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Movers VIEW <br />ADVISORY BOARD/COMMITTEE/COMMISSION APPLICATION <br />2401 Mounds View Boulevard * Mounds View MN 55112-1499 <br />(763) 717-4000 * Fax (763) 717-4019 <br />ink@moundsviewmn.org I www.moundsviewmn.org <br />* First Name <br />Address <br />771�0 <br />City <br />dotmj-f <br />Phone 1 <br />163.10 j3do <br />Ex. (123) 456-7890 <br />MI <br />' Last Na <br />State <br />A <br />Phone 2 Years at this Address <br />Ex. (123)456- 890 qv <br />* Email <br />40, c � � <br />rnSA c <br />valid email reyudic�[� <br />Comm issionlCommittee Applying For: <br />❑ Economic Development Commission (meets 3rd Thursday at 7:30 AM)) <br />❑ Planning Commission (meets 1st and 3rd Wednesday at 7:00 PM) <br />8-Parks, Recreation & Forestry Commission (meets 4th Thursday at 7:00 PM) <br />❑ Police Advisory Commission (meets on an "as needed" basis) <br />❑ Comprehensive Plan Task Force (meeting dates to be determined) <br />If applying for Economic Development Commission, check one box below: <br />❑ EDC - Resident Representative <br />❑ EDC - Business Representative <br />If applying fore more than one, please indicate your 1st, 2nd, etc. preference to serve: <br />Skills and liiterrs 's <br />/M , 7 <br />C Ri <br />fro <br />Employment, Occupations or Other Relevant Experience <br />OUrVl7.1V,-- ()� r V- oyl ��r CO)'h10 <br />Zip Code <br />Years in Mounds View <br />SY <br />yl-&ej <br />1/2 <br />