1. Interview Pub. Safety Comm.
APPLICATION FOR
CHANHASSEN COMMISSION
DATE: nfj> /~'7
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COMMISSION APPLYING FOR:
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ALTERNATE:
NAME:
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G R [(,v P--'1
ADDRESS: 1.10'- tl-'lt\:I¿Sf:1:"( I.\j't'i _CITY: (1-t,,\'\)111'rf5CI\) ZIP: 5TJlì
HOME PHONE: 77'-1- 7bi'l
WORK PHONE: lis-I(.. 7 ~-¡9/
HOW l,ONG HAVE YOU BEEN A RESIDENT OF CHANHASSEN?: 2 Y0
HIGHEST LEVEL OF EDUCATION ATTAINED, PLUS D GREES, IF ANY:
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CURRENT EMPLOYMENT: (State position, employer & brief description of duties. It
with present employer for only a short time, list previous employment as weD.)
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¡:;"~""'''\ SUv',,,, bU';'<H Çr ,...,t-ï,k fro.'" ¡¿-"vCk;c, I.V; -Tw;,c;¡", "~ì.(.JOL'()
(.,:"......, r'\ IGt··\(' t", f\"\a~G;1.. r;.ç J';C,"n·"lj~,,\ c·.ç AT"··)-¡('ì·.':'t"IIJ) .~\-.t..~;,'...'" I" t"\"1:. .
ACTIVITIES AND AFFILIATIONS: (Include elective offices, honors and recognitions
received, if any.) ST. ¡""'ar "I:!'I!{( O.-~~c/ j( c-h.....,.:.h M;J\r\{t'\ )..;._,\"
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REASONS FOR SEEKING THIS POSITION AND YOUR QUALIFICATIONS:
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IN FILING TIllS APPLICATION, I UNDERSTAND THAT A COMMITMENT OF MY TIME,
ENERGY, INTEREST AND PARTICIPATION WILL BE INVOLVED, ÁL'\'D I A.L\f PREPARED
TO MAKE SUCH A COMMITMENT IN THE EVENT I ÁL'\'r APPOINTED TO THE ABOVE
COMMISSION.
CITY OF CHANHASSEN
P(JBUC SAFETY D .
600 COUt- EPT.
...:R DR.
PO SOX 147
CHANHASSEN. MN ~~~.~ MM
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SIGNAT
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