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<br />SEP-29-2004(WED) 10:02 <br /> <br />HANSON SPANCRETE MIDWEST <br /> <br />(FAX)7634251277 <br /> <br />P.002/003 <br /> <br /> <br />CllVor <br />EI -- <br />River - <br /> <br />13065 Ortlno Pllt~y <br />I~ 1tl1'ct, MN 55330 <br /> <br />APPLICATION FOR APPOINTMENT TO <br />CITY BOARD OR COMMISSION <br /> <br />------~---- <br /> <br />-..--..- <br /> <br />If mterest lies in %nore than one choice, indicate (by order of preference) wl1ich 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 />Library Board <br />Park and Recreation CommissIon <br />....)!E.. Planning Commission <br />Utilities Commission <br /> <br />----..-.... <br /> <br />NAME: <br /> <br />~JIo<T"\~ T. <br /> <br />~.,..,.........,..-,~ <br /> <br />c..1 ~ ,.J.\J. <br /> <br />ADDRESS: 1~1 ~"""I..l <br /> <br />PHONE: (Home) I _ <br />OCCUPATION: v.P./_~"", <br />. <br /> <br />(Work) _ <br />M....IIV'~ EMPLOYER:~-.I ~~~ v\.o~\ <br /> <br />I-lOW MANY YEARS I-IA VB YOU UVED IN ELI{ RIVER.? <br /> <br />I 0 'q!-<' <br /> <br />~T A TM.MF:NT OF TNTF.Tn='};T: <br /> <br />Please explain why you would like to serve (or continue to serve) on the board or commission sdecred <br /> <br />,~)>ovc::I: feE"" IT I~ l""I'b~~, 1O.eG'.. -TI~I.."'" IN~O~ 1,.1 -ntIi ""I"\"""',.J ITY. <br />~ W\T-I\..........~N~.\.~\I,._\q TO tleL.i" ~I"'PE. ~ ~-"'oE"'\"WOO .::.cM""J...IIT"( <br />_\olE. ~~e:' 10.1.. ~E 1....It>(I:r~IoITI-""(, ':t. w.."s: .,1+.1. 'hliEJ2'>. ,4t.Ib ~vs. 'IC ~ <br />-~ .~-..cF. ~"T'"GO"""",Upol.I.T."1....=~V~ '"T"t'rj!OU.~ ""-TI>lE:. 'fII'11.T\~Po:>.TI~ <br />.~..0IJ6 oF..-:n\1S.. .GO....M.\~\t)I"-1c;.. <br />EDUCATION AT. AND PROFRSSTON AT. EXPERIENCE' <br /> <br />Describe your educational :and professional experiencc Ot skills that qualify you to 3crve on this board <br />.orcommission.:k.J>t<\.... '~eIC... ~~~ cr ~-t\tbrt ~ '<.:;L ~r-IC> I~* <br />. ~~ ~ "'tWE'.. lJN\~\,..,. Of IorlINl'lescTA. :1:- ~E f.,.IC~D I.N <br />"'1't-\'G ':O""I"\~......... ~"'''.::''~~'"\''"I'I;)N . \~1>UI'7t'1l-, fCt!- ~~ 1~~5 <br />~?...~~QOOI.lf' \;\t:i! ~\ ~~ .~ '11tS" ~\ L...,.. 'EU~~~/Jt.;h..donJ.ppU..tI.. <br />F..7G3.GJ~IC90 ~tt:e~T\~ ~ eu.\I",t>ltJ~. <br />www.d.clk-orlvcr.mn.u.a <br />