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'ILED IN DISTRICT COURT <br />STATE OF MfINNE,SOTA <br />DEC 16 2019 <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 />Full Name (Print or type) <br />Address: <br />8 1Z F q <br />Years at this Years you have lived City Ward/Precinct County Commission <br />address in Ramsey County District <br />Telephone: Home Work or Other <br />QUALIFICATIONS TO BE CONSIDERED: <br />Education: <br />M 1 I 1-105uff (. u 11W <br />Employment, Occupation or Other Experience: <br />Memberships, AccdmpMhments or Other Qualifications: <br />Please state your reasons for wanting to serve on this committee. j�� 'I'C' in. <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. j <br />SIGNATURE: qT1 kko DCU qTUAAjjaL, DATE: 12 51 � <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 />