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<br />01/08/2001 nON 17:10 FAX 6127852859 <br /> <br />CITY OF CIRCLE PINES <br /> <br />~005 <br /> <br />V,:, .~t~\~ <br />. ,~, <br />'1 .' '. <br /> <br />-' <br /> <br />.S:;. <br /> <br /> <br />CITY OF CENTERVlLL:E <br />CITY OF CIRCLE PINES <br />CllY OF LEXlNGTON <br /> <br />APPLICATION FOR JOINT POLICE COMMISSION CHAIRPERSON <br />FULL NAME (PLEASE PRINT OR lYPE) -}(a r €.N\ Va rl a V\ <br />ADDRESS ) ~ /7 JJ/~ -Ave. JJE Bln;V\p;J M.JJ ~2J9 <br />YEARS AT THIS ADDRESS 3' YEARS LIVED IN AReA q <br />TELEPHONE: HOME 7~-7:J1-7'fl:Jl~ WORX~ - J. J 0- D6;t'D <br />. <br /> <br />PLEASE STATE REASONS FOR DESIRING-APPOINTMENT TO JOINT POLICE COMMISSION <br /> <br />EDUCA T1ON: <br />EMPLOYMENT; OCCUPATION(S), OR OTHER EXPERIENCE <br />&~ ~ ~ 'i\ \\ e ~4)~ - 13-7 g - -Pre&'ti 1- - I-lum.a V'\ i<t:sou roe <br /> <br />'1:~~~ A!a;fJe - r ~~ ~f\('~ \ rne;J,~ LlqqLf ~oo <br />MEM8ERSHIPS, ACCOMPUSHMENTS OR OTHER QUAUFICAMNS: <br /> <br /> <br />.... <br /> <br />"*P'7\ attao~ resume or other Infonnati~n you consider pertinent** <br /> <br />~a.1\QN\ \JQ~ ~3/ul <br />Sign,ture Date <br />