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<br />MAR-03-2003 MON 01:41 PM <br /> <br />FAX NO, <br /> <br /> <br />p, 02/03 <br />r{~{(^' l{)"') I "l'-{().~ J.J /}o <br /> <br /> <br />www.rl.fOStvilk.mluls <br />City of Raseville 1II 2660 Civic Center Drive. Roscvillc MN 55! 13 <br />PhOne: 651.490.2206 · Fax: 6S 1.490.2276 <br /> <br />Application for Citizen Advisory Commission <br /> <br />Plcase check commission applying/or: <br />o GrassLakes Water Management Organization <br />)( Human Rights Commission <br />o Park and Recreation Commission <br />o Planning Commission <br />o Police Civil Service Commission <br />o Public Works and Transportation Commission <br />o Community Committee/Task Force(l1ame) <br /> <br />N~me:_i1~_ Grurvtp <br /> <br />Studen t <br />Applicant <br /> <br />?No <br />o Yes, G [".ide <br /> <br />Address: <br /> <br />Cjty/St~t~~ZiP1~CJ~ \,\ ~ <br /> <br />( <br /> <br />~Ny\) <br /> <br />Te1ephorll~~ (HomeJ.___ <br /> <br />_ (Work)_ <br /> <br />EmaiJ:, <br /> <br />~ax: <br /> <br />Work EXperjenCC~r~N~eV1J4y ~ L~ !MJ -f-r;;;:i (1 ppT~ /\ -::h71I/I'" --~'~'- <br />. .. .~., \ ", ~_'h__' ..... . .') _ . . .',' . B ..,... ,--=.t..:J J:! .,. !.in,=r-r----- <br />-O..Qu_~Ll)p~.Q.L_~~:~it . '1( ~ b.At.vt<:,.+ .1- .b~_.hc;l <br /> <br />-_-1J)~__LLii-:fL~1~t--.."o-Q.l~ ~ .c.(~.-'~" ()'~ "'f'r-, "~ v:i.u.Lu ~ y PolS \'+1-0.111\ \ ,,\\Vl LC <br />e.', c~ G <br /> <br />. .-- [-1-.-.:.0.. -~ ,~~ .~.o ..~~.___. <br /> <br />~~d'!E~!i~~I). ~~, Dc:'~~,l..' r :f~~.I\./\ "'-+r:--.r(,)~...~..S-f4-/"t:: ' C0.{.[CdfC .,~.. .lL/~,~~:~1s <br />.._i(vl~(.-l~.L ~J:j-~~_,_~~_.. _~.~",~._ <br /> <br />........ 'r..... \u.t <br /> <br />._~.~vic_ and V Olu~te~r Act~~~ti~~,,:.,~P~.~: and p'~esent) ~----4"lfL~_\.d--A ~ Mw11".&:~=r: (.~ <br />. II; r~\(,~._ ?-.~1o.L_J'kl:Y.':'C!-.'A" 0>1. "" / l.., . ~ -aO QQ . ("-<Nt'?:.h .{ S 't,_c!l):l,b~__ <br />....l< O...J\ 9,,> <:'--~~ L\"11'- C~jad:;:,(~ C"VV\ '^'1 :;?" "a "\ '. 11/k;kl:h:c.L~L.__,... <br />..... _~.."_.r~_~=k-,:-5 - 0 .~ ..{)~~.-~:P-L~"V.l._~,C.~IV1 nc:~~.~,c)".k~2J_._".,,_. <br />