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N�U-25-2001 14:23 HENNEPIN CO CIVIL 612 348 8299 P.02i09 <br />�� <br />www.a.rosewi�,�mn.sts <br />City of i�a5eville � 2860 Civic Cd�tet D�ive • Ras�vllk MN SS113 <br />Phone: 651,490,2206 • �F�x: 65i.4�1.2278 <br />Application for Citi�en advisory �ammission � <br />Please check contmission dpplyrng j�or; <br />o �t6i�es Commission <br />o Grass Y�kes'VVster Ma�o►agement Org�ni�stion <br />��u�uan Rig�ts Commission <br />o Park add �teccea►tioo Com�nissian <br />o Pianning Cammission <br />a Pol'tce C�ivit Service Commission <br />o Commanity �ommittee/'.['askFaxce(na�ne) <br />Student �No <br />Name: ��; K C1fi¢�iw� AppLicant o Yes, Grade �_ <br />Addreae <br />'�/S"'.�"j��� <br />ttose�we <br />Reaident o� ��..'Ye�r� <br />Telephont: (Haoue) 1S"/� L �.�1'.S►fE'.�� (Woirk) � G /3. � y�-S3 *�- <br />Emsrl: v�sxg.s_ ��.i��;/. a..�. l���c: 4 fx. 3vF �z9,9 <br />�1�1�CA1�OII: �. %�. Iitiri%�• <iesl . �/%e � ��%<�t P _�Lt�Li /'q� �. <br />„ ..4. k,Ji sCc�nsi'� ' �i .s!' .rt i'.�' Lr �9 � 5 <br />G�ivic and Volnnteer Activi4ts: j,Past and ,pres�,�r} <br />�C�iT�•�Y-� <br />