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lt <br />EN HILLS <br />City Commission/Committee Application Form <br />Or apply online at http://www cityofardenhills ore/FormCenter/General-Forms-3/City- <br />Co mmisionCom mittee-Application-Form-54 <br />Date: V l s <br />General Information <br />Name: g(oyel <br />Last First M.I. <br />Address: <br />nn1 <br />Ct U(O U pan f Ck <br />City, State,ZIP: /-F rden 4; 115 Vi!lI <br />Phone Numbers: Home: t bt -357- Work: <br />Fax: Fax: <br />Email Address: <br />Committees <br />If you wish to be considered for more than one committee,please order in number of preference. <br />Communications Committee(Newsletter) <br />Parks,Trails, &Recreation(PTRC) <br />Economic Development Commission(EDC) <br />Planning Commission <br />Financial Planning and Analysis Committee(FPAC) <br />Special Interests <br />As the Council prioritizes its goals,it may create additional/new committees or task forces from time to time. If you <br />have other specific areas or topics of interest please indicate those interests and we will retain your application for <br />future openings in those areas as new committees are created. <br />Other Interests <br />Personal Information <br />List your work experience. <br />aytr +NJ- pass` vel s , sTicegro%dgdj%A1 ;roM 4 ta;utirs j <br />a (Uo h wts tcrn gP..•-I ri_ Via v c w rlrtevt 7/1'' C <br />00 Ftv lr,AAMtr' QLISA now at 5^6y4M,t-t MPCL-1 qs <br />City Committee Application Form Page I of 2 <br />P, M-tdi N t- (y"tir-;-