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FILED IN DISMJCT COTJRI <br />STATE OF MINNESOI]A <br />AUG - I 2019APPLICATION <br />MOUNDS VIEW CHARTER COMMISSION <br />Mail completed application to: <br />Michael F. Upton, Court Adminisfrator <br />600 Courttrouse, 15 W. Kellogg Blvd., St. Paul, MN 55102 <br />QJ*-+ 5 (.o* 4r <br />Full Name <br />t A"J hn 55r ra <br />/\ r-l/_ /--7b {3 <br />(Print.or type) <br />S, )rrr <br />Years at this <br />address <br />s"D <br />Telephone: <br />Please state your reasons for <br />Years youhave lived <br />in Ramsey County <br />City Ward/Precinct County <br />r?--)3 Y Ll <br />Work or Other <br />t,A"-\ ) ., r\ <br />on this committee: <br />above may be continued on the back and you may attach any other <br />., rcdr <br />Address: <br />\ oar', NS <br />{ <br />Distict <br />QUALIFICATIONS TO BE CONSIDERED: <br />{.\ <br />f,\0.,ntr=t{e\nJ-{ <br />f,.eu) <br />pragrams, facilities ond employnent without regard to race, creed, color, sex, age, national <br />origin or handicap. <br />Memberships, Accomplishments or Other Qualifications: <br />Your response to an <br />:::::KSIGNATUREJ