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APPLICATION FOR ADVISORY GZGUPS <br /> 01 ) <br /> Group Applied For: <br /> S- r /„.,.,/ ,,,,,} /1 <br /> Second Choice ( i: any) : i - 1 <br /> - <br /> Full Name (print or type ) : <br /> Address : y fG��/ I I <br /> S� 5 Zi G'/ Z��� j )W, P11/V/ YZ7-r--) <br /> Years At This Address : Years You Have Lived In Mounds View: - <br /> /,; 7 1 <br /> Teleoclone: Ecme: Work or Other: <br /> QUALIFICATIONS YOU WANT TO HAVE THE COUNCIL CONSIDER <br /> Skills and res cs : <br /> � <br /> y/%� _ <br /> / % LG <br /> / e-/-e !Z? L _ .416-a-6- 6_;,=-/-6 1, l / � � ,, <br /> 7 <br /> E.-tploymeat, Occuo'ation or Other Exner' dace: • <br /> f <br /> kL:4 crSJ>iT= fT� /- C/” .' /c/Z'G- / C///my I <br /> i `i -/ 1--,/ „,--, . - <br /> 1111 <br /> _.;5--L__,F ":„--7;;;e/c/z-;- 4) z,-...s-/4-•z,.3--,C C....-/a '.-'-'/..".---7 e': A4- --' 7-74-- '/4 .c <br /> ;!emcersnips , Accomplishments Or Other Qualifications : <br /> Xlz-71-e'l'/ -'- 1---/2-e cptdr4 ,_ ,_, • <br /> ' /' ._ 7 <br /> _Ijk f_ (7(6 0 •L- ' 7 <br /> Please State Your Reasons For Wanting ng To Serve On This Comm? . <br /> / �/[ - -7--- 'e•-•-/--- it / <br /> ft i 'C) XCG C �/ C'r 4 . C ✓ L--'' - i- ; <br /> Your response to any of the above may. be continued on t^e back <br /> and you may attach' any ether materials which you want the Council <br /> to consider. <br /> Signa,turs�/� / , , :�- /L--- Cate I r % /G: /9 •, <br /> The C _`y of hound , View is committed to the :of_cy that all <br /> persons shall nave equal access to its or:gr_-ms , =ac ' mss , and <br /> employment without regard to race , creed , color, sex, ace , <br /> national origin , or handicap . <br />