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10/8/2020 Revize Online Forms <br />https://moundsviewmn.rja.revize.com/reports/75767 1/2 <br />Request has been sucessfully updated. <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 />info@moundsviewmn.org | www.moundsviewmn.org <br />Experience and Qualifications <br />* First Name <br />Jeff <br />MI <br />W <br />* Last Name <br />Moritko <br />Address <br />4690 Chandler Road <br />City <br />Shoreview <br />State <br />MN <br />Zip Code <br />55126 <br />Phone 1 <br />Ex. (123) 456-7890 <br />Phone 2 <br />Ex. (123) 456-7890 <br />Years at this Address <br />2400 Mounds View Blvd <br />Years in Mounds View <br />Email <br />jeff@moesamericangrill.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 />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 />Skills and Interestes <br />I have been a business owner since 1997 and I have owned and operated Moe's of Mounds View, Inc. since 2006. I have been dedicated to <br />the Mounds View community since buying Moe's in 2006 and I am passionate about the overall development of the Mounds View <br />community. <br />Employment, Occupations or Other Relevant Experience <br />I have owned and operated Moe's of Mounds View, Inc. since 2006. In addition, I have coached High School football at Totino-Grace HS <br />since 2001. I believe I provide a well-rounded and experienced view point on the EDC. <br />Memberships, Accomplishments or Other Qualifications