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Im- <br />Date October /6"00F1984 <br />/I <br />APPLICATION FOR METROPOLITAM C01JNCIL ADVISORY COMMITTEE APPOINTMEN-11 <br />METROPOLITAN COUNCIL <br />300 Metro Square: Building <br />'A <br />St. PaW, Minn. 115101 <br />(612) 291-6-J90 <br />11� <br />Name: ............ I- Bank Thor Goran <br />last f irst miIddle <br />218,51 Draper Ave-nue, Roseville 5511 <br />ADDRESS., <br />street num er Municipality or towinsh�i�p <br />I zilp Code <br />MAILING ADDRESSI (it different f'rio,M hom,e address).-I <br />G. <br />Street nurnbe!r c I ty, sItate p code <br />i <br />PHONE: Home, 6 3 1 — 0 21'71 Business <br />3 <br />METROPOLITAN COUNCIL, DISTAIIICT (see map) <br />PEI <br />Aging <br />Arts <br />Criminal Justice <br />Health Planning Board <br />U-and Use <br />3131 Fern brook Lane N. <br />Forme,r Employing firm,, agency As'sociated Consulta, tsv Address Minne.-Ipoll's. MINT' 55441 <br />I W-M <br />Position Chirmf ElectrifCal Eng:'Lneer Years with firm, agency <br />10 <br />Other work exporience, (optional): <br />Silee-at,tached resume. <br />ft"tizen, repm-- M r ir It-- <br />Watershed Dil 3 t r.l. c <br />