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CC PACKET 05232017
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CC PACKET 05232017
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5/18/2017 1:34:29 PM
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5/18/2017 1:31:24 PM
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' z1a hc�aryr <br />40 <br />City of Saint Anthony Village <br />Commission Application Form <br />Name: , )�'� 4 %[s[v 1 Phone Number: 651 • ,=�233 - 457T <br />Home Address: 2800 3i4` A(- & Zip Code: q/8 <br />Email Address: .fxylarsoo& 9r).tl1,CO", <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? 5 ' years <br />Why do you want to serve on a St. Anthony Village Commission? <br />lPct-ns.-d 0, 1' . r antra tar eith �x/Jc't ace <br />623 , <br />...irN K23 &Iroc.'h eCV'lt/Js U51,5 ilto ua. .1 d hk- to be i <br />ill V01yed in Lke --(%e ire o(- the iilla-fz For Che rout al <br />bene(it of the rz-�,rdents lo,5ines.5e -s - tict the comrnc,nrty <br />Please list your prior experiencing serving on a Board or Commission, etc. <br />ho/iec3... -ie6 rear.5e) E2f1✓t- (y! the V- — <br />afros lswntlnr srxrab it n Nuc!, MN Lor 3 <br />< -nd ham x'r ✓( �n 4 ✓rr -( �raml Poo <br />�huah r�izlrci �.h ✓�tiF.S. <br />* All applicants are required to he a resident of St. Anthony Village <br />t0rro�ia a +r an /r <br />Date 14w%ad. <br />
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