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<br /> I
<br /> I CITY OF ARDEN HILLS ..-"",-.
<br /> I. .,"',
<br /> 1450 WEST HIGHWAY 96
<br /> ARDEN HILLS, MN 55112-5794
<br /> ADVISORY COMMITTEE APPLICA nON FORM
<br /> I DATE: !)2:':"~\'Y\ i') (: \~ .J 3 i cf c1 \..:
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<br /> NAME: i y\ <... '1- E.. ') \:.:~ /\. _,,~,_\. '._.....'--'~ ..\..:., "_ .-' L_ ,
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<br /> I ADDRESS: 0.... '- _ ~ /:-;"v''';:: I\:A~' r-- I I \ ~:::;-
<br /> TELEPHONE:::; 1 ( 1 7:-j ;,t-~ . t'~"71
<br /> (H) (W) (FAX)
<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 /> I _ Human Rights Committee Newsletter/Communications
<br /> -
<br /> Committee
<br /> Ie - Parks and Recreation Committee ;< Planning Commission
<br /> -
<br /> I _ Public Safety/Works Committee
<br /> I SPECIFIC INTERESTS:
<br /> (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 /> I areas if any new committees are created.)
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<br /> I WORK EXPERIENCE:
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<br /> PHONE: 16121 633-5676 . FAX 16121 633-7839
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