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jat " a° <br />APPLICATION FOR ADVISORY GROUPS <br />any): <br />or type : <br />Address: <br />LtlaR�J* 114J•� i � t Iei.J a - ) <br />Years At. This Address: Years You Have Live In Mounab � <br />Work or Other: <br />Telephone: <br />7Yc i•/ i S� <br />QUALIFICATIONS YOU WANT TO HAVE THE COUNCIL CONSIDER <br />Skills; and InteristS: <br />fir; ,,.r __nrcnvn oNS /�1tc.Ai� ::,K <br />�tGKNrcPt. Wyiii�` A(..klr `-^IT $iiiiNv <br />V7ii4nT11 to no^'°"L CCJJ '�V u.'d+�esS Irk , <br />Swmn'irNo <br />Employment, Occupation or Other Experience: <br />ki""J r r5rrrJl �,F1. <br />mp 16. <br />ll,y`S ITi r...lal� SNc•. )-.r*g-E GrYnaoA <br />G> o <br />tions: <br />jer•rnw-- Pru, (e{.�c<mcNs <br />P-rA <br />�tm I.Lo.c�vr - �-r^b SwurS <br />-rye; .�O f-El�Otl2- G.r•1 S.— <br />Please State Your P.easohs For Wanting :Co Serve On This Committee: <br />i rnV a! � cr»or i' <br />C �Mr rv�u.N>��> Pol `�..crb �. STv..cJWrL rr� t1 v+NtS UreJ I ' <br />I-1•Nu..+1�d.�aJ �4 1 <br />be continued on the <br />Yriur resporae to any of the above may n Council <br />and you may attach any other materials which you rant the Council <br />to consider. <br />Signature �� _� «�� _ Date ' 9 - V/--SK <br />The City o�M nda View is committed 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 />