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4.2. SR 02-09-2004
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4.2. SR 02-09-2004
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1/21/2008 8:33:25 AM
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2/23/2004 7:29:40 PM
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SR
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2/9/2004
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River <br /> <br /> 11065 O~ono P~:k'way <br /> Blk iUwt, kin 55330 <br /> APPLICATION FOR APPOINTMENT TO <br /> CITY BOARD OR COMMISSION <br />"-: .......... ."-: ....... i .................. : .... 7-: .......................................................................... <br /> <br /> · m ti,z,3 etc.): <br /> <br />Economic Development Authority <br />Heritage Preservation Commission <br />Housing and Redevelopment Authority <br />Ice Arena Commission <br />Library Board <br />Park and Recreation Commission <br />Planning Commission J. I~:~.,.:,;~ f ? <br />Utilities Commission ~ <br /> <br />A. DDR.ESS: 2~-c'5 6-:, ]---,-?5 c"'.-O, O (_Se*'~-/L~ · Cy-- <br /> <br />OCCU:PATION: ,l~-ccC, d.,.;T", , ~, <br /> <br /> (Wort0 <br />EMPLOY'ER: <br /> <br />-F,/2.7 ~iz~-re c ?--r co <br /> <br />HOW NLANTY YEARS H. AVE YOU L1WED IN ELK R~CER? <br /> <br />ST~TE~.~.ENT OF <br /> <br />Please explain why you would like to s~e (o: continue to serve) On the board or commission selected. <br /> <br />Desc=b= vo=' ed~ca=o=~ ==d p,ofessio~d expede=ce or sl~ ~at, qua~O vo= to se~--e ~ <br /> <br /> .-'-/ / .' <br /> -> L ~' "- - ! / ¢ . <br /> (/ ' ' I ' <br /> <br /> <br />
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