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List any Civic, Professional and/or Community Activity involvement: <br /> Pow_4-em 1 c,n&AAA <br /> Why do you want to be on a Commission? <br /> Ct v, lv)pJY2-iav\-t-A5r4c-/- r6 c /1 NPui ( o srelc&•j 5 <br /> I ►uc> <br /> What skills, strengths, or abilities do you believe you can add? <br /> C I j Q Cipte"' rrn/PKcK - 1? 01u. _ CLQ.r' PO it <br /> CL hP_ /(uo IA /v 0 I /1 f J% lD .s-�,/� l VG1 C�Y14Uilloccx j, <br /> 2-11•A 9/zo gyp. <br /> Additional comments: <br /> /cAld l 4 <br /> nr1 CJitm -/AiS C fyyv) M 0414�! <br /> References: <br /> 1. i/ R,A,(F\ CaPCI(nL1 141- I _ o 1)5APu( Q 76.3 - 67/ - 363 <br /> Name Address s -A4n4l- n y /$16 Phor}eu Number <br /> ss � <br /> 2. Pa,v Lo(Ats,1/,Q, 35z? 5eyceo(A oe,lv6 9416 <br /> Name Address Phone Number <br /> 3. a��a f�►r���uc�� f/7a�/ <br /> Named 11 —M` Address P one Number <br /> fowl- Co3.3"�6�7 <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 />