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� <br />��r� H�L�s <br />+�ity �ommi.ssivnl�ommittee App�icatit�n F+nrm <br />Date: 2J� Uf I 2 <br />GeneraI Inforrriatian <br />I�ame: Larson <br />Last <br />Address: <br />City, State, ZIP <br />Pha�ae Nu��bers <br />Emai 1 Address <br />First <br />M,I. <br />437[} Arden View �ou� <br />A�den HilIs. Mhl' 55 t I 2 <br />Hame:_�65 i � 535-73(i3 <br />Fax: <br />Wark: <br />�ax: <br />t�va�Larson ,aol.cam <br />Committee� <br />]f you wish to be consadered far mbre tk�ar� one ct�rrrr�Ettee, p�ease vrder in number �f'preferer+ce, <br />Cammunic�tians C�mmittee (Newsl�tter) <br />1. Parks, Trails, & iZecreation (PTI�C) <br />Econo�nic De�e�opment Cammissian {EDC) <br />2� Plannir�g Carnmissidn <br />_ Financiat Planning a�d Analysis Committee (F�'AC) <br />Special In�ere�ts <br />As t�}e Council priorifizas �ts goals, it may ca°�ate ad�itior�a[Inew �orramittees or task forees frorn time to time. If you <br />ha�+e rather specific areas ar topics of interes� �lease indicate those ittterests and we wiIl reta'rii your applicativn far <br />future openin�s in those areas as new cammittees are cr�ated. <br />�ther InEerests D�evelo rnentlLand �sse <br />P�rsvnal �nfarmaiion <br />List yvur work expe�rience. <br />1994 iv 2€3t 2 DirectQr, Disability Services and TRiO DSSS <br />Minnea.polis Cc�tnmunity and °I'echr�ical �olle�e <br />I5£iI Heru�epin A�enue,l'vlinneapalis, MN 55443 . <br />I 98G-1994 I)irectar, MI�C +�arnputer Training <br />Resoe�rce, Inc., 19[3Q Chi�aga Ayer�ue, Minneapo�is, MN 554(34 <br />Cigy Cv�rnr�ittee Application Form Page i of 3 <br />