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<br />~ ~( <br /> <br /> <br />4try of 1\ ' <br /> <br />ElI{' <br /> <br /> <br />APPLICATION FOR APPOINTMENT TO <br />CITY BOARD OR COMMISSION <br /> <br />------.-------.-----.---------------------------.--------------------.-.--------------------------------- <br /> <br />Date: /1 (J3 /'/1 <br /> <br />If interest lies in more than one choice, you may indicate (by order of <br />preference) which commissionlboard 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 />-Y:: Planning Commission <br />_ Utilities Commission <br /> <br />--------------------------------------------------------------------------------------------------------- <br /> <br />NAME: <br /> <br />5~ Lvt-L- S~r , .k) SJ2 ~ J.", <br /> <br />0/ I <br /> <br />. <br /> <br />ADDRESS: /1/ J;). <br /> <br />7-c:/~'1-R <br /> <br />5-1-- jVtJ <br />. <br /> <br />PHONE: (Home) <br />L <br /> <br /> <br />OCCUPATION: fllJ{ ,22,//'"L <br /> <br />.W ork) <br /> <br />EMPLOYER: <br /> <br />o <br />L( <br /> <br />HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? <br /> <br />STATEMENT OF INTEREST: <br /> <br />Please explain why you would like to serve on the board or commission <br />selected above: ~ ~ I t! I _ 1_ <br />U /..-.A c-'-z.-A..4' " IQ 01<-' <br />tt-l"//'';~' t.Jh/V' ~ If- <br /> <br />~~- <br /> <br />EDUCATIONAL.AND PROFESSIONAL EXPERIENCE: <br /> <br />Describe your educational and professional e>..-perience or skills which qualify <br />you to serve on this board or commission. <br /> <br />. <br /> <br />tv~ jr~:~A <br /> <br />13065 OronoParkwav. PO, Box 4QO. Fll-P;,'pr t\iff\.TJ::J::.,OH,.Ir.:,..,\ AAI ""A"" .... <br />