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1012812020 Revlze online Forms <br />MoiJNDS 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 />htQPxapmndvjgAma,qrg I www.moundsviewmn.org <br />* First Name <br />Dennis <br />Address <br />5117 IRONDALE RD <br />City <br />SAINT PAUL <br />Phone 1 Phone 2 <br />6128678293 Ex. (123) 456-7890 <br />* Email <br />dennis.farmer@gmail.com <br />valid email required <br />MI * Last Name <br />V Farmer <br />State <br />MN <br />Years at this Address <br />16 <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 6:30 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 />Experience and Qualifications <br />Zip Code <br />55112-4956 <br />Years in Mounds View <br />16 <br />Skills and Interestes <br />Data analvsis Comnuter manninn (6ennranhir infnrmatinn cvctamcl tiara via uli—fl— MIA— 1-1;W ., r .,r—L,:,.., <br />Employment, Occupations or Other Relevant Experience <br />Planning Analyst at the Metropolitan Council, where I work on transportation planning and socioeconomic forecasting Mounds View <br />Planning Commissioner Mounds View Economic Development Commissioner Mounds View Comprehensive Task Force member <br />Memberships, Accomplishments or Other Qualifications <br />American Institute of Certified Planners <br />https:l/moundsvlewmn.rja.revize.com/reportsf78713 ` <br />112 <br />