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<br />List any Civic, Professional, and Community ActiviW involvement. <br /> <br />J,N l~i~ ~tj~ ~~ ~r'c ~~:r ;ft lif~~tl {lti;;~ GJcYr Dr L} f1,{<:. <br />'r t fttli .G ~. ~ Wt" 4 ttJ '. c,ff 111 . I fie: < <br /> <br /> <br />What skills, strengths, or abilities do you believe you will add to the committee? <br />(J~,.ry~i , eJitll'11 rh~ J ttsea.rJ.... <br /> <br />List any additional comments. <br /> <br />Reference[(, t\~ ~ J <br />l.jli~ ('ll~:hCl) 8\~. ~. :\? Lftf Ct..€VGu. Ui)A/Je N · SS(fj. 'Sf - ,,,p- 6 :J.o-z- <br />N~ ) Address"f Phone No. <br />2.~c. S~ If Lto f~~kkk:-1n-aa) 30f I ~ps.5'S~ 6(:2- 33:).-'l:)~fZ(~1 (, S[- S:JJ- <br />l'j,wpe C . Address Phone No. ('7fg~) <br />3. J~ev .)tOr\t~~ 1~1& ~~(",.,J ~~. 9. (?v.I SS{OI -b/fJ.-7'3- 7Xo (Crl/) <br />Name Address Phone No. ./ <br /> <br />Please return this form along with a letter of interest and your current 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: 651.792.7800 <br />Fax: 651.634.5137 <br /> <br />City Committee Application Form <br /> <br />Page 2 of2 <br />