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<br />01/08/2001 MON 17:08 FAX 6127852859
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<br />CITY OF CIRCLE PINES
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<br />III 002
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<br />APPUCAllON FClRJOIN1' POUCE COMMlSSIOH CHAIRPI:RSQN
<br />fliLL NAME(PIDSE PRINT OR 1Yl'E) j1\n., "'(\" ro. + er..- a L ~".::r"'''' I J
<br />ADDRESS ) / 7fi' 'I ..4.J,/-e... ST'. B / ~,' .ne. ,~"YY'...?y
<br />'!EMS AT THIS AOo~ess II? "(EARS LIV!D IN AREA .::3 c)
<br />TiLEPHONE; HOME7e;,1 75"7 J/.r6 WORK ?~,3- J :2..3~5"',??/6
<br />PL!ASE 51 Att REASONS FOR DESIRING APPOINTMENT TO J01NT POUCE COMMlSSlON
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<br />QUAUP1CATION lNFOF/.MATlON
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<br />EDUCATION:
<br />EMPLOVMEKT. OCCUPATlCN(S). OR OTIiER E>'PERIENCE
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