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CITY OF PEQUOT LAKES <br /> APPLICATION FOR APPOINTMENT TO <br /> PLANNING AND ZONING COMMISSION <br /> NAME: -L l,z 7'"//¢lz mj <br /> PERMANENT RESIDENT: Yes V/ No <br /> PERMANENT ADDRESS: 28 Aoy7- G4/>r5 -p h <br /> LAND ADDRESS (IF NON-RESIDENT): CIA <br /> PHONE: (Home)_ (Work) , <br /> OCCUPATION: �d/G 6/'/r �FX,-/2 EMPLOYER: 1�J.SN <br /> HOW MANY YEARS HAVE YOU LIVED IN THE AREA? <br /> I AM INTERESTED IN A: 2-YEAR TERM X 3-YEAR TERM <br /> STATEMENT OF INTEREST: <br /> Please explain why you would like to serve (or continue to serve) on the commission: �' <br /> / (7 f 2,R00105 fT�/� DV r> 7h' 37 I T�6�'� �/n / i✓ O2 "�iJ� <br /> J!0 /PQPJa T 44*5 /-5 JE5 T <br /> e-'ON7-1A1ve- -7o— 7/- .�`/r�i�GL I7'J�°��vn� 0'� G ti, ref <br /> ��1.4,,.,$ A Nag � N14!!�4 and `io,� /A607- GAs V116 40#VV-45 <br /> EDUCATIONAL AND PROFESSIONAL PERIENCE: <br /> Describe your educational and professional experience or skills that qualify you to serve on this <br /> board or commission. d 14 <br /> 'Y , �C A woa oL� <br /> 9 � <br /> oA.r f j*2 1.svr-5 14adj5 JW, <br /> A* �,T -41 o�i2 <br />