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13065 Orono ParMvay <br />Elk River, MN 55330 <br /> <br />APPLICATION FOR APPOINTMENT TO <br />CITY BOARD OR COMMISSION <br /> <br />If interest lies in more than one choice, in&cate (by order of preference) which commission/board you <br />are interested in (1,2,3 etc.): <br /> <br />Economic Development Auchority <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 />ADDRESS: I0"-II <br /> <br />PHONE: (Home) <br /> <br />OCCUPATION: <br /> <br /> ~"~-(-~/Tz-'~ ,72//Z~'(7-~ EMPLOYER: <br /> <br />HOW MANY YEARS HAVE YOU LIVED IN ELI< RIVER? ,/--R ~/2_ <br /> <br />STATEMENT OF INTEREST: <br /> <br />Please explain why you would like to serve (or continue tO serve) on the board or commission se. lecte,d <br /> <br />? U (O~/~/~ 7// / - . . I/ ~ '/I . Y. <br /> <br /> EDUCATIONAL AND PROFESSIONAL EXPERIENCE: ' <br /> <br />Describe your educational and professional experience or sldlls that qualify y. ou to serve on this board <br />or corm~ssion. ~ bay? 9,r~,'~/ o¢ ~z~, RI5'. c~/X~: 5~r7,¢~,-,/~ ~'-,/,/? /,v~;~,',',d/'~' ,?~ <br /> <br /> Phone:763.635-1000 . _ .~ _Z' 'fl~/~"'~O/C ~Z/ff~ ~ S:clerk/baracom/appdcation/appfication <br /> <br /> <br />