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MOUNDSiViEv <br />2401 Mounds View Boulevard * Mounds View MN 55112-1499 <br />Phone: 763 — 717-4000 * Fax 763-717-4019 <br />January 25, 2022 <br />Receipt of Petition <br />Name: VALCRle J, A m V Iu b 6 e Nl <br />Address: 3 D 4 S W ©4 t>,AL- E- -I) R I V L ; <br />Phoney -7 to 3 7 O ( — j4-16 9 Acl I i vl e <br />Ilo f�.xfln� <br />Email: V 0. M u n d swn 03 <br />Type of Petition: 6 iZ I) ! N A-N C C <br />� I <br />Page Count: <br />rr <br />Signature: <br />Received, <br />L <br />i <br />Nyie Zikn nd <br />City Adininistrator <br />Zyylpa'Sue Ewald <br />Human Resource Director/City Clerk <br />wwwat7 s3un dsuiew'm n.org <br />The Mounds View Vision <br />A Thriving Desirable Community <br />A4oum0SUIEw <br />