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CITY OF PEQUOT LAKES <br /> APPLICATION FOR APPOINTMENT TO <br /> PARK BOARD <br /> NAME: ?'2° '"c `.- I .h`f1 e.Y <br /> PERMANENT RESIDENT: Yes No <br /> PERMANENT ADDRESS: 2IC)UZ Si r L.ryl,; u:? },- L �. <br /> LAND ADDRESS (IF NON-RESIDENT): <br /> PHONE: (Home)_ _ _ ke:,_, (Work) <br /> 6enke1Ce... {D '3&V VL <br /> OCCUPATION: (° Tel,,,,/ le(:<( y EMPLOYER: 1\1 i\1 'De QI O ' @Or(tQ(�t 161/-16 <br /> HOW MANY YEARS HAVE YOU LIVED IN THE AREA? Z(.) <br /> �- STATEMENT OF INTEREST: <br /> Please explain why you would like to serve (or continue to serve) on the Park Board: <br /> : <br /> L .c,' Far'14,e ; ay- cJ- Cm iGtir L c, -.• ' o.- c LA.r <br /> h 1 41 k win CT 17 fe, ii 1 <br /> I <br /> And .- (c) t; +0 hel <br /> EDUCATIONAL AND PROFESSIONAL EXPERIENCE: <br /> Describe your educational and professional experience or skills that qualify you to serve on this <br /> board or commission. -- I\ 4.cal Re Go—(c Mc 1 ckcir� .. <br /> \75 '� i.si�d-r 54-MCI v 1 Cs.' i f>n` k i -'5 <br /> 4"124i"--) I c‘i'1( e I c c) `� , 0�.+ t t(10 L, c)ac t.., L jnu�� c,.�So <br /> i..lp Y i d- as 0, <br /> I C� ,�. 30 . -- -k-r - --) ct KZ c7 r16-(- <br /> ...c) <br />