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<br />".~'.,. <br />~~HlLLS <br /> <br />City Council Application Form <br />Date J;)-~6JOS- <br />,. r <br /> <br />General Information <br /> <br />Name <br /> <br />iI;";C(!A! t <br />First <br /> <br />D. <br />M.I. <br /> <br />Email Address <br /> <br />!i//~q/?iA/ <br />Last v .- <br />j q 7"/ rJ, Om j)/?;ve <br />A~.t!~M//G A>>. 5')//~ <br />Home 6S'/-636 -801) Work 6/), - '3<//- 5'6/,). <br />F~ F~ <br />V/A1Li2.fY! //t!jP/~ Jr'i2WhRi:Jh 1o.A//Y>N 'j'o.v:_ <br /> <br />Address <br /> <br />City, Slate, ZIP <br /> <br />Phone Numbers <br /> <br />Personal Information- <br /> <br />List your work experience. <br /> <br /> <br /> <br />~. <br /> <br />Wby do you want to be on the City Council? ~ l _ . I ' <br />I Wd~1ct /{k~ Iv 1NC#f11f? ,4# Ive I'HfmmR cf1it'Jp:;/ICL./ <br />I1nd/c/":} /'foctP5'), /III -Jl,to CtPIn/hu-v/l-f //VtV/;;';~ J ~~e. ' <br /> <br /> <br />~#ve <br /> <br />City Council Application Form <br /> <br />Page I of2 <br /> <br />; ~ <br />i <br /> <br />- <br /> <br />e <br /> <br />. <br />