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7/28/2021 <br />Revize Online Forms <br />_y <br />I I 1119 <br />MOUNDS VIEW TRIBUTE PARK <br />COMMITTEE APPLICATION <br />2401 Mounds View Boulevard * Mounds View MN 55112-1499 * (763) 717-4000 * Fax (763) 717-4019 <br />info@ moundsviewmn.org I www.moundsviewmn.org <br />The City of Mounds View is exploring the creation of a tribute park to honor our veterans, public safety officers <br />(police/fire/EMS) and those who have died due to a catastrophic event in our community. We need your help to <br />make this vision come to fruition. If you are interested in helping design and create our Tribute Park, please <br />complete this application. <br />* First Name <br />Address <br />City <br />* Phone 1 <br />Ex. (123) 456-7890 <br />* Email <br />valid email required <br />Phone 2 <br />Ex. (123) 456-7890 <br />MI <br />* Last Name <br />State <br />Years at this Address <br />What skills, ability or knowledge could you bring to this project? <br />Do you have any resources that could be utilized for this project? <br />What is your reason for wanting to serve on this Committee? <br />Zip Code <br />Years in Mounds View <br />Have you served in the U.S. Armed Forces? If so, when and what branch? Please explain. <br />https://moundsviewmn.rja.revize.com/forms/2571 1/2 <br />