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<br /> <br />13065 Oraco Parmy <br />Elk River, MN 55330 <br /> <br />SfP 1 7 2004 <br /> <br />APPLICATION FOR APPOINTMENT TO <br />CITY BOARD OR COMMISSION <br /> <br />------------------------------------------------------------------------------------------------------------------------------- <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 />Economic Development Authority <br />Heritage Preservation Commission <br />Housing and Redevelopment Authority <br />Ice Arena Commission <br />Li brary Board <br />Park and Recreation Commission <br />i- Planning Commission <br />Utilities Commission <br /> <br />-------------------------------------------------------------------------------------------------------------------------------- <br /> <br />NAME: ilihn D" m iSmllSh <br />ADDRESS: ~Ie.s sf:; <br /> <br />PHONE: (Home)_ <br />OCCUPATION: me m fL() t"e...- <br /> <br />_ (Work)_ <br />EMPLOYER: <br /> <br /> <br />ora..tron <br /> <br />HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? <br /> <br />2i <br /> <br />STATEMENT OF INTEREST: <br /> <br />Please e~ain why you would like to serve (or continue to serve) on the board or commission selected <br />above: J-- W 0 llt d I \ K'-.e to be.. 0- [)(Lrt 0 f +he- d eCI S I on <br />N\OvKirl3 ef +re- fLlture Of Ell<- R-lv6r <br /> <br />EDUCATIONAL AND PROFESSIONAL EXPERIENCE: <br /> <br />~e~:~~i~n~1atihal~~eOfnDn8~CI~\seda~~;:,fIOnOer p;;a1eS8/6noJ <br />rXDerlwce/ howeveG I. flm CL l~n~+:IY)'1e reslden+ <br />MQ.~S~lQONe CLrl excel[ f- Ij\J ors, Ib -bc"'n/a an +h 1 n.t-- <br />=7~3:~;:~nJ \J\\DLAJdQreo.-+1'1rxnefl . ~ co~n (+-y <br />onttle plM1n!~ COYYIVYlI'SSlOn <br />