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C <br />APPLICATION FOR AHVI!WRY r;ItUlll'I: <br />Group Applied For: <br />/vL/•tNN/Nrs Ifo14M/,55/oN <br />Second choice {if any): F oK ENE2.y <br />fUll II awl (print. ur Lypu1 : <br />Address: <br />Yc,u•:; At. '�ni:: :\rlrlres:;: Y:•;:r:: 'i:,u Il.r,e Liv:•:I In hknmds Vi�.W: <br />',elephunu; Ilnun.: t{uk n,: Dl:huc: <br />QUALKCATIUN:: Yi,U NAHT TO HAVE 'flit•: COUNCIL MNSIDU <br />ZO 7 AKS /N coavxa,T/a,V /A/,f n/<LJ/-A60,< & <br />'/40/N(� LAYodr/ 7-or4� <br />'N/o2 '1-wojr- -r Mr>/-1 r• ANp -rc' �p 4 L PV67-. cL 9a v7�E/ IENr. <br />c'vsflet/ /t.'rlV, vF „. FSNn/ME>- / �d �h- 4V0 • fAMFbY: <br />1 _' 'r y,{A��pCT t�l��fi�' (BLS i/I ViH, �4 rTl:14A'IV �Nf Yfi�Hnf(/SE� <br />/o yEA S°�C'A�I�T �� 1 . fN/OQ} O/GAF) -x A1AN 4NN <br />/ `�An <br />/ YEA,C� oo•t INA[ <br />`J�/l/TNEy s4,q,voNr Assoc.,' <br />5•AtGa FJv �. rt'd_A'•/x'%_-.L- 1 `No Co:) 6ee,,•_ /4'rG-arAr/OVAL SfN/J <br />eVEL? <br />5b•r•sl ps, Accu;npl.i::huua:::: or. OLhur ptialirtcnl:tons* Ec Tor✓Ar: � /✓' <br />lNfN(r— 7B2VEU 16 Yra`'' NNpE/ RCSI:r rE,L f/1 A/ 'N ` o4t3rA .. 91. (ae <br />... `/�/C!C ✓(r1M Yam:. i.-N/ %'VJ .�.�[ M,i Mr A< L°S /N%A r/A/C./ Co <br />QdNWaoPY /NO• PV-.,T/rurO PTV/E/)• <br />_ WKvvi T S (.s7UC ^9 w,,rE% /Z�No•Lr/ _rrY of Mdu'v <br />N HI lGiPfiiQMhiE�C/AL AND ff /DfN%/Q4 !oN t/�._PCANN//+/�yM QV V fT" <br />Yr�,Ur Itua•:on!: Fur {JatI II} I'u S!•t,vu U 'Phis CnmmtL•Ccr:: <br />-ro ✓ Y / r-/ rt`'_ M Y •-o�Jj T•rrh.T/fiN N`// <br />7(o Ar,5)sT C/rY' <br />/N r/>G f_ rPo/' j re, }n/��pS P,''-✓/ V� k LET /th <br />CG�7�'►uN/ry /N WP//Ci/ I G/VE. <br />}'ru:l r'•;pgn::u tr, .gym}'-•n! Ih'� .:G.�:'�: mny Ir. r„nl inUrrl un Lhu-h.tCk ._ <br />and ynU may att:ar.h any olhvr waC ruts w'i ich yno wanr the Council <br />Lo <br />Signal:,r,,) „'/(�Lti'/ �(• :�'n.%' Hnlr' W71e3 <br />The C i ly of WHIMIS VICW in oommi l tO to Lhu i)ol icy that all <br />persons shall have equal access to its programs, Eacllitios, and <br />e!pinymanL Wi. thout regard Lu race, urvu:, Color, sox, 090, <br />rr,,`iunal origin, or handicap. <br />