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91817 <br /> :< CITY OF CENTERVILLE <br /> A1fftt.ICATION FOR APPOINTMENT <br /> ,, 1 Committee or Commission applying for, Prat and �eiregti' Comm, ttee <br /> NAME: C r E?.ttI hyer <br /> STREET ADDRESS: / ? 3 Ce n ter f * <br /> CITY: ( erlterv; He MN ZIP: SS 03 8 <br /> TELEPHONE Home (Si- Z 7 y- 1336 Work 4-ri ySz -7S z e <br /> Number of years a Centerville Resident 7 Fax 651 - y - 156 8 <br /> Are you presently serving on a City of Centerville Committee or Commission? /Yd <br /> Which One? Term <br /> Have you served on a City of Centerville Committee or Commission in the past? HO <br /> Which One? Term <br /> Which One? Term <br /> What do you have to offer to The City of Centerville Committee or Commission? /_ <br /> 1 /1Acre.Lecru AC;ors4- yyears and A (ER / k'ittrM a_- for <br /> 7 <br /> li ye 1 4avf y t- al to cecve MC. L onim IAA i /.(7 qh IA t N• <br /> .(5 eh greo T I T L ocjo( help. <br /> EXPERIENCE OR EDUCATION THAT WOULD ENHANCE YOUR EFFECTIVENESS <br /> AS A COMMITTEE OR COMMISSION MEMBER <br /> Z 1 14,,e Lvor 4r A-ho ko CeNnfy Par&J 4,- tL past ) yet r1 4 <br /> / -lb Thar {ar- IW- C, $ At 1 I fir ks r q✓t n� A,- :ye"rf as <br /> a 'at( LcJKrff PIA ,.,t P/-. <br /> 111.1 SIGNATUR DATE 7`iD -/ <br /> Return to: City of Centerville, 1880 Main Street, Centerville, MN. 55038 <br /> 1 <br />