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APPLICATION <br />MOUNDS VIEW CHARTER COMMISSION <br />Mail or e-mail completed application to: <br />Laura J. Stevens, Probate Registrar <br />170 Courthouse, 15 W. Kellogg Blvd., St. Paul, MN 55102 <br />Laura.Stevens@courts.state.mn.us <br />and <br />4S315 E�SAwoo� (Zo�ci <br />Address: <br />Years at this Years you have lived City Ward/Precinct County Commission <br />address in Ramsey County District <br />og:`163\+-I ricnr_roo SPcdmw c�;\.Go\ <br />Cell Phone Number Other Phone Number E-mail Address <br />QUALIFICATIONS TO BE CONSIDERED: <br />Education: 5 e�± c o ✓s cy 5 <br />Employment, Occupation or Other Experience: S <br />Memberships, Accomplishments or Other Qualifications: S u. `sex Shy.,+- ' <br />Please state your reasons for wanting to serve on this committee: 57Z— <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: Q n 1 k , DATE: l0- \3 �o1r1 <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 />