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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 />l .aura. Stevens(a).courts.state. mn. us <br />SEP 0 i j,3 <br />TJYYS "'lb mJr <br />Years at this Years you bave lived City Ward/Precinct County Commission <br />ss <br />address ,.p in Ramsey County / District <br />7-7p/ <br />65 t O 3A l� ' M /1( n SSL I�R IiQ�iPM O Maj 0M+ <br />Cell Phone Number Other Phone Number E-mail-mailAddre <br />QUALIFICATIONS TO BE CONSIDERED: <br />Education: <br />Employment, Occupation or Other Exper"ce: <br />r( <br />Please state your <br />to serve on this <br />IM, <br />Your response to afml' <br />oe above may be continued on the back and you may attach any other <br />materials which yo w,annt considered. / <br />SIGNATURE: Up 0'^ DATE: Sr/3(li 29 <br />Mounds View is rommifted to the policy that all persons shall hove equal accent to their <br />programs, %uciliiiev and employment without regard to race, creed. calm. ,ex. aye. national <br />origin or handicap. <br />