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'APPLICATION FOR ADVISORY GROUPS <br /> Group Applied For: <br /> t' LANNVNt `"z \off <br /> Second Choice (if any): <br /> Full N e (print or type): <br /> OR�R-t N\AM:V.\ALL_ W%\t -rb J <br /> Address: <br /> Years at This Address: Years You Have Lived in Mounds View: <br /> . 8 Y2 <br /> Telephone: Home: Work or Other: <br /> QUALIFICATIONS YOU WANT TO HAVE THE COUNCIL CONSIDER <br /> Skills and Interests: kOv trJc,,. Vacs'A. ro rvNn LtJ 1 t_ <br /> c,..,N6 Aw i4A� cam,) rte. P I O.tas"T 1 w LW 0 c)tvetUP lam[, <br /> �•N� v sT� �AR� iiJQ,700)flg...‹.\-13 Q. iki,o3 P.:e0.TOIZ> cA 120.47 Weis-) 1144 <br /> 00V P1r14•1 CARO\-t w'ft s t�Z S R��b o� TN¢ rv‘ .0RL5 <br /> Q-vrn.vtWTi 4-sb • L cr.Ckt3 N�,i t CabnJ <br /> Employment, Occupation or Other Experience:= PN/ Wov.v, O f-ov- -i+ <br /> fd�+NH zc-m ePg2zm ' cc R'AN\iSco 'rP 0`N For,--1y't- YeA1(.s <br /> err` Cv.�Zr- -NZt_y `-)4 IQss►sYZ <br /> - rri 1\/\4141t\(Awe- oc. 1- �V\u..+v C,►PAk_, <br /> (X Jv c `c4t4 ��\�\� d� �r c I , (OVL 0 <br /> Memberships, Accomplishments or Other Qualifications: L += wo .' <br /> 1 Yv ' 1•.)C>. TZI (2-7 1.4\3-1\-).-C") 01P s�Y���_ t/(� 0--v,,A,n1zY <br /> 'Lnp'J r knk...i tr..0F GL Q.1;V--e2'�'-.3 'Sv ►'-'Rvv tL11"y K. <br /> w\-ck.k t tJ PP..) c-b A\tt wciP.\< iYvCvb yr CAD &10,14 tv1LY� . <br /> Please State your Reasons For Wanting To Serve On This Committee: 4, wou_L <br /> L.i\-k,u -To 4 ,4i-r_o ,..c lei v o ‘4(..,0 1 rJ k*: Ni.Y0 yr 5 \l t&C-3 <br /> td.4 N VIVO\ 12\ So LAKi.t. I b t�r-)Ow Y`&O %ok).-i <br /> �(?`Nv'tuCx AvvRGCI't\i,s-rr, 3 vuov-k-t3 —to <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 /> Signatures 1 ko !'M Date R)-',-R:-5 <br /> The City of Mounds View is co itted 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 />