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Home My WebLink AboutMarch 22, 2005 Interview Boards and Comm CandidatesCITY OF COLUMBIA HEIGHTS 590 40th Avenue N.E., Columbia Heights, MN 55421-3878 (763) 706-3600 TDD (763) 706-3692 Visit Our Website at: www. ci. columbia-heiglTts, mn.us ADMIINISTRA T/ON NOTICE OF CITY COUNCIL INTER VIEWS to be held in the CITY OF COLUMBIA HEIGHTS as follows: IVlavor Ga/y L. Pete/'son Coun¢flmembers Robert ,4. Williams Bruce Nawrocki TCllTlmel'Cl gl'iCSOl? Bruce Kelzenberg ,City Mlanager Walt Fehst COLUMBIA HEIGHTS CITY COUNCIL TUESDAY~ MARCH 22, 2005 5:45 P.M. CONFERENCE ROOM 1 Purpose: INTERVIEW CITY BOARD AND COMMISSION CANDIDATES The City of Columbia Heights does not discrhninate on the basis ofdisability h~ the achnission or access to, or treatment or employment in, its services, programs, or activities. Upon request, accommodation will be provided to allow individuals with disabilities to participate in all City of Columbia Heights' services, programs, and activities. Auxiliary aids for handicapped persons are available upon request when the request is made at least 96 hours in advance. Please call the City Council Secretary at 706-3611, to make an'angements. (TDD/706-3692 for deaf or hearing impaired only) THE CITY OF COLUMBIA HEIGHTS DOES NOT DISCRIMINATE ON THE BASIS OF DISABILITY IN EMPI~OYMENT OR THE PROVISION OF SERVICES EQUAL OPPORTUNITY EMPLOYER BOARD AND COMMISSION INTERVIEWS - TUESDAY, MARCH 22, 2005 5:45 p.m. 6:00 p.m. 6:15 p.m. 6:30 p.m. 6:45 p.m. 7:00 p.m. 7:15 p.m. 7:30 p.m. 7:45 p.m. 8:00 p.m. 8:15 p.m. David Thompson Lori Ritzko Allison Rasmussen Kathleen Korday Lynette Thomson Caroline Laine Stan Hoium Joseph Wolney Kate Kruse Alison Spano Rose* P&Z - Park & Rec. - Traffic Library (new Charter member) Park & Rec. P&Z - Library Library P&Z - Chm~ter Park & Rec. P&Z P&Z any where needed *Alison Spano Rose has a class until 8 p.m. but would like to be interviewed, if at all possible. She can arrive by 8:15. As interviews may run a little over, I thought this might work. ...: i'i "APPLICATION FOR APPOINT · 'TO BOARD OR COMMISSION )ARD(S) OR COMMISSION(S) ON V, qtlCH YOU WOULD ~ TO SERVE: (INDICATE PREFERENCE: 1, 2, 3, IF MORE LA~ . TELECOMMUNICATIONS COM]Vl/SSION · CHARTER CO--SION (Note: Ig~pYmz ~r~ ommi~om pl~se tndlmt~ ff~,ou ~. q~H~e~ vo~n Ym , No) ECONOMIC DEVELOPMENT AUTHORITY HUMAN SERVICES COMMISSION . LIBRARY BOARD _ TRAFFIC COMMISSION . PARK & RECREATION COMMISSION PLANNING & ZONING COMMISSION ~AME: IOME~DRESS: H~/ t G qq4~ ~. Aa ,IVED IN COLUMBIA HEIGHTS SINCE: 'ROPERTY OWNED'IN COLUMBIA REIGHT~ (OTRER ~ RESIDENCE):' HOME PHONE: a. ~'-/~_~ 7~n~ CODE: 5-r~z / RESENT EMPLOYER: WORK PHONE: ~/~-70 OSITION TITLE: 'MC EXPERIENCE: -- ,ts' LEASE STATE BRIEFLY WHY YOU ARE INTERESTED IN SERVE~G ON TUl.~ BOARD/ ' COMMISSION FOR W/HCH YOU ARE SUBMTITING Tm~ APPLICATION AND WHY YOU FEEL YOU ARE QUALWIED: NOT AVAILABLE FOR BOARD/COMML~SION MEETINGS ON ~ FOLLOWING EVENINGS (CIRCLE): MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY ~LEASE LIST THREE REFERENCES: NAME ADDRESS PHONE HEREBY CERTWY TtLAT THE FACTS WITnTN THE FOREGOING APPLiCATiON ARE TRUE AND CORRECT .O THE BEST OF MY KNOWLEDGF. ~~~~ FOR OFFICE USE ONLY: ~urn application to: ~puty C!~' Clerk/Council Secretary ~ty of Columbia Heights '0 40th Avenue N.E., Columbia Heights, MN 55421 2-2800 TDD: 782-2806 0199 CITY OF COLUMBIA ltEIGHTS APPLICATION FOR APPOINTMENT TO BOARD OR COMMISSION BOARDS(S) OR COMMISSIONS(S) ON WHICH YOU WOULD LIKE TO SERVE: (INDICATE PREFERENCE: 1, 2, 3, IF MORE THAN ONE) TELECOMMUNICATIONS COMMISSION -~- CHARTER COMMISSION (Note: If a~?lying for.this commission, please indicate if you are a qualified voter: ~_Yes __ No ECONOMIC DEVELOPMENT AUTHORITY HUMAN SERVICES COMMISSION __POLICE/FIRE CIVIL SERVICE COMMISSION LIBRARY BOARD TRAFFIC COMMISSION PARK & RECREATION coMMIsSION ..~..PLANNING & ZONING COMMISSION LIVED IN COLUMBIA HEIGHTS SINCE: I'qq ~ PP. OP~P~ owNEr~ m COLUM~ m~O~s (OWm~ m~ RES~D~CE) PRESENT EMPLOYER: WORK PHONE: POSITION TITLE: EDUCATIONAL BACKGROUND: CIVIC EXPERIENCE: p~0th& PLEASE STATE BRIEFLY WHY YOU ARE INTERESTED IN SERVING ON THIS BOARD/COMMISSION FOR .WHICH YOU ARE SUBMITTING THIS APPLICATION AND WHY YOU FEEL YOU ARE QUALIFIED: I AM NOT AVAIl,ABLE FOR BOARD/COMMISSION MEETINGS ON THE FOLLOWING EVENINGS (CIRCLE): MONDAY TUESDAY WEDNESDAY THURSDAY /'~RIDAY / PLEASE LIST TI-IREE REFERENCES: NAME ADDRESS PHONE 1' ~[/0~qD6 7Z352 &l 2.-7 '/-2cF7 I HEREBY CERTIFY THAT THE FACTS WITHIN THE FOREGOING APPLICATION ARE TRUE AND CORRECT, TO THE BEST OF MY KNOWLEDGE. RettLrn application~to: Deputy City Clenk City of Columbia Heights 590 40th Avenue NE Columbia Heights, MN 55421 (763) 706-3611 TDD (763) 706-3692 For Office Use Only: Date received: 12-17-01 CITY OF COLUMBIA I-IEIGHTS APPLICATION FOR APPOINTMENT TO oAm) OR coMmsSxo . BOARDS(S) OR COM3/IISSIONS(S) ON'WHICH YOU WOULD LIKE TO SERVE: (INDICATE PREFERENCE: 1, 2, 3, IF MORE THAN ONE) ___TELECOMMUNICATIONS COlVlMISSION CHARTER COMMISSION (Note: If applying for this LIBRARY BOARD 'TRAFFIC COMMISSION co~ssion, please indicate if you are a qualified voter: __Yes __ No ___LECONOMIC DEVELOPMENT AUTHORITY _..~__PARK & RECREATION COMMISSION HUMAN SERVICES COMMISSION PLANNING & ZONING COMMISSION POLICE/FIRE CIVIL SERVICE COMMISSION NAME: " HOME PHONE: HOME. ~D~SS: . Z~ CODE: ' L~D ~ COL~~ ~IGHTS S~CE: I 0 PRESENT EMPLOYER:.:. .. ' · ,. WORK PHONE: . PLEASE STATt5 BRIEFLY WHY. YOU ARE INTERESTED IN SERVING ON THIS BOARD/CO~SSION FOR-WHI'CH YOU ARE sUBMITTING THIS .AP- PLICATION 'AND WHY YOU FEEL YOU ARE QUALIFIED: · I AMNOT AVAILABLE FOR BOARD/COMMISSION MEETINGS ON THE FOLLOWING EVENINGS (CmCLE): ,,..~_ .~ .'_5~, PLEASE LIST THREE REFERENCES: NAME .ADDRESS' PHONE /' d I I~REBY CERTIFY ~ ~"'HAT THE FACTS W-ITHiN THE FOREGOING APPLiCA~i iON ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. . Signature Remmapplication to: Deputy CitY Clerk City of Columbia Heights 590 40th AvenUe NB Columbia Heights, MN 55421 (763) 706-3611 TDD (763) 706-3692 For Office Use Only: Date received: _.[. ~ ]- 0~'" 12-17-01 Januaw 5,2005 As a home owner in Columbia Heights, I am interested and concerned with the strength and vitality of our neighborhoods. I believe in giving back to the community through community service and as an active citizen. I am fortunate that my work allows me to contribute daily to area communitieS. As a member of the Economic Development Commission for the City, I look forward to also serving in the community where I live. As a viable applicant to the position, I bring an interest in local issues as well as a passion to improve our residents' quality of life. In addition, my educational background includes a Bachelors of Arts in History from the University of Iowa, masters courses in business administration and several management courses through my employer. I hope you will consider me for the CommiSsion because, as you can see, I am fully qualified and excited to participate. Allison Rasmussen C T¥ APPLICATION FOR APPOINTMENT TO BOARD OR COMMISSION. BOAR_DS(S) OR COMMISSIONS(S) ON 'WHICH YOU WOULD LIKE TO SERVE: (INDICATE PREFERENCE: 1, 2, 3, IF MORE THAN ONE) TELECOMM-ONICATIONS COMMISSION _~. LIBRARY BOARD TRAFFIC COMMISSION CHARTER COMMISSION (Note: If applying for this commission, please indicate if you are a qualified voter: __Yes __ No ~,. · ECONOMIC DEVELOPMENT AUTHORITY PARK & RECREATION COMMISSION HUMAN SERVICES COMMISSION 7. PLANNING & ZONING COMMISSION __POLICE/FIRE CIVIL SERVICE COMMISSION HOME. A_~DR_ES S: L~ED ~ COL~~ ~IGHTS S~CE: 7q¢7 . z · - ~ '- ,PRoPERTy O~D PLEASE STATE BRIEFLY WHY YOU ARE INTERESTED IN SERVING ON THIS BOARD/COMMISSION FOR WHICH YOU ARE S .U-T-T..BMITTING THIS APPLICATION AND WHY YOU FEEL YOU ARE QUALIFIED: I AM NOT AVAILABLE FOR BOARD/COMMISSION MEETINGS ON THE FOLLOWING EVENINGS (CIRCLE): MONDAY .TUESDAY WEDNESDAY THURSDAY FRIDAY PLEASE LIST THREE REFERENCES: NAME .Al)DREgS PHONE I HEREBY CERTIFY THAT THE FACTS :WITHIN THE FOREGOING APPLICATION ...ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. S~[[3ature / Return application to: Deputy City Clerk City of Columbia Heights 590 40th Avenue NE Columbia Heights, MN 55421 (763) 706-3611 TDD (763) 706-3692 For Office Use Only: Date received: ~- ~0 12-17-01 Katy Korday - Attachment Serving on the Planning and Zoning commission would allow me to be an integral, participative community servant within the city. I was bom and raised in Columbia Heights. Until 1994 1 was co-owner/manager of a successful catering company within the city. I feel a deep sense of loyalty, commitment and sentimentality toward the city of my birth. My qualifications are my thirty plus years business experience as a Columbia Heights business woman and my experience and participation in working directly with the Selection Committee responsible for the national and international search for the architect for the new Guthrie Theatre project in downtown Minneapolis. The firm I worked with on this committee was also respOnsible for the strategic real estate planning and implementation of facilities and campuses for Medtronic's, Target, Lutheran Brotherhood, Piper Jaffray and Fingerhut. I directly reported to one of the principal's of the real estate advisors. I assisted in the analysis and coordination of the Guthrie project and acted as the direct liaison with national and international clients and generated reports, proposals and spreadsheets for the new Guthrie project. CItY OF CoLUMB. IA ltEIGItTS APPLICATION FOR APPOINTMENT TO BOARD OR coMMIsSION BOARDS(S) OR COMMISSIONS(S) ON WHICH YOU WOULD LIKE TO SERVE: (INDICATE PREFERENCE: 1, 2, 3, n~ MORE THAN ONE) TELECOMMUNICATIONS COMMISSION i~LIBRARY BOARD TRAFFIC COMMISSION CHARTER COMMISSION (Note: Itapplying for this commission, please indicate if you are a qualified voter: __Yes _ No ECONOMIC DEVELOPMENT AUTHORITY HUMAN SERVICES COMMISSION POLICE/FIRE CIVIL SERVICE COMMISSION PARK & RECREATION COMMISSION PLANNING & ZONING COMMISSION NAME: ' HOME PHONE: PRESENT EMPLOYER: WORK PHONE: POSITION TITLE: PLEASE STATI~ BRIEFLY WHY YOU ARE INTERESTED IN SERVING ON THIS BOAR_D/COMMISSION FOR WHICH YOU ARE SUBMITTING THIS APPLICATION AND WHY YOU FEEL YOU ARE QUALIFIED: .. t ,,/ · ~ ,~ ~ ..... / ~,., ,. i ,. . .... ~ .-. . . . I /.~ .. :~-/ . / ~. / · I ~ NOT AV~LE FOR BO~/~O~SSION ~ET~GS ON T~ FOLLO~G E~GS (C~CLE): MONDAY .TUESDAY WEDNESDAY THURSDAY PLEASE LIST THREE REFERENCES: A ~*~7 /~-~7~';t) NAME1. h~~.~--~ _~.~'~¢5-~o. AI~DRESS I HEREBY CERTIFY TF~..T THE FACTS W!THLN THE FOREGO_D,IG A2pLIcATtON ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. Signature/ Return application to: Deputy City Clerk City of Columbia Heights 590 40th Avenue NE Columbia Heights, MN 55421 (763) 706-3611 TDD (763) 706-3692 For Office Use Only: Date received: / !. Z c~ 12-17-01 CITY OF COLUMBIA I-IEIGHTS APPLICATION FOR APPOINTMENT TO BOARD OR COMMISSION BOA_RDS(S) OR COMMISSIONS(S) ON 'WHICH YOU WOULD LII/._E TO SERVE: (INDICATE PREFERENCE: 1, 2, 3, IF MORE THAN ONE) TELECOMMUNICATIONS COMMISSION . CHARTER COMMISSION ¢4ote: If, applying for this ssion, please indicate if you are a qualified voter: ~xYes __ No · ECONOMIC DEVELOPMENT AUTHORITY HUMAN SERVICES COMMISSION POLICE/FIRE CIVIL. SERVICE COMMISSION LIB1LARY BOARD 'TRAFFIC COMMISSION PARK & RECREATION COMMISSION PLANNING & ZONING COMMISSION " HOME PHONE: HOME. ~D~SS: Z~ CODE: ' PROPERTY O~D ~ COL~~ ~IGHTS (O2'HER. T~ ~SmENCE). .. PRESENT EMPLOYER:. WORK PHONE: POSITION TITLE: " EDUCATIONAL BACKGROUND:' CIVIC EXPERIENCE: ' ' CITY. OF COLUMBIA ItEIGHTS APPLICATION FOR APPOINTMENT To OR COMMISS O BOA_R_DS(S) OR COMMISSIONS(S) ON'WHICH' YOU WOULD LIICE TO SERVE: (INDICATE P:REFERENCE: 1, 2, 3, IF MORE THAN ONE) TELECOMMUNICATIONS COMMISSION · LIBRARY BOARD .'T1L~lqC COMMISSION CHARTER COMMISSION 0,:otc: if applying for this commission, please indicate if you-are a qualified voter: __Yes __ No · ECONOMIC DEVELOPMENT AUTHORITY PARK & RECREATION COMMISSION HUMAN SERVICES COMMISSION __POLICE/FI:RE CIVIL SERVICE COMMISSION >('PLANNING & ZONING COMMISSION NAME: '. . .. HOME PHO, ~N~:: . L~ED ~ COL~.~IGHTS 8~CE: .PROPERTY O~D ~ COL~~.~IGHTS (OT~R T~ ~S~ENCE). . - P:RES'ENT EMPLOYE/~:. . ' ' ', ' ' WORK PHONE}. 'PosITION TITLE: i'J~',~At'~ ~l~/b/C~ CIVIC :X~PERIElqCE: CITY OF COLUMBIA HEIGHTS APPLICATION FOR APPOINTMENT TO BOARD OR COMMISSION BOARDS(S) OR COMMISSIONS(S) ON WHICH YOU WOULD LIKE TO SERVE: (INDICATE PREFERENCE: 1, 2, 3, IF MORE THAN ONE) TELECOMMUNICATIONS COMMISSION CHARTER COMMISSION (Note: tf applying for this oommission, please indioate if you are a qualified voter: Yes __ No ECONOMIC DEVELOPMENT AUTHORITY HUMAN SERVICES COMMISSION POLICE/FIRE CIVIL SERVICE COMMISSION LIBRARY BOARD TRAFFIC COMMISSION PARK & RECREATION COMMISSION PLANNING & ZONING COMMISSION NAME: HOME PHONE: Kate Kruse 763-706-0424 HOME ADDRESS: ZIP CODE: 4005 Hayes Street Northeast 55421 LIVED IN COLUMBIA HEIGHTS SINCE: 1996 PROPERTY OWNED IN cOLUMBIA HEIGHTS (OTHER THAN RESIDENCE) PRESENT EMPLOYER: WORK PHONE: American Swedish Institute 612-870-3378 NURTURE. Inc. 763-789-4990 POSITION TITLE: Catalog Sales Coordinator (American Swedish Institute), Founder, C.E.O. (NURTURE, Inc.) EDUCATIONAL BACKGROUND: Gustavus Adolphus College, St. Peter, Minnesota, Liberal arts studies, 1989-1991 AVEDA Institute, Minneapolis, Minnesota, Esthiology, i.e. skin care, spa services, 1993,1994 Southwest Secondary School, Minneapolis, Minnesota, Graduate, 1985-1989 CMC EXPERIENCE: - Rising to New Heights - Vote YES Committee for Columbia Heights Schools. - Highland PTA - School volunteer PLEASE STATE BRIEFLY WHY YOU ARE INTERESTED IN SERVING ON THIS BOARD/COMMISSION FOR WHICH YOU ARE SUBMITFING THIS APPLICATION AND WHY YOU FEEL YOU ARE QUALIFIED: I am interested in sendng on the PLANNING AND ZONING COMMISSION because, as a Columbia Heights home owner, business owner mother of two children in the Columbia Heights Public Schools, I am deeply invested and interested in the future of our city. I am a good decision maker and I am able to look at an issue both thoroughly and objectively. I am a business owner and have become extremely adept at conquering problems and using innovative vision to make positive advancements. My family has chosen to make Columbia Heights our home and I am offering my spirit and vision in the hopes that it will help our city remain the kind of place we are proud to call home. I AM NOT AVAIl,ABLE FOR BOARD/COMMISSION MEETINGS ON THE FOLLOWING EVENINGS (CIRCLE): MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY PLEASE LIST THREE REFERENCES: NAME ADDRESS PHONE 1. Sam Huey 4560 Heights Drive 763-572-0430 Columbia Heights~ MN . 2. Ken and Jean Johnson 3510 Skycroff Drive St. Anthony, MN 3. Anna Hutchinson 2600 Park Avenue Am.e~i, 'can Swedish Institute Minneapolis, MN 612-789-5912 612-870-3362 xHArl IR vA,., x a ~riTl-l~q iI--I~ FOREGOff-&J -~' PLICATION ARE TR.UE AND CORRECT TO T2~.~E BEST OF bAY KNOWLEDGE. /kate kruse/ Signatu~ Return application to: Deputy City Clerk City of Columbia Heights 590 40th Avenue NE Columbia Heights, MN 55421 (763) 706-3611 TDD (763) 706-3692 For Office Use Only: Date received: 12-17-01 CITY OF COLUMBIA HEIGHTS TO BO~ OR ¢oMM~sSIO~ BOAR_DS(S) OR COMMISSIONS(S)ON'WHICH YOU WOULD LIK~E TO SERVE: (INDICATE. PREFERENCE: 1, 2, 3, ~ MORE THAN ONE) i'~J~¢~/~;3~ ~'~- c~.~,..~ ~o SfJ~o¢~ TELECOMMUNICATIONS COMMISSION LIBRARY BOARD ~ CHARTER COMMIS SION (Note: If applying for this commission, please indicate if you are a qualified voter: __Yes __ No · .___ECONOMIC DEVELOPMENT AUTHORITY -~/_~ SE~XaCES COmmSSION ___~OnCE/FmE crvm. SE~mCE COmaSSION 'TRAI~'FiC COMMISSION PARK & RECREATION COMMISSION PLANNING & ZONING COMMISSION HOME. ADDRESS: ~. ' .... I ZIP CODE: ' . " PRoPER~ O~D ~ COL~~ ~IGHTS (OT~R ~ ~S~ENCE) ... PRESENT EMPLOYER:. (.~t~mBhi.p~) . WORK PHONE: POSITION TITLE: ~r~ BACKGROUND:- -- . EDUCATIONAL ' PLEASE STATE BRIEFLY WHY. YOU ARE INTERESTED IN SERVING ON THIS BOARD/COMMISSION FOR WHI'CH YOU ARE sUBMITTING THIS APPLICATION ' AND WHY YOU FEEL YOU ARE QUALIFIED: I AM NOT AVAILABLE FOR BOARD/COMMISSION MEETINGS ON THE FOLLOWING ~_ ..... ...'7 'TUESDAY MONDSY_ . ' PLEASE LIST THREE REFERENCES: WEDNESDAY. FRIDAY NAME ADDRE~qS PHONE .'. 6~.;) 1! ,~l~L ~/J[/~d~OO ~'~)0 Lo/'K/~-/c~ (~ ~ ~/~hT~DD' ~ J~711~ ~ '2~ ' "' J ' I HEREBY CERTIFY THAT THE FACTS ~WITH1N THE FOREGOING APPLICATION ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.' Return application to: Deputy City Clerk City of Columbia Heights 590 40th Avenue NE Columbia Heights, MN 55421 (763) 706-3611 TDD (763) 706-3692 IFor Office Use Only: · Date received: ! Z- I-7 12-17-01 CITY OF COLUMBIA HEIGHTS APPLICATION FOR APPOINTMENT TO BOARD OR coMMIsSION BOARDS(S) OR COMMISSIONS(S) ON ~ ,WHICH YOU WOU!,D LIKE TO SERVE: (INDICATE PREFERENCE; 1, 2, 3,..IF MORE THAN ONE)! '..~- :'~: ' ___TELECOMMUNICATIONS COMMISSION LIBRARY BOARD CHARTER COMMISSION 0qot~: If applying for this commission, please indicate if you are a qualified voter: __Yes __ No · ECONOMIC DEVELOPMENT AUTHORITY HUMAN SERVICES COMMISSION POLICE/FIRE CIVIL SERVICE COMMISSION ' 'TRAFFIC COMMISSION .~'PARK & RECREATION COMMISSION PLANNING & ZONING COMMISSION NAME: .,~g 14' HOME PHONE: HOME. DD~S8: Z2 CODE: ' PRESENT EMPLOYER:. WORK PHONE: PLEASE STATE BRIEFLY WHY. YOU APE INTEtLESTED IN SERVING ON THIS BOARD/COMMISSION FOR WHICH YOU AtLE sUBMITTING THIS APPLICATION .-- . ' ' ' AND WHY YOU FEEL YOU .APE QUALIFIED: b G, I ~ NOT AVA-.~LE FOR BO~/CO~SSION ~ET~GS ON T~ FOLLO~G EVE~GS (C~CLE): '~~A~ 2 -T~SDAY ~D~SDAY F~AY THUASDAY PLEASE LIST THl~E I~EFERENCES: " 'NAME ADDP,_ESS PHONE 1' 2. 3. I HEREBY CERTIFY THAT THE FACTS ~WlTHIN THE FOREGOING APPLICATION ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. Signatare l' Return application to: Deputy City Clerk City of Columbia Heights 590 40th Avenue NE Columbia Heights, MN 55421 (763) 706-3611 TDD (763) 706-3692 JFor Office Use Only: Date received: 3'- .g; ~ ~'a 5- 12-17-01