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iONCJ <br />City of Saint Anthony Village <br />Commission Application Form <br />Name: L. Phone Number: 651-05 L$ 7T <br />Home Address: _,Ncc 3146 4 , Zip Code: 3 Sc(Ifj <br />Email Address: .ecfd lars<„ Cr grur ( ccvr <br />Please circle which commission you are applying for: Parks arming <br />In order for the Mayor and Council members have a better understanding of your background and <br />interests, please provide the following information (attach extra sheets if necessary). <br />How long have you lived in St. Anthony Village? years <br />Why do you want to serve on a St. Anthony Village Commission? <br />T ari .2 Irc nsecl b, IW. r anti'ec Eck uth exr a 'rF.7ce <br />n_ r 9 throao Ocvn; q races ,4n Icf lrke to be r- <br />jnyyIvee( ii tale a -f%eig of tie VILde tGr the m&At" -I <br />h-ne(�t ok the r^e_- Oent5 12-:5 1 fle3.5e-s �,id the eorhm")ty <br />Please list your prior experiencing serving on a Board or Commission, etc. <br />I e--o5 hor-eo"i-)e 6 re .qrex -rt2ti ✓y (or Ek-e V cLU' <br />Ck�rci /ls (��,I)gOme to LAC) MN port 3 <br />r>rs -nd have °r✓ed nn serer l cnrrmi pP %` <br />church nelzEerl g, -Ei ✓itiFS. <br />* All applicants are required to be a resident of St. Anthony Village <br />Foy' o�irc uu cnh' <br />Datc RcccivcJ: <br />