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<br />2008 LAND USE PLANNINGWOItKSHOfl$ <br />R.EGISTRAnONSORM <br /> <br />(P/ease print or type. Form must be duplicated when registering more than one personl) <br />First Name Last Name <br /> <br /> <br />Title <br /> <br /> <br />Daytime Phone ( <br />Fax Number ( <br /> <br />) <br />) <br /> <br />Jurisdiction <br /> <br />Street Address <br /> <br />.~~~~~~~~~~r"''':~:'~:';;''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''""'''''''''''""'''""''''""""""'''"""''',' <br /> <br />*Note: Please provide your e-mail address so we <br />may confirm your registration. Confirmations will <br />be sent one week before the workshop. <br />=l1111111II11111111!1111111I1111111111111I11111111111111111111111111111IIIIIIIIIIlII,lllllllllllllllllllllllllllllllll111!1111111'llllllllllllll+IT~ <br /> <br />City <br /> <br />State Zip <br /> <br />Program Options: (Check all that aDDlv.) <br /> <br />Basics of Planning & Zoning <br />$ 125{person <br />o April 19 - 5t. Paul <br />o April 23 - Little Falls <br />o May 29 - St. Paul <br /> <br />Your Role As Planning Commission Member <br />$55{person <br />o April 26 - st. Paul (morning) <br />o April 30 - Little Falls (afternoon) <br />o May 7 - st. Paul (evening) <br /> <br />Beyond the Basics <br />$125{person <br />o May 15 - St. Paul <br />o May 21 - Little Falls <br /> <br />Advanced Zoning Applications <br />$125{person <br />o June 11 - Littie Falls <br />o June 26 - St. Paul <br /> <br />Spotlight on Subdivisions - from <br />Concept to Reality <br />$125{person <br />o May 7 - St. Paul <br /> <br />Conservation Design in Shorelands <br />$80{person <br />o May 14 - Spicer <br />o June 18 - Walker <br /> <br />Site Planning Basics <br />$125{person <br />o April 17 - St. Paul <br /> <br />Working Nature Into Land Use Decisions: <br />Resolving the Funding Dilemma <br />$60{person <br />o March 27 - St. Paul <br /> <br />QUESTIONS? <br />Contact: Carol Schoeneck at 651-222-7409 ext. 205 <br />-- or-- <br />Minnesota Toll Free: 800-569-6880 ext. 205 <br />email: cschoeneck@mngts.org <br /> <br />Payment Options: <br />On-line registration available at www.mngts.org <br /> <br />o Enclosed is check # in the amount of <br />$ (payable to Government Training Services). <br /> <br />o Please bill me at above address. <br />P.O.# (if applicable). <br />NOTE: A $lO{AGENCY BIWNG FEE WIll BE ADDED TO THE AMOUNT OWED. <br /> <br />o Credit Card (VISA or MasterCard only): <br />Card# <br /> <br />Exp. Date: <br />3-digit Security Code <br /> <br />E-mail address (REQUIRED): <br /> <br />Special Needs: (Must be received at least two weeks before <br />the workshoD for which you are registering.) <br /> <br />o I have a dietary restriction (e.9., vegetarian/vegan) as follows: <br /> <br />o <br /> <br />I require other accommodations (I.e. sign language <br />interpretation, Braille materials). Please contact me at: <br /> <br />Circle one: VOICE or TTY <br /> <br />Retum this form at ~ ~ .1lJ'IOr to the date <br />of the first workshoo you areattendlniJto: ... . . <br /> <br />Govemmeat: Training $ervIces <br />2233 University Avenue W., Suite 150 <br />St. Paul, MN 55114 <br /> <br />(If you have selected the ~bHl mew or credit card <br />payment options, you can fax your registrlltion to: <br />651-223-5307.) <br />