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APPLICATION FOR ADVISORY GROUPS . <br /> OR COMMITTEES <br /> Name of Group or Committee Applying For: �cCG <br /> Second Choice (If Any): <br /> Full Name (First, Middle, Last): �-- Lima, / <br /> Address: 99 ( <br /> Years At This Address: Tj 3 Years You Have Lived In Mounds View: 33 <br /> Telephone Number Home: 784/-7728 Work or Other: ,S')/- 3o / <br /> QUALIFICATIONS YOU WANT THE CITY COUNCIL TO CONSIDER <br /> Skills and Interests: X0.14) �� aA/c/ 5-° ? "'1 h1-Kc <br /> • <br /> Employment, Occupation, or Other Experience: <br /> • <br /> - 1`( - t2-L----St-�^T/r-`i <br /> Memberships, Accomplishments, or Other Qualifications: <br /> E6/-PtwCP--- B � <br /> Please State Your Reasons For Wanting To Serve On This Committee: <br /> ZvTc 2.ts G-0 I /vt0 v nl 05 U t c LAJ 1Aty c c,P,"- -- / f�- <br /> f--�s�� 'Rts5,6 8 L ( <br /> Your response to any of the above may be continued on the back, and you may attach any <br /> other materials which you want the City Council to consider. <br /> Signature <br /> , Date 77.2_ q/) <br /> The City of Mounds View is committed to the policy that all persons shall have equal access to its <br /> programs, facilities, and employment without regard to race, creed, color, sex, age, national • <br /> origin, or handicap. <br />