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APPLICATION FOR ADVISORY GROUPS <br />Group Applied For: Environmental Quality Task Force <br />Second Choice (if any): <br />Full Name (print or type): MuRiE1 MRIAIARD <br />Address: 19oo 6P ENW000 Dkly <br />Years At This Address: Years You Have Lived In Mounds View: <br />i elephone; Home: --7 n/ Work or Other: <br />QUALIFICATIONS YOU WANT TO HAVE THE COUNCIL CONSIDER <br />/r.:. r �..A: <br />Skills and Interests: <br />Employment, occupation or Other Experience: <br />�-1co. (_ /Zcz j C 6.-,,,.,, } �,�` �•C+-9 r -7 i o .....•i .ej-wCo LG� <br />i <br />Memberships, Accomplishments Or Other Qualifications: <br />S trnn-� <br />��`i.iVTiZ <br />please State Your P.easons For Wanting To Serre On This Committee: <br />Your response to any e. the abova may be continued on the back <br />and you may attach any other materials which you want the Council <br />to consider. ( <br />Signature C«_ U2a, _ Date 3 0/ <br />5i <br />The City of Mounds 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 />(e-w" <br />