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Memo - Appointment to Chemical Health Commission .. ~ ~.~ . Memorandum I Office of the Mayor To: From: Date: Subject: Members of the City Council Euge,ne J. Maxwell, Mayor May 31,2001 Appointment to Chemical Health Commission I am recommending the following appointment to the Chemical Health Commission: Jacob Stacken - Two-year term ending June 30,2003 Please accept and concur with this appointment. C:\My Docurnents\BOARDS\cc appoint chern health. doc . "! ..Ill. \., APPLICATION FOR COMMISSION, COMMITTEE, BOARD MEMBERSHIP . COMMISSION(S), COMMITTEE(S), OR BOARD(S) WHICH YOU ARE INTERESTED IN: Charter Commission Park Board .~ Chemical Health Committee Police Civil Service Commission HCA Operations Board Zoning & Planning Commission Human Rights Commission Other Name: -:s. 6.. c..o lo S-+- ~ ~ L e-v\. Address: L.( d Z. \ 7'~ AvE. ~ City, State, Zip Code: j-{o fk~ 1\,<;. /"1N ~5rJ Briefly describe your education and experience: IA.M 0... - J ~. "",- 'v ,~ GA~ ~ 0 p ~:; ;'\..<) t1.'~ C; '^ )c.. koc i . I tM M ^ ~ ~ ..'1'... 01...1'\. tl . 2 eo}.... ~ l\l-~~~( D..\- . ...., lL- (7 P l~ ~'l"~ ~ ,,"\/\. . L'\..V0\.\w-' J , V\. .-tt....... _Vtc~ Au l >' 5 G (, .~ ~{ ~ ase indicate why you want to serve on this committee, board, or commission: ~~ t"""^""J ",. .h Lc/\ o r J c..r rt-, z..~'~ ='^- ~.\-- s G ~.:-~ t (" a. ( ( I f /}C r ( PaS" .,.(.-:, """'- Al-{.. ~... ''- ti ,.-e c.. (,..,.;'" <<$ .(;" Ie""",") w ~ (A Dt e.. \ ""'I/\t\~+~r~. ~(<\......~-,c-/ '^ "9 '" ~() c_~ \S l~ (?~{,CVl+-S ) f I P '-.;'- <:- \. l +..:-eA c w \ d \0 i\ "'-J Xl-'b$& C -< f c:; (< &vt aas .{ ).) e.1k') .-6 ~ c. L~', c-.-.. \ \Ce.."," \~ C <.'l J\o\. t""-. ,-It e..e .. ~ C".VV'\. C-4- )''n;e;;ove in1o~:tIon is ~bii~ ~d mai' be d~nated ;;~g~~ ~Ubli~:> :;AAU~~ .fv 5/J~~k I ~ t',,-,l s 0 This information is private and will only be used by the City to contact you regarding this application. 1.~. '2?~ Signature ~--7AJf Date ...EASE RETURN TO: City Manager City of Hopkins 1'010 First Street South Hopkins, MN 55343 0110111999