HomeMy WebLinkAboutBarbara Haake ApplicationAPPLICATION
MOT}NDS YIEW CHARTER COMMISSION
Mail completed application to:
Michael F. Upton, Court Administrator
600 Courthouse, 15 W. Kellogg Blvd., St. Paul, MN 55102
av- ba l(e
FII."ED IN DISIRICT COTJRI
STAIE OF MINNESOII
AUG 19 2019
s//z
Full Name (Print or type)
1o;C,t un f ,(oad Z,0u
iA
Years at
address
A& 0 {/-/{z'/a zz
33 z/z.o^5 Preul,tr/ 7 D5t
Years vfiu have lived City Ward/Precinct County Commission
in Ramsey County
Telephone:Home
QUALIFICATIONS TO BE CONSIDERED:
Work or Other
5,
Vl
Memberships,or Other Quali
state your reasons for ng to serve on this committee:
Your response to any of the above may be continued on the back and you may attach any other
SIGNATU
Mounds Yiew is committed to the policy that all persons shall have equal access to their
programs, facilities and employment without regard to race, creed, color, sex, age, national
origin or handicap.
'rfrrly'lr,r<
rrram P,/ Mrtrtu W4',,rl"r S P /c /n 0./
7/e; [/, uhwh /th,brE W Di rAl'ta i
DArE: ( '"f