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Please check commission applying for: <br />❑ Gress Lakes Water Management Organization <br />0 Human Rights Commission <br />❑ Park and Recreation commission <br />,Planning commission <br />U Police Civil Service Commission <br />❑ Public Works and Transportation Commission <br />❑ Community Committee/Task Farce(name) <br />Name: Lv; jl-'Apm <br />Address r / SC�Fd'4.' A'�n ✓ <br />CitylStatelZip:_ )�e , -Ll�' J%'-71V Jr 3%/ <br />Telephone: (Honie). <br />Email:_ i �_� • buTt-44 �, �jr - CO M <br />Work Experience- It If, <br />I. 'trc; c7p <br />A K� IL *rf r/'.�"p r'q <br />W PC R LAA4- <br />Student 3 No <br />Applicant U Yes, Grade <br />Rosevilie <br />Resident Years <br />(Work) 4 -- G I <br />Fax: 61g <br />h & CVr+s�)Jici 05e-?p <br />Educatiow <br />lqr—A& C4 �OT f' 17, I'l e j��' <br />)qi?4'-7 <br />Civic and Volunteer Activities: (Payl and Prese no <br />Aj>kF M ?fb - <br />S�turc� <br />r <br />Please state your reasons for wanting to serve on tti a Cone n issi o n /Cominittee/Task Force: <br />