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ILED IN DISTRICT COT]RT <br />-sinre oF MINNESoTA <br />Nov 2 2 2019 <br />APPLICATION <br />MOUNDS VIEW CHARTER COMMISSION <br />Mail completed application to: <br />Laura J. Stevens, Probate Registrar <br />170 Courthouse, 15 W. Kellogg Blvd., St. Paul, MN 55102 <br />Print or type) <br />ZG}O Cour nrf rds V <br />aIt <br />^,rNl <br />-%llzw <br />Years at this <br />address <br />Years you have lived <br />in Ramsey County <br />l{v P ec <br />t"L <br />rne / <br />City Ward/Precinct <br />763*l- 6 <br />Work or Other <br />County Commission <br />District <br />It7 <br />, <br />tn <br />5,l- 7.L5-07 <br />Telephone: <br />QUALIFICATIONS TO BE CONSIDERED: <br />Llniv" of MN. BS-t <br />Therlrlo Fisrler enfi+ic Caan ids <br />^'lNEmployment, Occupation or Other Experience:38 ytqps j now ri re <br />L *.!tnob ilu <br />D o EnSiw* <br />tuchnol *erfr <br />Memberships, Accomplishments or Other Qualifications: <br />rsui de qdvice for sa <br />state your reasons for *anting to serve on this commitlee <br />$avLv n ing Po 'ioiu fo r l'40 un d s view, <br />SIGNATURE: <br />MoundsView is committed to the policy that all persons shall have equal access to their <br />programs, facilities ond employment without regard to rece, creed, color, sex, age, national <br />origin or handicap. <br />DArE: NovenLor t1' z0l1 <br />S'ga'6 arlo b/g <br />o <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.