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APPLICATION <br />MOT}NDS YIEW 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 />av- ba l(e <br />FII."ED IN DISIRICT COTJRI <br />STAIE OF MINNESOII <br />AUG 19 2019 <br />s//z <br />Full Name (Print or type) <br />1o;C,t un f ,(oad Z,0u <br />iA <br />Years at <br />address <br />A& 0 {/-/{z'/a zz <br />33 z/z.o^5 Preul,tr/ 7 D5t <br />Years vfiu have lived City Ward/Precinct County Commission <br />in Ramsey County <br />Telephone:Home <br />QUALIFICATIONS TO BE CONSIDERED: <br />Work or Other <br />5, <br />Vl <br />Memberships,or Other Quali <br />state your reasons for ng to serve on this committee: <br />Your response to any of the above may be continued on the back and you may attach any other <br />SIGNATU <br />Mounds Yiew 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 />'rfrrly'lr,r< <br />rrram P,/ Mrtrtu W4',,rl"r S P /c /n 0./ <br />7/e; [/, uhwh /th,brE W Di rAl'ta i <br />DArE: ( '"f