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E_.. WC <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 />Full Name (P)int or type) <br />D KA1D LLc../d /J, <br />Address: <br />13 <br />55!/z <br />Years at this Years you have lived City Ward/Precinct County Commission <br />address in Ramsey County District <br />r.a m <br />QUALIFICATIONS TO BE CONSIDERED: <br />U <br />m�e-i <br />M <br />Employment, Occupation or Ojher Experience: J 6 /) I / <br />�fi V h./l, < 9 �,n m V A 6 L!:�-�uJ� ' <br />f Please state your reasons r wanting to serve on this committee: <br />Your response to any of the above may be continued on the back and you may attach any other <br />materials which you r0ywant conside <br />SIGNATURE: ZEODATE: <br />Mounds View is commi d 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 />