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9/18/23, 8:18 AM <br />Revize Online Forms <br />Advisory Board/Committee/Commission <br />Application <br />Submitted by: Gary Stevenson <br />Submitted On: 2023-09-16 10:15:08 <br />Submission IP: (75.72.118.98) <br />proxy-IP (raw-IP) <br />Status: Open <br />Priority: Normal <br />Assigned To: Barb Benesch <br />Due Date: Open <br />r <br />r, <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 />* First Name MI * Last Name <br />Gary L Stevenson <br />Address City State Zip Code <br />2847 Ardan Avenue <br />Phone <br />6123960383 <br />Mounds View, MN <br />Years in Mounds View <br />Commission/Committee Applying For: <br />MN 55112 <br />* Email <br />stev_gary@yahoo.com <br />valid email required <br />❑ Economic Development Commission (meets 3-4 times per year and as needed thereafter) <br />0 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 />❑ Police Advisory Board (meets as needed) <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 />Skills and Interestes <br />Print <br />https://moundsviewmn.rja.revize.com/reports/388940 1/2 <br />