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City of Gem Lake <br />City Co-Obeil Application <br />4200 0.6cr Lalcc:Road' <br />Gem -Lake, MN 55l 10 3763 <br />Phone 651-*747-2790/651 747-2792. <br />Name: <br />, tt ci res 5: � <br />Phone: (home) ` 1 _ 7 _ (call) <br />(What is the best ntlnlhei- to. readh vgLi at?) <br />N.r*( tom. c ry zL j 't. <br />How IoAg have your HvedAn the Ciky of Geln- Lake? <br />Arevolt e. mplovea? yes na 'If yes, who is -your employer: <br />Are:ypu 21 years of age? yg4 na.Are }foil a U;S::Citizen? yes no <br />Hale. you li-ved. in Gels. Lake for at least 30 days? yes no <br />Why do you wiknt to lae :an the Ci of Gem Lake.City Ca4ncv7 <br />(:,Lu. <br />Have you-li.eld other positions -in local governments? <br />The City cif win l..akr. CigS ALoui cil meets can the Third i°ursday. of each month; typically for eiiher one or - <br />two hours, Will this ivorl adi.thinyoUr schedule?. <br />rh) v. ou have a current resunje? Please tt 1eli if so. <br />Pleaic return this form to the Cite of Gem Lake office 42N)'Clttcr Lake Road, Gem Lake, NON 5511.0, or <br />fix 651 747-2795 Or.eiiliil to Olorla.Tvssier,i%emlal en)n.or& <br />