Application for Citizen Advisory Committee

 
 
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  • Citizen Advisory Committee, Commission, or Board
  • Please complete the application online and submit it.  If you wish to request a paper application, you may do so by calling Phil Chapman at 218 726-2385, or by sending an e-mail to him at:  chapmanp@stlouiscountymn.gov  Paper applications should be returned to the following address:  Clerk of the County Board, 100 N. 5th Avenue West, #214, Duluth, MN 55802-1293. 
  • Application

  • Please list the committee, commission, or board for which you are applying









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  • I have sufficient time to devote to this responsibility and will attend the required meetings if appointed.
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  • THANK YOU!
  • ______________________________________________
    Office Use Only
    Date Received __________  Appointment Date __________
    Date Entered __________ Term End Date ___________
    Commissioner District __________    Retention Date __________
    Appointed:  Yes _____ No _____
    Committee/Board/Commission:  ________________________________