. us www.ci.mounds-view.mn.us To be completed by Mounds View: Date)Application Received: itat L 2xll j NEW APPLICATION (never served) ❑ RENEWAL APPLICATION ❑ APPROVED Date Term Expires: APPLICATION FOR ADVISORY BOARD/COMMITTEE/COMMISSION Applicant Name: M. Joan (Josey) Warren Address: 8044 Greenwood Drive Phone #1: 763-786-3591 City: Mounds View State: MN Zip: 55112 Phone #2 Years at this address: 40 yrs Y Years you have lived in Mounds View: 40 ears Y Email: i Applying For (if applying for more than one, please rankf: in order your desire to serve). ❑ Planning Commission (meets the 111 and 3r1 ❑ Economic Development Commission Wednesday of each months at 7:00 pm) (meets 3rd Friday of each month at 7:30 am) ❑ Police Civil Service Commission ❑ Parks, Recreation & Forestry Commission (meets on an "as needed" basis) (meets the 41h Thursday of each month at 6:00 pm) F--1 Comprehensive Plan Taskforee 'Experience and Qualifications Skills and Interests: was a teacher at the college and high school level; a community organizer in North Mpls; I am an avid reader of all types of literature and press. I read several news sources daily I love anything to do with Lake superior and anything to do with Scotland. Employment, Occupation or Other Relevant Experience: I am an attorney and practice Estate Planning and Tax law. I have been active in Mounds View governance. Served on the planning commission, reviewed the comprehensive plan, served on the wet lands task force. Memberships, Accomplishment or Other Qualifications: Past member of League of wM Voters, MV Lioness, BA degree in Chemistry and Biology, Graduate degree in Law, several seminars in city planning. What is your main reason for wanting to serve on this Commission/Committee: This City is currently facing many changes. I believe those changes should take into account the history of this community when planning for its future residents and businesses. Every decision made has at least a 30 year Impact. TENNESSEN WARNING: The information provided by you on this application will be used to determine your suitability for appointment to an advisory commission. Participation as an advisory commission member is strictly voluntary and you are not required bylaw to provide this information. However, should you not furnish this information the City may have difficulty determining your suitability for appointment, contacting you regarding your information, and if selected, with your duties on the advisory commission. Under Minnesota State Statute 13.601, s6bd.3, the following information is considered public information before appointment: name, city of residence, education and training, employment history, volunteer work, awards and honors, prior government service, veteran status. Once an individual is appointed, the following additional items of data are considered public: residential address, telephone number, email address. I have read and understand the Tennessean Warning and certify that the statements in this application are true and correct to the best of my knowledge: Applicant Signature: Date: rr Your response to any of the above inquiries may be continued on the back of this form and you may attach other information that you would like the City Council to consider. The City of Mounds View is committed to the policy that all persons shall have access to its programs, facilities and employment without regard for race, ethnicity, gender, age or physical abilities. . I 'i A09 : Z'j ;