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APPLICATION <br />MOUNDS VIEW CHARTER COMMTSSION <br />Mail ol--mail completed application to: <br />Laura J. SteverS, Probate Registrar <br />170 Courthouse, 15 'W. Kellogg Blvd., St. Paul, MN 55102 <br />Laura. Stevens @courts. state. mlt. us <br />F.t'.,t:o <br />Furll Name (Prirrt or type) <br />)tlf -T=-nror- lD.,u- _brr, !rr>o /?o. <br />Address: <br />4o 7O I <br />Y ears at th rs <br />add res s <br />Years yoLr have lived <br />in Rarnsey Courrty <br />City Ward/Precirrct Cor"rrrty Conr ln ission <br />District <br />7 Lg - 7 frY--. 4c-o <br />Cell Phone Number Other Phone Nufflber E-rnail Address <br />QUALIFICATIONS TO BE CONSIDERED: <br />l*,' ol" C .h . o ) [\ ,'/p jo *, a <br />Education: <br />I <br />I n Ju c rr,'", I rc 'L o< tsb n <br />Ernploymerrt, Occupation or Other Experience: <br />/1 emL <br />!t{e+ll be rs lr ip s . Ac co rri 1* i s h m c itt s o i' Ot I ie r Qua i ilication s : <br />hc- I ^ rnlu, L w i'l c,'?y Pnt o. ,"ss <br />Please state your reasons for wanting to serve on this cornmittee: <br />Your response to any of the above rnay be continued on the back and you may attach any other <br />materials which you may want considered. <br />sIGNA]'LJRE: tP--* TZ'DAT'E,, 7- 7*2o <br />Mounds Viey, is contntilted lo the policy that all persons shall huve ecluul acccss lo their <br />progrom.\,./itt'ilitie:; and entploltntenlv,ithoul regurcl to ruce, c:recd, color, sax, (tge. rutlionul <br />origin or hondicup.