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CITY OF CENTERVILLE <br />APPLICATION FOR APPOINTMENT <br />CommitteeCommission applying for <br />Chriswenson <br />NAME: <br />7016 Brian Court <br />STREET ADDRESS: <br />Centerville55038 <br />CITY:, MNZIP CODE: <br />651-592-4832Same <br />HOME TELEPHONE:WORK TELEPHONE: <br />Chrisswenson5@comcast.t <br />FAX:EMAIL ADDRESS: <br />33 <br /> Number ofyearsCentervilleBusiness <br />Number ofyearsa Centerville Resident?: <br />No <br />Are you presently serving on a Centerville Committee or Commission?: <br />Centervilleions <br />Other(pleasespecify) <br />Which One?: Term?: <br />Have you served on a Centerville Committee or Commission in the past?: eyouservedonaCentervilleCommitteeorCommissioninthepast?: <br />Other (please specify) <br />Which One?: WhichOne?: Term?: Term?: <br />Which One?: WhichOne?: Term?: Term?: <br />Whatdoyou have tooffertheCityofCentervilleasaCommitteeor Commission member?:tdoyou have tooffertheCityofCentervilleasaCommitteeorCommissionmember?: <br />ExperiencerienceEducationthat would enhanceyoureffectiveness as a Committee Educationthatt wouldd enhanceyoureffffectiveness asaa CommitteeorCommissionmember?:orCommissionmember?: <br />9/16/22 <br />Signature: nature:Date: Date: <br />City Administrator <br />Return to: <br />City of Centerville <br />SubmitbyEmail <br />1880 Main Street <br />Centerville, MN 55038 <br /> <br />