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bt , <br />APPLICATION FOR ADVISORY GROUPS <br />Group Applied For: <br />AM JIN(s CAMMI<<Io�— <br />Second Choice (if any): <br />Full Name (print or type): <br />ype):MW <br />MW <br />�A SI uS <br />Address: <br />RK'il WooD+-Awr.! }� f� <br />V1+rw M>,II 5 yz? <br />Years At This Address: Years You <br />Have Lived In Mounds View: <br />:elepho e: Home: <br />'7s,0-04K' <br />Work or Other: <br />QUALIFICATIONS YOU WANT TO HAVE THE COUNCIL CONSIDER <br />PPy-4mMF11NQ, ATHuz-v.cS, AMij Cr acTlvrrlES <br />Employment, Occupation or Other Experience: <br />nc(-.ReAmmeE9-/A 6L'IST - JIS <br />r.spooq�KgQ M41,t:'1z,13AnWAl.. INSTI'(I.CfE OF MINhIEScYC0. <br />Memberships, Accompii shments Or Other Qua erica[ions: <br />C.HNRH4WCAaRD1�10.YO2-STH4tALvJlrtio'b-t?SIVAI.TbRG'IubFh PAQADrr <br />YCLunfih'M- CfiltJaRk.N'S W'XRT FUND <br />yoxm t:EAbM, yolAlYol-IFE ORL-A)4IZ-ATtw <br />BSA- PE(A ar - MAC.At.t-&TM C&-LZ'b ' ST PAUt-, MN. <br />PleaLe state lour Re,Isons For Wanting To Serve On This Committee; <br />lb 5'I.AY A)4 pCTV6 toL-E IN C.II`/ PLAt mwG AAb MAjmb GIT 1 <br />J�M-M INw IlS AS WELL AS Abbim6 17T+1E £FWRT oO t4eepg� a GIN TC.Lt22 TI�ANi�S►�( <br />Your response to any of the above may be continued on the oacK <br />and you may attach any other materials which you want the Council <br />to consider. <br />Signature 2?� Date-Nz%3/� <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 />