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I <br />(^ APPLICATION FOR ADVISORY GROUPS <br />Group Applied For: <br />Environmental Quality Task <br />Force 70 <br />Second Choice (if any <br />Full Name pr nt or type): �nn 3RAy <br />Address, —pr <br />Years At This Address: Years You Have Lived <br />In Mcunds View: <br />_h mcn <br />Telephone: Home: _ 5 Work or <br />Other: (�653ti, <br />QUALIFICATIONS YOU WANT TO HAVE THE COUNCIL CONSIDER <br />Skills and Interests:<c Am q 'n rwREp— 0—ugc, \ <br />PQPsvtnei P, CGCAd�A-c *me- wr, PU61C �� <br />ouVAUY1ne,1c• uccupacion or Other Experience: Am <br />�r� -line, �5sv�s o-� `Gnu��vren�wl.�JvRli��� (�na <br />-1He. \vr\QPCk l,t�bRn C�ea eloPmen } c@r�. <br />nc,nuurbnrps, nccomprls1nmencs Or Other Qualifications: <br />= ha-,,,C, 2mcArc, Ic� €V�uIY)GnrnRMib�� ��4tU <br />vos�S,Cks well 05 4Ge. krr%Pf\tY�YA UYM �pS�iS�cros <br />Please State Your .Reasons For Wanting io Serve On This Committee: <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 Council <br />Signature <br />The City of Mounds View is cA4tted 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. <br />\jbUi2 QMS I 6n <br />