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Ci:, <br />4C <br />0 <br />APPLICATION FOR APPOINTMENT TO <br />iverCITY BOARD OR COMMISSION <br />Please indicate by order which of the +follow ��! <br />interested in (1,2,3 etc.) <br />following You are <br />Economic Development Authority <br />Health Care Delivery Commission <br />Housing and Redevelopment Authority <br />Library Board <br />Park and Recreation Commission <br />Plannin C <br />g ommission <br />Utilities Commission <br />NAME : <br />ADDRESS: /V C/j <br />U <br />PHONE: (Home) (Work) <br />OCCUPATION EMPLOYER <br />HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? <br />STATEMENT OF INTEREST; <br />Please explain why you would like to serve on the board or <br />commission selected above? <br />e-n . e en4 A7,1 k-e ,frcJ <br />CO <br />EDUCATIONAL AND PROFESSIONAL EXPERIENCE: <br />&t /0 4,-11 <br />lr� <br />U A <br />Describe your educational and professional experience or skills <br />which qualify you to serve on this board or <br />commission. <br />`� � � lac! la c,�� �I`,►7�i %'ts�'S p ,,��`'� r'`'" <br />►21 / et (l <br />P.O. Box 490 • 13065 Orono Parkway • Elk River, MN 55330 • (612) 441 -7420 • Fax: (612) 441 -7425 <br />