Laserfiche WebLink
rtriss2930,3i► <br /> JUL 1991w <br /> Received m <br /> ce <br /> o, Mounds View w <br /> APPLICATION FOR ADVISORY GROUPS" 8 ,40"'� <br /> Group Applied For: <br /> Environmental Quality Task Force (EQTF) <br /> Second Choice ( if any) : <br /> Full Name (print or type) : <br /> G& ALc\ v J - - <br /> Address : <br /> --7Ec <br /> Years At This Address : ,Years You Have Lived In Mounds View: <br /> Telephone: Home: Work or Other: <br /> 7538I 7 25 z3 7/._ <br /> QUALIFICATIONS YOU WANT TO HAVE THE COUNCIL CONSIDER <br /> Skills and Interests : /1 yrA/?S o r rr (g7c) C- <br /> , rio y 1411/4 "3T, 114 t '� /4^- y/U42s d-c- FeA.so,O)4 <br /> ZZ s i AiS y iA res a-'N ire raes i 1'(\) 4CL2 c r 7 y & 1, fr <br /> Employment, Occupation or Other Experience: <br /> In,O�7E - <br /> /l1/(/- ( Pr o f Tvil-A 54 c'- 'v"- A/U r ta4AMA El1JTl4 L t3O r A /Z;NG- cit lU iT — C�tuR�+'It� <br /> ( D, A FOesT s�r�c�rfr — F7_5h � r'Es 13 co I0 ,`�' <br /> Spec f��� T <br /> W 1'1 Cts( ! 5'Q/c Vel — F1.511=f`- s S /A7 - 0Ait/ <br /> Memberships, Accomplishments Or Other Qualifications -_ <br /> 5 <br /> gS- Pe v 5s i Yz/Vvlr�JT74 > <br /> Cr, W(/r <br /> W G N LNC 6,4)w c v� `SIJ T �S V c <br /> A- loe - o� 7/�� <br /> co w.t t sS ( M. 7e , /qe <br /> Please State Your Reasons For Wanting To Serve On This Committee: <br /> /4 wt.)cy s -. - <br /> —6F-- cul/ pur c—_ k-o-t 4 y puck Pe <br /> cpro ci t xs v, <br /> vr vvil `e- -f �u c� <br /> - <br /> Your response to any of the above may be continued on the back <br /> and you may attach any other materials which you want the Council <br /> to consider. <br /> Signature ' '�/ Date — <br /> The City of Mounds View is committed to the policy that all <br /> personsshallhave equal access to its programs, facilities, and <br /> employment without regard to race, creed , color, sex, age, <br /> national origin, or handicap. <br />