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1onJ2o2o <br />Revize Online Forms <br />Request has beeii su-essfully updated <br />Movrms 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 />jaf4@moundsviewmn.org I www.moundsviewmn.org <br />First Name MI * Last Name <br />Kris M Lillemo <br />Address <br />5132 long lake rd <br />City State Zip Code <br />Mouds view Mn 55112 <br />Phone 1 Phone 2 Years at this Address <br />6513736118 Ex. (123) 456-7890 8 <br />Email <br />pinballnut@gmail.com <br />valid email required <br />Commission/Committee 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 />Parks, Recreation & Forestry Commission (meets 4th Thursday at 7:00 PM) <br />0 Police Advisory Commission (meets on an "as needed" basis) <br />Comprehensive Plan Task Force (meeting dates to be determined) <br />If applying fore more than one, please indicate your 1st, 2nd, etc. preference to serve: <br />Parks, plan, police <br />Experience and Qualifications <br />Skills and Interestes <br />Outdoors, kids, sports, thinking, athletics <br />Employment, Occupations or Other Relevant Experience <br />Medical, pastor, community leader <br />Memberships, Accomplishments or Other Qualifications <br />5o many. Where to start. Maybe a personal question about me <br />What is your reason for wanting to service on this Commission/Committee <br />To improve our city for all <br />https:/Imoundsvlewmn.da.revize.com/reporisf75539 <br />Years in Mounds View <br />15 <br />112 <br />