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FILED IN DISTRICT COURT <br />STATE OF UMMOTA <br />APPLICATION <br />MOUNDS VIEW CHARTER COMMISSION <br />Mail completed application to: <br />Michael F. Upton, Court Administrator <br />600 Courthouse, 15 W. Kellogg Blvd., St. Paul, MN 55102 <br />AUG - 9 2019 <br />Full Name (Print or type) <br />i <br />�% 3 L 4�CL <br />Address: <br />291, <br />2� <br />Years at this Years you have lived <br />address in Ramsey County <br />Telephone: Home <br />QUALIFICATIONS TO BE CONSIDERED: <br />CC, <br />i <br />,4,r\ W �- r\ k 0 _�0 \I ,(- <br />City Ward/Precinct <br />A( U <br />Work or Other <br />County Conunissi <br />District <br />1$-,)3 y v <br />Employment, Occupatihn or Other Experiende: <br />& a <br />Memberships, Accomplishments or Other Qualifications: <br />Please state your reasons for wanting tGArve on this committee: <br />Your response to an the above may be continued on the back and you may attach any other <br />materials whih you ma ant <br />TV <br />SIGNATURE. DATE: <br />Mounds View is committed to the polity that all persons shall have equal access to their <br />programs, facilities and employment without regard to race, creed, color, sex, age, national <br />origin or handicap. <br />