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OFFICE USE ONLY <br /> Representation on Subcommittee (ie: legal,realtor, etc): <br /> ❑ Appointed to: ❑ Not Appointed <br /> Gly11 SUPPLEMENT TO APPLICATION FOR APPOINTMENT TO ADVISORY BOARD/COMMISSION <br /> Ver <br /> CONTACT INFORMATION (public) <br /> The following information will be used to contact you in the event that you are appointed to a board <br /> or commission. This information is public once you are appointed and may be released upon request. <br /> Residential Address: Business Address: Rhonda-1. Magnussen,Attorney at Law, Rhonda <br /> Magnussen LLC, 318 Jackson Avenue NW, Suite A, Elk River, MN 55330 <br /> Phone Number: 763.251.1600 <br /> AND/OR <br /> Email: rhonda.magnussen&a maglaw.com <br /> ADDITIONAL CONTACT INFORMATION (private) <br /> Please provide any additional contact information that can be used to contact you in the event you <br /> are appointed to a board or commission. This information is private and will only be released to city <br /> officials and city staff whose work assignments require access. <br /> Work Phone: <br /> Cell Phone: 612.802.5877 <br /> Other: Residential Address: 26097 141st Street NW, Zimmerman, MN 55398 <br />