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<br /> <br />J"ICYJ . <br />lA" VilLy~ y.... <br />cL&<f r ... <br /> <br />hr' ;; {o /(0 <br />;t;' <br /> <br /> <br /> <br /> <br />o you believe you will add to tbe committee? <br /> <br />W <br /> <br />(!?--r / <br />/-j <br />/ <br /> <br />List any additional comments. <br /> <br />References- <br /> <br />\. /J1AA/~- <br />Name <br />-- <br />2 ' . <br />. ,,. tLlIh F <br />N3!ll>-1 <br />, . <br />3. V I A-\ <br />Name <br /> <br />(9f(.." I <br />J;. r/h' <br />. I <br /> <br />/r1 {~rr" S <br /> <br />It, 71 (;t(A ft.cm-- <br />Address j <br />It/l~a../o. IN. <br />Addn= <br />I _.;~ . /. " <br />/ ~~J-': / r I <br />'-(J (/Y1~~_ <br />Address <br /> <br />~57-h 5~ - Lf/'71 7 <br />Phone No. <br /> <br />b '>"/- ?O? -"11(,' <br />Phone No. <br />/ C-' / -? /) _ //70..7>., <br />IP .) I - cP > 7 'j )0-(... <br />Phone No. <br /> <br />Please return this form along with a letter of interest and your current resllIDe to: <br /> <br />City of Arden Hills <br />1245 West Highway 96 <br />Arden Hills. MN 55112 <br />Attn: Schawn Johnson, Assistant City AdmioistTator <br />Phone: 651.6345120 <br />Fax: 651.6345137 <br /> <br />City Committee Application Form <br /> <br />Page 2 nn <br />