Laserfiche WebLink
APPUCATION FOR ADVISORY GROUPS <br /> Group Applied For: r. D . 0- <br /> Second Choice (if any): <br /> P1flNr , Nc <br /> Full Name (print or type): <br /> C h Peed D. OMAN <br /> Address: 81. 0 & 2d A N d Rd. <br /> Years at This Address: Years You Have Lived in Mounds View: Q <br /> l <br /> Telephone: Home: 756_ ‘e 79 Work or Other: 307 - 653-6 Cp. ) <br /> QUALIFICATIONS YOU WANT TO HAVE THE COUNCIL CONSIDER <br /> Skills and Interests: eas//vcss v wveil <br /> / ,�vi[ a�R gOmC-'OGv NFA <br /> Employment, Occupation or Other Experience: RDd ed,v5TRdc7/-ON £ 7, <br /> O tvNC2 0 Rema ll/a3 C'a mpAivy, <br /> emberships, A compiishments or Other Qualifications: <br /> W/c+� !'RFA 0 <br /> /navvds c <br /> v� w <br /> Cho,Ptxc COmm,Ssiiw e-AtetAl XNp way /A) gvss,,vess/ 00,vsAve-//e v, <br /> LAR1o/SeAA/.uS/ ,vamee r D 7$6A -to/' S, <br /> Please State your Reasons For Wanting To Serve On This Committee: , <br /> - /J/?;46S r iN T7S E rnn,R aem ee- o/ d v e .r,vF e 71,4 <br /> Your response to any of the above may be continued on the back and you may <br /> attach any other materials which you want the Council to consider. <br /> Signature 'felt <br /> /7rrQ4-\ Date 7-1.-9? <br /> The City of Mounds View is committed to the police that all persons shall have equal <br /> access to its programs, facilities, and employment without regard to race, creed, color, <br /> sex, age, national origin, or handicap. <br />