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_ ., . . _ <br />City of Moc��ds l/iew <br />2407 Highw�ay 10 <br />Mouhds View, MN SSI IZ <br />(612% 717 4000 <br />Ap�li�ation For Advisar� Boards and C'orr�rnissiorrs <br />G�otap App/iea' Fo� � <br />Fc�// NA�ne (P/eASe Priht).� <br />Home Phone.� <br />Ad�'ress.� <br />Work Phohe.� <br />YeArs At this Address: Ye��s you h�ve /ived ih Mou�c/s View.� <br />E�nc�i/ Add�ess.� <br />Oualifications You Want to have the Mayor and City Council Consider: <br />Ski//s Ahd /hterests.� <br />En�p/oyrneht, Occu,r�qtioh o� Othe� Expe�ie�ce.� <br />Me�be�ships, Accorr�p/ishments or Othe� Quc�/ificc�tiohs.• <br />P/eASe state your reasoh for wAhting to se�ve with this group.� <br />SignAture.� <br />DAte: <br />�You� respohse to c�hy of the Above inquiries n�ay be cohtihued oh the bACk of this form c�hd <br />�nay �ttACh �any other mAte�ia/ thAt you wou/� wc�ht the Mc�yor A�d Couhci/ to cohsi�lerJ <br />The City of Mounds View is cornmitted to the po/icy thAt a// persons shA/l hc�ve access to its programs, facilities and <br />emp/oyment without regard for race, creed, co%r, sex, age nationa/ origin or hrandicap. <br />