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@W CITY OF NEW BRIGHTON <br />803 - 5TH AVENUE N. W. <br />NEW BRIGHTON, MN 55112 <br />righton 633 - 1533 <br />APPLICATION FOR ADVISORY GROUPS <br />GROUP APPLIED FOR: <br />SECOND CHOICE (IF ANY); <br />FULL Ij~AM_E (~~ TOR TYPE ): <br />JCL L ,9. <br />,~fi4 DVS ~N <br />ADDRESS: <br />~7 ~ ~ ~ % O GG <br />C <br />g L V ,~ • , /YEG/ ,~~' ~ ~h~fo ~J, Itit N, Ss'ii z <br />} , <br />YEARS AT THIS ADDRESS: YEARS YOU HAVE LIVED IN NEW BRIGHTON: <br />a o FAR s a s yE.~,~s <br />TELEPHONE: HOME: <br />~ 3 ~ - x,93 a WORK OR OTHER: <br />QUALIFICATIONS YOU WANT TO HAVE THE COUNCIL CONSIDER <br />EDUCATION: ~u /~'10/l/!°I G'L-`GGO .ZOGf/~ <br />~/GH SCh'ooc G~?Ad, -/ho~v~~eE'~~-o ,(~,~/C ~ <br />,[~e,¢ ~'N/2 /~7 F1OO ~/ efy SCNo v c, o r X x/2.4 ~/ -fE" e /`/N6 .C. o G y <br />~~-e.~~u.P, .~-~t.~,vols <br />EMPLOYMENT, OCCUPATION OR OTHER EXPERIENCE: iy/1/~ <br />~fi~1 EF ,0 C X-SAY ~- /VoR f.~l /!~ L- i+7 0 /d/i9 L ~OSi°• ~Pa~Bi ~ 5 Df~c t ~ /~'~ <br />~R. ~6tiA4a /-'lA9,SE/V- OA~~C,a~3LE' ~Fa. /3~-aG. Ra,E3/,3/NS7~A~cE,~ ~•c/~v. <br />PRESFN ~`~Y <br />F'~?PGaYEES a de-Rco a v ~ /j'JE,~jjCf}L. 17/U/S/ o.v - X-~P•4 y TECH. Pg~7 ~'i .a <br />EMBERSHIPS,A000MPLISHMENTS OR OTHER QUALIFI~QT~I'O~ `~~~ <br />~..- ..Gy ~ • ~~ <br />PLEASE STATE YOUR REASONS FOR WANTING TO SE VE ON THIS COMMITTEE: ~ <br />YOUR RESPONSE TO ANY OF THE ABOVE MAY BE CONTINUED ON THE BACK AND YOU MAY ATTACH ANY OTHER MATERIALS <br />WHICH YOU WANT THE COUNCIL TO CONSIDER. <br />~eAr <br />~e~s <br />f <br />U - ~/~~ <br />SIGNATURE DATE <br />THE CITY OF NEW BRIGHTON IS COMMITTED TO THE POLICY THAT ALL PERSONS SHALL HAVE EQUAL ACCESS TO ITS PROGRAMS, <br />FACILITIES, AND EMPLOYMENT WITHOUT REGARD TO RACE, CREED, COLOR, SEX, AGE, NATIONAL ORIGIN, OR HANDICAP. <br />