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<br /> APPLICATION FOR ADVISORY GROUPS
<br /> Group Applied For: 0 1
<br /> K-'ae-kc C� Cer, ��criMts.
<br /> Second Choice ( it any) :
<br /> Full Name (print or type) :
<br /> Cher C LL n r1
<br /> Address :
<br /> S( 0 ec1 Cal; CoC0ct
<br /> Years At This Add ess : Years You Have Lived In Mounds View: : 1
<br /> Telepnone: Home: Work or Other:
<br /> r)ab-538 17 y -L 04
<br /> QUALIFICATIONS YOU WANT TO HAVE THE COUNCIL CONSIDER
<br /> Skills and Interests :
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<br /> Employment), Odcupatidn Or Other Ex_eriencel - j%
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<br /> Memo ersai Accomplishments Or Other Qualifications :
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<br /> Li 6�i:4\ _ r,..,,, .:, in-- r7i b t t Pi.- w'c.:d /" %fi, J eta11 e-- C'r NcC
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<br /> Please State Your Reasons For Wanting To Serve On This Committee:
<br /> —L �=d hf' (.ti G� ,5 Ct C'C m m c:rc" �i Ci �, C?
<br /> re, , :,c..Y_ < , b; 1r .� L
<br /> .� ,1 J � `� /�, �, 1. � (' � -�••L� ,� f / L,lr��,`,f-rL. ;L�,�,' II
<br /> Cc tnd Scr 4 CZ C �; �,'r 4i `) ir- "�-h E Ch i I d r �i' d10`t= 176Ck
<br /> Your response to any of the above may be continued on the back .
<br /> and you may attach any other materials which you want the Ccuncil ,
<br /> to consider. ,
<br /> �� i
<br /> Signature � �,l ,,l; �j�f�/'. Date t /l q&
<br /> The City of Mcunds..37'iew is committed to the policy that all
<br /> persons shall have equal access to its programs, facilities, and
<br /> employment without regard to race, creed , color, sex, age ,
<br /> national origin , or handicap.
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