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<br /> I c.'. . <br /> ~;;;' ' . .~ ~u <br /> I v\)~\., 'tt>. . CITY OF ARDEN HILLS <br /> ,. G'\'. 1450 WEST HIGHWAY 96 <br /> ARDEN HILLS. MN 55112-5794 <br /> ADVISORY COMMITTEE APPLICATION FORM <br /> I DATE: Dfie- 23, 1{7~ <br /> . <br /> I NAME: t-t>1 V 1;;/1/ A /412>6/1/ <br /> / / 73 K.4R.I/1 <br /> ADDRESS: LAKEi ~<? <br /> I - TELEPHONE:~Zg-';If?f}('; (H)-j7/7- -?3r..5 (W) ,5:{''?-'3y9Y(FAX) <br /> , <br /> I ADVISORY COMMITTEES: <br /> (If you wish to be considered for more than one committee, please order in number of <br /> I preference.) <br /> _ Economic Development Committee Finance Committee <br /> - <br /> I _ Human Rights Committee - N ewsl etter/Cornrn unications <br /> Committee <br /> .. - Parks and Recreation Committee -L- Planning Commission <br /> I _ Public Safety/Works Committee <br /> SPECIFIC INTERESTS: <br /> I (The Council - over the months - may be creating additional/new committees. If you share your <br /> specific areas or topics of interest, we will retain your application for future openings in those <br /> areas if any new committees are created.) <br /> I .'1 1&" _rd <br /> C"I)/!I );1 [I'!'v" t . .,... ~ "? ''''"leA. <br /> P[~~!.t::. 0 <br /> I / !'A/V 6k.~ f:;) ~1-/!/ /1/ I ^} G... . <br /> i-1~~/l./ C- <br /> I ' <br /> I WORK EXPERIENCE: <br /> 15.1f;1 (of' b;2{lc';L.L w..J (:kdJ.I-/?,e ~ Pkj1! t9~ Ut '1/H I ,vi ft/ Pet'.G'6J,i?/';!f:;/ <br /> / /, <br /> I Px-,- tip/A )7c.;.,. ();::-hC/AI- jlY/25 , 6{/ui':,/2 l<'tec?t<lIIt!.cI5:2y/ <br /> / I <br /> '0 r; , . <br /> I ~f (2-'11+ [/$--"",\)<;-I/.( /(,,<1((",..0 -!O V/-z~ <br /> . / <br /> ~ (continued) <br /> I PHONE: 16121 633-5676 . FAX 16121 633-7839 <br />