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13065 Orono Park'~vay
<br />Elk River, MN 55330
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<br />APPLICATION FOR APPOINTMENT TO
<br />CITY BOARD OR COMMISSION
<br />
<br />If interest lies in more than one choice, indicate (by order of preference) which commission/board you
<br />are interested in (1,2,3 etc.):
<br />
<br />1
<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
<br />Utilities Commission
<br />
<br />NAME:
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<br />PHONE: (Home) ~_B '-2 5t { - 9 D--5--Z.),, (Work)
<br />OCCUPATION: R e. 4-! ~--c~ 4 EMPLOYER:
<br />
<br />HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER?
<br />
<br />STATEMENT OF INTEREST:
<br />
<br />-!
<br />
<br /> ..B .,/'r 3
<br /> /
<br />
<br />Please explain why you would like to serve (or continue to serve) on the board or commission selected
<br />EDUCATIONAL AND PROFESSIONAL EXPERIENCE:
<br />
<br />Describe your_ educational and professional experience or skills that qualify y9u. to serve on:this board
<br />or commiSsion.. ~ . ,D r' i co' ~ ~ { ~ ~W e ¥'-1 ~c oO ,
<br /> r~;-, ~ e....o ff.,-,..,,,-/'~ ~l.o. ~ ,~. e--,,,-~i :,,,~,,.,,-, ~ ~._,_ z~ ,.t~, ,., ~,,'--,. ,v,,,, z ~.' ,.., ..., ~ .% e ~.,,,e ~"1- ---)-~,e_.
<br /> Phone: 763.635-1000 \ /vi ~ ~'i ,'t ~ o C c.~C{ \ 'S:clerk/bardcom/application/application
<br /> Fax: 763.635-1090
<br /> w~vw. ci. elk- river, rrm. us
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