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List any Civic, Professional and/or Community Activity involvement: <br />c CPy���eS1 k0 4 ,. o <br />s 'r �r SPu'PS'4l C%4'L PNas Ve un ,Q -d Ito- (' �e-viZcy��b73 <br />Why do you want to be on a Commission/Task Force? <br />Pe-,,/ Ute.. rt r ",tm ie,(otMe <br />of <br />strengths, or abilities <br />Z <br />0-C �-W <br />r (Iye VPzr. r10110 �-o <br />L� U civ z. <br />you catY add? <br />a�, cv)� 2A ti, twlF V «Ieel 63 <br />'�K i C•v. 11�In <br />rcvnvwi�n` � nto1) 44 LT f4kre5�s- <br />ooa.ri"f �' <br />S- r- OV) � CQ wNssa l OAA Con{i'n }L� <br />NameAddress Phone Number <br />Name Address Phone Number <br />3. <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: 65t-638-2046 Fax: 651-638-2044 <br />J:0-0, <br />