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City of _ .,~t"'~,i~ APPLICATION FOR APPOINTMENT TO <br /> ? ! <br /> <br /> Date: //~/~ <br /> <br /> Please indicate ~y order of preference) which of the lo,owing you are <br /> interested in (1,2,3 etc.): <br /> <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 /> <br />NAME: ~[~ ~ L, -~0~.~ k) <br /> <br /> ~ (Work) <br /> <br />PHONE: (Home~ _ <br /> <br />OCCUPATION:Qtia~ ~~ EMPLOYER: <br /> <br />HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? <br /> <br />STATEMENT OF INTEREST: <br /> <br />Please explain why you would like to serve on the board or commission <br />selected above: t, fl bo(s~ FO k~e com~ i ~o~kw~a~8 ~c~,~ ;~'~ <br /> <br />EDUOATION~ ~ PROFESSION~ EXPERIENOE- <br /> <br /> Describe your educational and professional experience or skills which~.qualify . <br /> you to serve on this board or commission. ~ ~6c~~ ~' ~ti~ ~ _~.,~_ <br /> <br />13065 Orono Parkway · RO. Box 490 · Elk River, ~ 55330 · (6]2) 44]-7420 · Fax: (612) 44]-7425 <br /> <br /> <br />