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W <br />APPLICATiON FOR ADVISORY GROUPS <br />Group Applied For: <br />Second Chuicu (if ury �---_�------" -!'--- <br />Fu-Il_N__u— —(p•—in_­ -or— _L_y.p_e—.i .• . <br />Address: <br />uCi._._—._.__...._.—___�_...__.... <br />VJA <br />Years At. This Addross: Years You Have 6ivr:d 1nn Mounds View: <br />'1duphonu: Home: r7j / y� —`— - Work or Othur: — <br />QUALIFICATIONS YOU WANT TO HAVE THE. ('01INCII. CO NSWEit <br />!s <br />-_a-_.._l ndnte <br />.-_._-...__--.-.__. <br />rusLs: -�--- -- <br />I•:mpinymunt, i)ccupatiou or rit.hrr I�xpr.riuu1a•: . <br />J <br />Pldase ylal:e Your Reason:: For Wanting ro Servo Un This Committee: <br />Yout• caaponao to any of Lhc abuve may be ronlinued un�he bac) <br />and you may .attach any othnr materials which you want the Council <br />to consider. <br />innl.nr��/lrC:4c_ltZ-1 /�d fi <br />The City of Mounds View is committed to the policy that all <br />persons shall have equal a eels to its pro(jrams, facilities, and <br />employment without mclai'd G) rcims creed, color, sex, aye, <br />nal.i m'il I)Hgiir, III. hamli''.lil. <br />