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• <br />07 /IS /ab 10 17 417425 Post-11' brand tax tra.^.srmnal me-no 7671 I of o,Qn . OC3 <br />✓ C �>r i r c"PM ,—� <br />Paz <br />4 Z4 <br />4-1 <br />City AXPLICATIOlt' FOR APPOIh"NZ r TO <br />i C_TY BQARD OP. CO2�`:.SSION Please indicate b order which of the following you aro <br />Interested in (1, ,3 etc.) <br />Economic Development Authority <br />health Care Delivery Co=ission <br />Housing and Rodovelopmont Authority <br />Library Board <br />Park and Recreation Commission <br />Planning Commission <br />Utilities Commission <br />-------------------------------------------------------- - - - - -- <br />ADDRESS: _ l / (19 / 7 ' � /� U.) <br />PHONS: (Nome) _ _ — (Work) _ <br />OCCITPATION a. 74 <br />.HOW MANY YEARS HAVE YOU LIVED IN ELK KlVk:R? O <br />S2+ATEMELI'T OF 2nt'I�ERE9T: <br />Please explain wi.y you would like to serve on the board or <br />couunission selected above? <br />TO qss b / h �� NYC ✓t�JO�c >c.� OIF P,r-0-r rG��+.rt <br />R r+d Tr7 per' - c�,�7 h.1 lJav <br />K jo �'Zc COM <br />y <br />EDUCATIONAL AND PROFESSIONAL EXPERIENCE: <br />Describs your educational and professional experience or skills <br />which qualify you to serve on this board or commisvioZ. <br />/ y 1 17L j � Q q f�).� O / CA/-. 4-4 �,,i '� -/-4 4-4 r <br />P� lr�l;c and ►�.�vivcr5 t�✓orr.+� c.J,tL. 074115- •74=1 <br />9 J/ q <br />Cct+ -• S 7'O <br />V <br />P.O. Box 490 - 130j5 Or= Parkway • Elk iv-:, MIN 55330 • (612) 441 -7420 + Fax: (612) 441 -7425 <br />