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'ILED IN DXSIRI TCOMT <br />STATE OF MINNESOIA <br />DEo I 6 eop <br />t <br />APPLICATION <br />MOUNDS VIEW CHARTER COMMISSION <br />Mail completed application to: <br />Michael F. Upton, Court Administrator <br />600 Courthouse, t5 W. Kellogg Blvd., St. Paul, MN 55102 <br />tL p'{ <br />Full Name (Print or type) <br />Lor< r- ZtF - tt1] (co-t\ <br />Telephone: Home - Work or Other <br />QUALIFICATIONS TO BE CONSIDERED: <br />Years at this Years you have lived CityWard/Precinct CountyCommission <br />Districtaddress in Ramsey County <br />Employment, Occupation Other Experience: <br />Memberships,nts or Other Qualifications: <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. <br />SIGNATURE:DArE: izlElA.fi <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 />Plqase state your reasons for wanting to servb on this co