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Temporary Sign Study Group Application <br />General Information <br />Name:a�, <br />Last <br />Business Name (If applicable) <br />�'1 \ k <br />First <br />Date 6 / jC`l 0q <br />M.I. <br />.� � ) <br />Address s:�� � e ��4ti; �. L.1 <br />City, State ZIP QQ-W �7 %A V l lqr'i <br />Phone _ �� ( za �9 5C1 <br />Home Business Cell <br />Email Address�;�'�"k LCL r <br />I am applying as a: <br />New Brighton Resident Y� New Brighton Business Owner <br />Availabili Check all Preferences <br />After work, early evening Evening, after supper Early morning <br />List specific days or times you are not available <br />Personal Information <br />List any related work/education experience: <br />U, l N i'1k.°1 L tJJ <br />t <br />