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City of <br /> <br />APPLICATION FOR APPOINTMENT TO <br />CITY BOARD OR COMMISSION <br /> <br /> ver <br /> Date: .~D/[~V F~ <br />If interest lies in more than one choice, you may indicate (by order o£ <br />prefereuce) which commiss/on/boarcl you are interested in (1,2,3 etc.): <br /> <br /> Economic Development Authority <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 />~DD~SS: ~3~ ,~'~ .5'~/7/,0 <br /> <br />PHONE: (Home)' <br /> <br />(Work) <br /> <br />OCCUPATION: ff',cST ~$[~_~_ EMPLOYER: <br /> <br />How ~ ~A~s ~vs Yo~ L~D n~ Sr~ ~~? <br /> <br />STATEMENT OF INTEREST; <br /> <br />Please ex'plain why you would like to serve on the board or commission <br />selected above: <br /> <br />EDUCATIONAL AND PROFESSIONAL EXPERIENCE: <br /> <br />Describe your educational and professional experience or s].-411_¢ which quslffy <br />you to serve on this board or commission. <br /> <br />13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 44T-7425 <br /> <br /> <br />