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Memo- Appt to Commissions Office of the Mayor Memorandum To: Members of the City Council From: Eugene J. Maxwell, Mayor Date: July 27, 2006 Subject: /~-ppointment t® C®mmissi®n I am recommending the following appointment to the Human Rights Commission: Gail Lewis-Miller 14593 Hunters Lane Savage, MN 55378 Please accept and concur with this appointment. APPLICATION FOR COMMISSION, COMMITTEE, BOARD MEMBERSHIP COMMISSION(S), COMMITTEE(S), OR BOARD(S) WHICH YOU ARE INTERESTED IN: Charter Commission Human Rights Commission Park Board Police Review Committee Zoning & Planning Commission Other Name: ~ ~'~~~~- ~~ Address: ~.. ,~ ~ d-....- r` __ Phone Number: ~ ®. ~~~% City, State, Zip Code: ~..~~~m.~- ,~ ~;:~, Briefly describe your education and experience: ' =.~,~~~~~®~= ~~~~r:~~~~- ~~ ` s _~ r ~ ~ Please indicate why you want to serve on this committee, board, or commission: a ~" Where did you hear about this board or commission: `~ ~° ~~ e- ~°~`®~-"" IMPORTANT NOTICE TO ALL APPLICANTS Minnesota law requires that you be informed of the purpose and intended uses of the information you provide to the City during the application process. Any information about yourself that you provide during the application will be used to assess your qualifications. Although you are not legally required to supply information, if you do not supply the information requested, it may mean that your application is not considered. Your name, address, and phone number are public data under Minnesota Law. Should you be appointed to a Hopkins' Board or Commission, this information may be published by the City. Signature PLEASE RETURN TO: City Manager 1010 First Street South Hopkins, MN 55343 ~.-~e-~ ~ Date 4/3/2006