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List any Civic, Professional and/or Community Activity involvement: <br />l7 <br />Why do you want to be on a Com <br />'PI Cw c w 6 a bu <br />ask Force? Vl-eu-4� 6i b <br />V vim, - • Vvv wv w LN K (a-- 1 -0 e <br />What s ills, strengths, or abilities do you believe you can add? <br />SE'1L Czn �I w vi CSG <br />References: j rX � <br />l.✓`�- <br />N e Address <br />2.Phone Number <br />Name i Address Phone Number <br />3. S <br />Name Address Phone Number <br />Please return this form along with a letter of interest and your current resume to: <br />City of New Brighton <br />803 Old Highway 8 NW <br />New Brighton, MN 55112 <br />Attn: Schawn Johnson, Assistant to the City Manager <br />Phone: 651-638-2046 Fax: 651-638-2044 <br />0 <br />Cin <br />