HomeMy WebLinkAbout2011-03-09 PACKET 03City of
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Minnesota
Ripplication for ..
A dvisory +
Retum to:
City Clerk's Office
7516 — 80th St. S
Cottage Grove, MN 55016
or fax to (651) 458 -2897
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—ge Grove Application for Appointment To Citizen
�w�d nne �ota Advisory Commission
Return to:
City Clerk's Office
7516 - 80th St. S
Cottage Grove, MN 55016
or fax to (651) 458-2897
Name
Date
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Please rank in order the commissions an which you would like to serve (leave blank any on which you
do not wish to serve):
Economic Development Authority Environmental Commission
Historic Preservation A -CL Planning
It —
Human Services/Human Rights Public Safety, Health & Welfare
Parks, Recreation & Natural Resources Public Works
Cable Telecommunications L Other:
Do you have any special a ' ualifications that you feel would help you be particularly effective on a
commission (i.e. work experience, volunteer experience, education, hobbies, etc.)?
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List two or three goals that you would like to see accomplished during your term on a commission,
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How did You become interested in serving on a commission?
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