HomeMy WebLinkAboutJanuary to June 2004Park and Recreation Committee Meeting Agenda
January 22, 2004
6:30 P.M.
1. Roll Call
2. Approval of December 18, 2004 Meeting Minutes:
3. Unfinished Business:
a) Facility Guide Update- Draft is being currently being formatted. It will be presented at the February
meeting. The City is looking for picture to include in the guide. Are there pictures the Parks and
Recreation Commission would like to submit?
b) YMCA Executive Committee Meeting — There was a meeting on January 5, 2004. Any update from
this meeting?
c) Park Usage Survey/ Data Collection —Any updates on the data collection process. Include in the
March / April addition of the Mounds View Matters?
d) Community Survey — On hold
e) Garbage Collection Fund — On hold
1) City Council Appointments —On January 12, 2004, the City Council approved Resolution No. 6162
appointing John Kroeger to another term on the Park and Recreation Commission and appointing
him as Chairperson on this Commission.
g) Ice Rink Update
4. New Business:
a) Groveland Park Building Replacement. — Initiate discussions on this topic. Attached is a park
building usage summary.
b) Skate Park— Initiate discussions on this topic. This item is currently in the City's Capital
Improvement Program scheduled for 2004. It was not recommended in 2003. Does the Commission
want to proceed with this, delay it, or remove it from the Capital Improvement Program?
c) Discussion of Community Center /Recreation Operations —see attachement
d) YMCA Registration Process For Youth Sports Programs
Commissioner/Staff Reports
County Road HPathway —from Silver Lake Road to the West City Limits
2004 Pathway Project
January 5, 2004 City Council Work Session Update
• Construct a pathway along County Road H2 from County Road 10 to Program Avenue.
• Remove consideration of a sidewalk along Edgewood Drive until the roadway is upgraded.
• Construct a pathway along Silver Lake Road from County Road H to County Road 10.
• Include sidewalks shown in the City's Comprehensive Plan with street projects.
6. Request for future agenda items/other business
Possible Items for February 26'11 Agenda
Park and Recreation Commission Meeting Minutes
January 22, 2004
Meeting Called to order:
1. Roll Call:
Present: Kroeger, Kunz, Long, Silvis, Kunza, Edmond, Steeves, McIntyre,
Dazenski, Lee
Absent: Mandoza
2. Approval of December 18, 2003 Meeting Minutes:
Kunza — under Park usage survey Kunza will not be doing Wooderest and
Random.
Spelling change — 313 "bleachers" spelling
Motion to approve as amended: Silvis
2"d: Long
No further discussion
Motion passed unanimously
3. Unfinished Business:
a) Facility Guide Update- Draft is being currently being formatted. It will be
presented at the February meeting. The City is looking for picture to
include in the guide. Are there pictures the Parks and Recreation
Commission would like to submit?
• Look at pictures from residents at Greenfield Parlc.
• The City does have a digital camera, however due to the time of
year outdoor pictures may be difficult to obtain.
b) YMCA Executive Committee Meeting — There was a meeting on January
5, 2004. Any update from this meeting?
• Page one of the meeting minutes were the minutes for December.
• Talked briefly about report the Finance Director developed.
• Comparison was conducted between a City run and YMCA run CC
• Programs the YMCA is currently ruining
• It was the Commission's understanding that this committee was to
review the previous contract.
• No Council representative were there.
• Kroeger requested a copy the policies and the new rates. Steeves
said she would have it ready tomorrow.
• Edmond asked what the relationship the YMCA had with the City.
ANSWER from Steeves: The City hires the YMCA to manage the
City programs.
Kroeger: the role of the Park and Recreation Commission: to look
over the programs provided, how they are being used fee structure,
how the gym is used,...
No news on when the next meeting is.
c) Park Usage Survey/ Data Collection— Any updates on the data collection
process. Include in the March / April addition of the Mounds View
Matters?
• Deadline is Monday January 26, 2004 to submit information for
the March / April Mounds View Matters.
• Commissioners decided NOT to put the park use survey in the
Mounds View Matters.
• Commissioners (Kroeger / Mandoza) will develop a description on
how to fill out the park usage survey — guidance information.
• The Commission gave direction to staff to put an article to ask
request assistance in filling out the Park Usage Form.
• Forms will be available at City Hall and on the WEB site, the
instructions to be developed by the commissioners will be printed
on the back.
d) Community Survey — On hold
• Several firms have been contacted.
• However, the City has not contract with any firm to do the survey.
e) Garbage Collection Fund — On hold
• Next step is to get a written description of their program.
I) City Council Appointments —On January 12, 2004, the City Council
approved Resolution No. 6162 appointing John Kroeger to another term
on the Park and Recreation Commission and appointing him as
Chairperson on this Commission.
• The Chairperson is appointed annually
g) Ice Rink Update
• The rinks were established twice this year.
• Now with the colder weather the rinks are doing better.
• There is about 6" of ice.
• The rink survey should include hockey skaters as well as pleasures
skaters.
• Edmond asked what causes the boils in the ice. ANSWER:
Dazenski: This is caused by the fermentation of the soil
underneath (gases). There's not much we can do about it. If it gets
too bad it can be chopped up.
2
4. New Business:
a) Groveland Park Building Replacement. — Initiate discussions on this topic.
Attached is a park building usage summary.
• Groveland and Random are the higher used building.
• They are both old and need of repair.
• The review of the park building this last year deemed that the
repair was not the best solution of Groveland building.
• There is $20,000 to start the design process for the Groveland
Building in 2004.
• There will be design costs for Groveland, regardless if the plans of
the Hillview building is used.
• Groveland and Hillview are currently the same size
(approximately).
• A serving counter similar to what is available at Silver View may
be a nice amenity. The design of Groveland should include this.
• Hillview plans could be used with some modification.
Motion to replace the building at Groveland Park using the Hillview design:
Edmond
2"d: Long
Discussion:
• Hillview shelter open air porch was added on.
• Commissioners next month look at Hillview shelter
• Amendment was added by Kroeger to use the Hillview design as a base
line and to add a kitchen / serving area. 2"d: Kunz
• Next meeting bring Hillview plans and any sight plans of Groveland Park.
Motion passed unanimously
b) Skate Park — Initiate discussions on this topic. This item is currently in the
City's Capital Improvement Program scheduled for 2004. It was not
recommended in 2003. Does the Commission want to proceed with this,
delay it, or remove it from the Capital Improvement Program?
• Spend a lot of time on this already.
• It might be good to let it "simmer".
• Delay it until we find a suitable location of financing.
• As presented last year, this was planned to be supervised.
• Public Meeting was held, at the following Park and Recreation
Meeting it was decided not to proceed with it.
• Maintenance of the park would be derived for the City's general
fund.
• There were other financial needs of the City.
Motion to not discuss it at the present time: Long
2" d: Edmond
Amended to look at it one year from now. Change it in the City's Capital
Improvement Program from 2004 to 2005.
Motion passed unanimously
c) Discussion of Community Center / Recreation Operations — see
attachment
• This is an analysis did by the City's Finance Director to compare a
City run Community Center versus the YMCA.
• The result is that there isn't any financial difference.
• No action is sought by the City Council.
• Was discussed by City Council on January 5`'
• No direction was given.
• YMCA contract was a 5 -year contract that expires at the end of
this year.
d) YMCA Registration Process For Youth Sports Programs
• McIntyre presented the policy on how youth sports are composed.
• McIntyre was looking for the Commissioner's input.
• Add requested are considered but not guaranteed.
5. Commissioner/Staff Reports
• Kroeger gave the Maplewood program to the YMCA
• Kroeger request for the Commissioners to do the Park Usage Survey.
County Road HPathway—from Silver Lake Road to the West City Limits
• Bids were received on January 8, 2004 for the County Road H project.
• The City will be awarding a contract on January 26, 2004
2004 Pathway Project
January 5, 2004 City Council Work Session Update
• Construct a pathway along County Road H2 from County Road 10 to
Program Avenue.
• Remove consideration of a sidewalk along Edgewood Drive until the
roadway is upgraded.
• Construct a pathway along Silver Lake Road from County Road H to
County Road 10.
• Include sidewalks shown in the City's Comprehensive Plan with street
projects.
0
There was a discussion of grants. The DNR Grant are mainly applicable to trailways.
There was a question as to if there is a grant to aid in financing the Groveland park
Building. This should be brought up when we get to the design phase of he Groveland
building
6. Request for future agenda items/other business
Possible Items for February 26t" Agenda
Next regular scheduled meeting will be March 25, 2004.
Motion to adjourn: Long
2"d: Kunza
Motion passed unanimously
Respectfully submitted by:
Greg Lee
Park and Recreation Committee Meeting Agenda
February 26, 2004
6:30 P.M.
1. Roll Call
2. Approval of January 22, 2004 Meeting Minutes:
3. Unfinished Business:
a) Facility Guide Update- a draft will be handed out as part of the overall information packet. The City
is still looking for pictures to include in the guide. Are there pictures the Parks and Recreation
Commission would like to submit?
b) Park Usage Survey / Data Collection — Has the Commissioners started collecting data? A request
for volunteers to assist the city in collecting information and filling out the Park Usage Observation
Sheet was placed in the March / April addition of the Mounds View Matters (attached). The
Commissioners are to provide guidance information for filling out the observation sheet. The
observation sheet with the guidance information printed on the back will then be available at City
Hall and on the City's WEB site.
c) Community Survey— The City Wide Survey is no longer being considered. However, if the
Commissioners want to spend Park funds on a survey, a survey can be conducted solely focused on
the City's Parks. Attached is the February 2003 question list.
d) Garbage Collection Fund — Attached is a letter from Ace Solid Waste
e) Groveland Park Building Replacement. — Hillview Construction Plans along with Groveland Park
Site Plans will be available at the meeting. A review of Park Building is attached.
4. New Business:
a) Ice Rink Usage Report — Attached
b) Lakeside Lions Park Parking Lot — Provide a recommendation to the City Council as to whether the
City should proceed with this project. See attached information.
Commissioner/Staff Reports
6. Request for future agenda items/other business
Possible Items for March 25th Agenda
No minutes available for the February 26, 2003 Park and Ree Meeting
Park and Recreation Committee Meeting Agenda
March 18, 2004
6:30 P.M.
Roll Call
2. Acknowledge there are no minutes from the February 26, 2004 meeting.
Unfinished Business:
a) Facility Guide Update- Staff is working with the YMCA for making revision to the draft.
Additional pictures are still needed. The draft should be ready to present back to the Commissioners
at the April meeting.
b) Park Usage Survey / Data Collection — A request for volunteers to assist the city in collecting
information and filling out the Park Usage Observation Sheet was placed in the March / April
addition of the Mounds View Matters. The observation sheet along with a guidance information
printed on the back are available at City Hall and on the City's WE, B site. At of this date no requests
for the sheets have been made.
e) Community Survey —Shari Kunza has developed a draft questioner to be included in the May/June
addition of the Mounds View Matters.
d) Garbage Hauler Donation Fund — All residential haulers in Mounds View were contacted. The City
has received a total of four responses at this time — three in favor of the program, one opposed.
Attached is summary of the responses.
e) YMCA Committee Update — The YMCA Advisory Committee met on March 1, 2004.
f) Groveland Park Building Replacement. — The Commissioners made a motion to recommend
developing constructions plans. This issue has been placed on the April 5, 2004 City Council Work
Session Agenda. Support by the City Council on the Groveland Building replacement is
questionable. The Commission may want to consider what data needs to be presented to the City
Council on April 5t". The Commission may want to consider presenting a recommended long-range
park building plan as part of the recommendation to proceed with the replacement of the Groveland
building.
g) Lakeside Lions Park Parking Lot — Update is attached
h) Greenfield Ballfield Reservations — see attached email
4. New Business:
Commissioner/Staff Reports
Announce Vacant Seat — Deadline to apply is 4:30pm April 19, 2004.
6. Request for future agenda items/other business
Possible Items for April 22nd Agenda
i,akeside Lions Park— Parking Lot
On March 8, 2004 the City Council gave direction to proceed with adding in the "Option k" parking lot of the
Lakeside Lions Park. Since then, two more options (3 and 4) have been developed. These are direct spinoffs of the
City Council's recommended Option 1. Options 3 and 4 are nearly the same size and cost of Option 1. However,
they have angled parking. Option 3 has a one-way circulation pattern. Option 4 has a two-way. By making Option
4 four feet wider (making it close to the size of Option 1) this will allow for striping of the lot as per Option 1 or as
per Option 4. This is the solution Staff is recommending to the Mounds View City Council. It is also the
recommendation being proposed to the Spring Lake Park City Council.
Park and Recreation Commission Meeting Minutes
March 18, 2004
Meeting Called to order:
1. Roll Call:
Present: Kroeger, Kunz, Long, Silvis, Kunza, Edmond, Steeves, McIntyre,
Dazenski, Lee
Absent:
2. Approval of December 18, 2003 Meeting Minutes:
Acknowledge there are no minutes from the February 26, 2004 meeting.
The video tape for this meeting was not available for review / minute taking
3. Unfinished Business:
a) Facility Guide Update- Staff is working with the YMCA for making
revision to the draft. Additional pictures are still needed. The draft should
be ready to present back to the Commissioners at the April meeting.
• Little discussion, waiting for the guide to review.
b) Park Usage Survey / Data Collection — A request for volunteers to assist
the city in collecting information and filling out the Park Usage
Observation Sheet was placed in the March / April addition of the Mounds
View Matters. The observation sheet along with a guidance information
printed on the back are available at City Hall and on the City's WEB site.
At of this date no requests for the sheets have been made.
• Nothing new to report
c) Community Survey —Shari Kunza has developed a draft questioner to be
included in the May/June addition of the Mounds View Matters.
• Kunza will make a couple minor revisions and send it to Lee. Lee will
have it published in the May / June edition of the Mounds View
Matters.
d) Garbage Hauler Donation Fund —All residential haulers in Mounds View
were contacted. The City has received a total of four responses at this time
— three in favor of the program, one opposed. Attached is summary of the
responses.
• Letter was sent out to four residential haulers
• 3 were in favor of donation program, one was not
• Include program in "New Resident Package" only
• No further action needed
• Check with the Finance Department later this year to review this
program
e) YMCA Committee Update — The YMCA Advisory Committee met on
March 1, 2004.
Agenda was in the packet
Report will be out at the end of March
f) Groveland Park Building Replacement. — The Cormnissioners made a
motion to recommend developing constructions plans. This issue has been
placed on the May 3, 2004 City Council Work Session Agenda.
• The usage of the building was explained by Dazenski
• Dazenski also described the condition of the building
• No Build scenario was discussed
• These were former over flow class rooms
• Start design process
• Present case to the City Council on April 5`h (later moved to the May
3rd)
Motion to direct staff to remove Ramdom Building replacement beyond the City's
5 -year Capital Improvement Program: I ioeger
2"d: Long
Passed 5 to 1
g) Lakeside Lions Park Parking Lot — Update is attached
• City Council recommended a new design option (Option No. 4 —
modified by adding 4 more feet). Stripe as option no. 3. The
Commission concurred
h) Greenfield Ballfield Reservations
An email was attached
Thee was a issue of a coach not satisfied with the City policy for
reserving fields
The Commission indicated a desire to keep the reservation policy as is
and that this particular coach needs to apply sooner.
4. New Business:
Commission inquired as to the status of the Lakeside Lions
Park Fishing Pier. Staff will contact Spring Lake Park. SLP
was administrating the financing.
Commissioner/Staff Reports
Announce Vacant Seat — Deadline to apply is 4:30pm April 19, 2004.
6. Request for future agenda items/other business
Possible Items for April 22nd Agenda
• Commissioners indicated that they would like to meet with the City
Forester.
Next regular scheduled meeting will be April 22, 2004.
Motion to adjourn: Long
2 d: Silvis
Motion passed unanimously
Respectfully submitted by:
Greg Lee
Park and Recreation Committee Meeting Agenda
April 22, 2004
6:30 P.M.
Roll Call
2. Approval of minutes from the March 18, 2004 meeting.
*Note: Staff will be proposing to the City Council to have the same professional service provide the
minutes for Park and Recreation Meetings as is currently being done for Planning Commission Meetings
and City Council Meetings. This will be done as part of the 2005 Budget proposal. Until then, due to Staff
time restraints, "executive minutes" which simply summarize each topic with a couple sentences and
documents all motions will be used.
Rick Wriskey, the City Forester, will be present at the May 27`x' meeting.
4. Residents near the Greenfield Park have requested to address the Park and Recreation Commission.
5. Unfinished Business:
a) Facility Guide Update
b) Park Usage Survey / Data Collection — any up dates? A request for volunteers to assist the city in
collecting information and filling out the Park Usage Observation Sheet was placed in the March /
April addition of the Mounds View Matters. The observation sheet along with a guidance
information printed on the back are available at City Hall and on the City's WEB site. At of this
date no requests for the sheets have been made.
c) Community Survey — Shari Kunza developed a questioner, which was included in the May/June
addition of the Mounds View Matters.
d) YMCA Committee Update
e) Groveland Park Building Replacement. —This issue has been placed on the May 3, 2004 City
Council Work Session Agenda.
I) Lakeside Lions Park Parking Lot— This was included in the 2003 Street Improvement Project as a
bid alternate. Should the City Councils of Mound View and Spring Lake Park wish to proceed with
the parking lot project, they will need to award it to the contractor. Awarding the contract is
scheduled for May 24, 2004.
4. New Business:
a) Application for the vacant seat —Deadline to apply was 4:30pm April 19, 2004. Only one application
was received. (Attached)
5. Commissioner/Staff Reports
( a) Lakeside Lions Park Fishing Pier Update
i 6. Request for future agenda items/other business
Possible Items for May 27°i Agenda
Park and Recreation Commission Meeting Minutes
April 22, 2004
Meeting Called to order:
1. Roll Call:
Present: Kroeger, Kunz, Long, Silvis, Edmond, Steeves, McIntyre,
Dazenski, Lee
Absent: Kunza, (there is currently one vacant Commissioner position)
2. Approval of March 18, 2004Meeting Minutes:
Acknowledgement that Staff will be proposing to the City Council to have the
same professional service provide the minutes for Park and Recreation Meetings
as is currently being done for Planning Commission Meetings and City Council
Meetings. This will be done as part of the 2005 Budget proposal. Until then, due
to Staff time restraints, "executive minutes" which simply summarize each topic
with a couple sentences and documents all motions will be used.
Minutes were approved with minor clarifications
3. Commission noted that the City Forester, Rick Wriskey, would be present at the
May 27, 2004 meeting.
4. Residents near the Greenfield Park have requested to address the Park and
Recreation Commission.
• Cindy Palm requested that the playground equipment be entirely replaced.
Ms. Palm went on to site consumer product safety and League of
Minnesota Cities requirements.
• Greenfield is the oldest play equipment in the City.
• The first step is to have a design put together.
• The Parks Supervisor, Steve Dazenski will create plans for replacement
and provide them at the next Parks and Recreation Meeting on May 27,
2004.
• The Finance Director will be questioned as to if donations to the parks is
tax deductible.
5. Unfinished Business:
a) Facility Guide Update — no new news to report
b) Park Usage Survey / Data Collection —As of this date, no one has
volunteered to assist the city in collecting information and filling out the
Park Usage Observation Sheet. This request was included in the March /
April addition of the Mounds View Matters. The observation sheet along
with a guidance information printed on the back are available at City Hall
and on the City's WEB site. The Parks Department be hiring seasonal
work in a few weeks. These seasonal workers can help collect the park
usage data.
c) Community Survey — Shari Kunza developed a questioner, which was
included in the May/June addition of the Mounds View Matters.
d) YMCA Committee Update —
• This was a short meeting between the YMCA, City, and Mermaid
representatives.
• Discussed rental fees — are they in line with other communities?
• Discussed school coordination fees.
• Do not discuss contract provisions. These will be discussed at the
next meeting.
e) Groveland Park Building Replacement. —This issue has been placed on
the May 3, 2004 City Council Work Session Agenda.
I) Lakeside Lions Park Parking Lot — This was included in the 2003 Street
Improvement Project as a bid alternate. Bids were received for this
project. The low bid was $99,965.25. The engineers estimate was
$104,750. Should the City Councils of Mound View and Spring Lake
Park wish to proceed with the parking lot project, they will need to award
it to the contractor.
6. New Business:
a) One application for the vacant seat was received, The deadline to apply was
4:30pm April 19, 2004. The Commissioners made a motion to recommend
approval of Dale Aukee as a Park and Recreation Commissioner.
Commissioner/Staff Reports
a) Lakeside Lions Park Fishing Pier Update — Staff will present Resolution No.
6233 to authorize the submittal of a letter stating that we are in favor of
adding the fishing pier at Lakeside Lions Park and that this amenity will be
owned and operated per the Lakeside Lions Park Joint Ownership Agreement
between the cities of Mounds View and Spring Lake Park Resolution No.
6233 also authorizes the expenditure of Park Dedication Funds in the amount
of $900.00 to assist in the financing of the pier.
b) Reminder to fill out the park survey sheet.
c) Mounds View School District voted to install artificial turf. Make it know that
this field is available. This is expected to be dy in time for football season.
8. Request for future agenda items/other business
Possible Items for May 27`h Agenda -
t
Announced that the Next regular scheduled meeting will be May 27, 2004.
Motion to adjourn: Long
2nd: .Sr1VrS
Motion passed unanimously
Respectfully submitted by:
Greg Lee
Park and Recreation Committee Meeting Agenda
June 24, 2004
6:30 P.M.
Roll Call
2. Approval of minutes from the May 27, 2004 meeting.
3. Unfinished Business:
a) Greenfield Park Play Equipment - request from residents to have the equipment upgraded now. As
requested by the Commissioners, a financial summary was done on the Parc Dedication Fund
(attached). The report shows a half million dollar depletion of the fund over the next two years
+$442,222 in 2004 to -$51,061 by years end 2006.
b) Groveland Park Building Replacement. — This issue has been placed on the May 3, 2004 City
Council Work Session Agenda. On May 10, 2004, the City Council approved Resolution No. 6203
Authorizing the Preparation of a Site Plan, Construction Plans, Specifications, and Consultant
Selection for the Groveland Park Shelter Building Replacement Project. Steve is working with the
consultant TI{DA to develop the site and construction plans. TKDA has submitted a Letter
Agreement, which included a cost estimate of $19,600 for completing the plans specifications. The
Letter Agreement will be presented to the City Council on June 28`x' for approval.
c) Facility Guide Update — Steve and Desaree are meeting on July 6"' to develop the layout of the
Guide. A draft will be distributed at the July meeting.
d) Park Usage Data Collection Sheets — any up dates?
e) Community Survey — This was included in the May/June addition of the Mounds View Matters. As
of 6/ 23/ 2004 a total of 26 surveys were filled out and returned to the City. The deadline for
submittal is September 3, 2004. The Commission requested to review the surveys received so far at
the next meeting. These are attached.
f) YMCA Committee Update
g) Lakeside Lions Park Parking Lot —This was included in the 2003 Street Improvement Project as a
bid alternate. Bids were received for this project. The low bid was $99,965.25. The engineer's
estimate was $104,750. This was awarded by City County on June 14, 2004. The reconstructive
work on the parking lot is estimated to begin by mid August.
h) Lakeside Fishing Pier— The DNR is developing the necessary agreements to be signed by Spring
Lake Park and Mounds View. The installation of the pier is approximately scheduled for mid-July.
6. New Business:
a)
Commissioner/Staff Reports
a)
8. Request for future agenda items/other business
Possible Items for July 22"d Agenda
Parks and Recreation Commission (updated 01-16-03)
The Parks and Recreation Commission has seven voting members appointed by the City
Council to three-year staggered terms. The Commission provides recommendations to
the City Council for the development and improvement of parks within the City. The
Commission also makes recommendations to the City on all matters affecting Parks and
Recreation programs.
Members Phone
Seat 1
John Kroeger, Vice Chair, 763-780-8638
8280 Pleasant View Drive
Seat 2
Jerold Kahn 763-780-1250
2833 Woodcrest Drive
Seat 3
Vacant (Coughlin a/o 7/25/02)
Seat 4
Mike Szczepanski, Chair 763-786-2179
2385 Laport Drive
Seat 5
Jerry Kunz 763-792-9650
8284 Pleasant View Drive
Seat 6
Frank Silvis 763-784-4587
2237 Oakwood Dr.
Seat 7
Dave Long 763-784-1349
7749 Knollwood Dr.
Seat 8
Vacant (Gunn 2002) -
Seat 9
Vacant (Pomen a/o 8/22/02)
Steve Dazenski 763-717-4066
Staff Liaison
Greg Lee 763-717-4051
Staff Liaison
Term Expires
2003
2003
2003
2004
2004
2002
2002
City of Mounds View
2401 Highway 10
Mounds View, MN 55772
(672) 717-4000
Application For Advisor Boards and Commissions
Group Applied For. -
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Years at this address. Years you have lived in Mounds View.-
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Memberships, Accomplishments or Other Qualifications:
Please state your reason for wanting to serve with this group:
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Date:
(Your response to any of the above inquiries may be continued on the back of this form and
may attach any other material that you would want the Mayor and Council to consider)
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employment without regard for race, creed, color, sex, age national origin or handicap.