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<br />List any Civic, Professional, and Community Activity involvement. <br />llil,'.h-l>.h1 ~hrl ~"y 1155tJ{iAhb"., M,hl> f5IJih ~VIYI) <br />11.1,'" 11.( 5.-1<. 1C.;1 /115 <br /> <br />f.t ,f fA L 1-1/1 hi <br />v " <br /> <br />Wby do you want to be on a committee? <br /> <br />J kt!i(V{ <br />VFbv/" <br />, lv. ~ .jp <br /> <br />-rh",r "2 Ii J,.., tAn <br />}(f,)JnA,';, skdb. tv,-J( <br />in1fn; I/{ flv [ It;,. <br /> <br />r'"ft/I.', f,,{ ,/lyl~-j~?! /,-,/, -Ji <br />+-I.,;Jf skJ//~ t fill ,1,,,,/ 1 Ihh <br />tAh/ <; Nt/p 'fJ &,-fi?~I-,S <br /> <br />Wbat skiUs, strengtbs, or abilities do you believe you will add to tbe committee? <br />r,.1>-. ti J?Y7A/lh //urJ,r ",//,,) , \ 'JIlt A'j;url -tb IV/lAb r1t;'S,On~ <br />! rCfvrfv,/Iy' lilhf/'dt~iM7 Id~/'h}y,( a"J 1" nut fAr! ,00fl./y <br />J 1.1/5/7 ;A"itv > iq./ ",j,J {({-tef ihf ",({,bm an:! r4tftiffJ-,S 'v,-/I hhVl- <br /> <br />List any additional comments. <br /> <br />References. <br />1. K,rst!" L,~btV1 <br />NanE ! <br />2. )J D" h. !)""'y /t ,"hop" <br />Name <br />3.11] ,LC,;! /111,,0/ A( <br />Name <br /> <br />---', " ).. - ^ / <br />!"IV ';.,,'1/ )~::1--' '{ /J 51.;!... <br />Address I <br />/~,nn(SrJfi., ~^"O/Yo1 ({i""J <br />Address :I <br />J/)-O~, hrf..HJd-}-OliJ. .11,f,n/4flll,! <br />Address . v <br /> <br />It;/) 11f7-/hY; <br /> <br />Phone No. <br />Itr)/J h 7- IUU] <br />Phone No. <br />16ft) ~~~-I'1tJV <br />Phone No. <br /> <br />Please return this form along with a letter of interest and your currenl resume to: <br /> <br />City of Arden Hills <br />Attn: Assistant City Administrator <br />1245 West Highway 96 <br />Arden Hills, MN 55112 <br />Phone: 651.792.1800 <br />Fax: 651.634.5137 <br /> <br />City Committee Application Form <br /> <br />Page 2 of2 <br />