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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 />Full Name (Print d.T/typ <br />Address: <br />Years at this <br />address <br />ml.mlz <br />f-3-1-7 VAeeiA4� <br />ears you have lived City Ward/Precinct County Commission <br />in Ramsey County District <br />bel; 763 - 3_-D-- 7, 09 Aj- <br />Telephone: Home Work or Other <br />QUALIFICATIONS TO BE CONSIDERED: <br />C�SEf[6? Y /i <br />Education: <br />A <br />Employment, Occupation or Other Experience: <br />Memberships, Accompli ents or Other Qualificatic <br />Please state your reasons for wanting to serve on this committee: <br />"1?X <br />z l� do - x1le''146 ,tel <br />"F _CI� <br />Your response to any of the above may be continued on the back and you may attach any other <br />materials which you may want considered. <br />SIGNATURE: T DATE: __Z—,,-2 % 20/ <br />Mounds View is committed to the policy 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 />