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City of r' APPLICATION FOR AP <br />; POIrTMEnT TO <br />OE 1 } • CITY BOARD OR COMMISSION <br />kRiver ------------------------------------------------------ <br />Please indicate by order which of the f i '-- <br />interested in (1,2,3 etc.) ollowing you are <br />0 <br />NAME: <br />Economic Development Authority <br />Health Care Delivery Commission <br />Housing and Redevelopment Authority <br />Library Board \ <br />Park and Recreation Commission <br />Planning Commission <br />Utilities Commission <br />N 6ERSON) <br />ADDRESS: 9-7x) N1� <br />PHONE: (Home) (Work) - <br />OCCUPATION jQDb PfN-'YR: AIM G� <br />EMPLOYER £R e&W S <br />HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? <br />'--f t L /Yr--,6 ml #E <br />STATEMENT OF INTEREST: <br />4P 15 ve4'es ) <br />Please explain why you would like to serve on the board or <br />commission selected above? <br />_r <br />J V E S .ggco CJIU f4 �0 � 15S /O+G' ;CblQ 6 !. f Ei44°5. ..G �?r ,v k J7 L�'� &t .51'4 -*v,6 <br />rh�yl <br />EDUCATIONAL AND PROFESSIONAL EXPERIENCE: <br />Describe your educational and professional experience or skills <br />which qualify you to serve on this board or commission. <br />►A" ;A0k I Pa A , ^I ei c tfpta�ow Z <br />P•O. Box 490 • 13065 Orono Park%vay • Elk River, MN 55330 • (612) 441 -7420 • lax: (612) 44I -7425 <br />