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us <br />City of Saint Anthony Village <br />Commission Application Form <br />2 / <br />Name: i' I I 1 Phone Number: 22 <br />Home Address: �N �(J/� Zip Code: <br />I l <br />Email Address: /� ` t I a <br />Please check which commission you are applying for: *Parks Q Planning <br />In order for the Mayor and Council members have a better understanding of your background and <br />interests, please provide the follouring information (attach extra sheets if necessary). <br />How long have you lived in St. Anthony Village? S <br />Why do you w1 ant to serve on a St. Anthony Village Commission? <br />*1 S 1lP -AO IY% /r v\. 7,,(1 -f:66 ra, 1 pm�� <br />Please list your prior experiencing serving on a Board or Commission, etc. <br />'W <br />* All applicants are required to be a resident of St. Anthony Village <br />For office use oah <br />Date Rcccivcd: <br />