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10/27/21, 4:38 PM Revize Online Forms <br />Request has been sucessfully updated. <br />Advisory Board/Committee/Commission <br />Application <br />Submitted by: Marcus Curtis <br />Status: Open <br />* First Name <br />MouNDs 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 />info@moundsviewmn.org I www.moundsviewmn.org <br />MI * Last Name <br />Marcus Curtis <br />Address <br />X0960XCMWRXXXXXX <br />City <br />Mounds View <br />Phone 1 Phone 2 <br />TGOOMMEXXXXXXXXXXXXXXXXX)QQX ( $Q XXX <br />* Email <br />xxx4-ixikxneZomaloGorxxxxxxx <br />valid email required <br />State <br />MN <br />Zip Code <br />55112 <br />Years at this Address Years in Mounds View <br /><1 <1 <br />Commission/Committee Applying For: <br />❑ Economic Development Commission (meets 3-4 times per year and as needed thereafter) <br />▪ Planning Commission (meets 1st and 3rd Wednesday at 7:00 PM) <br />❑ Parks, Recreation and Forestry Commission (meets 4th Thursday at 6:30 PM) <br />0 Police Advisory Commission (meets as needed) <br />❑ Sustainability Committee (now forming) <br />If applying for Economic Development Commission, check one box below: <br />❑ EDC - Resident Representative <br />0 EDC - Business Representative <br />If applying fore more than one, please indicate your 1st, 2nd, etc. preference to serve: <br />Print <br />x•erience and Qualifications <br />https://moundsviewmn.rja.revize.com/reports/175851 1/3 <br />