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<br />'Y! ~.'. APPLICATION FOR APPOINT!\fENT TO
<br />V CITY BO.>\RD OR COMMISSION
<br />:1l{'iiRiver
<br />Date: t:f~'$~ 1'(
<br />
<br />
<br />MIG , , \~~a
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<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 />+-
<br />
<br />Economic Development Authority
<br />Housing and Redevelopment Authority
<br />I ce Arena Commission
<br />Library Board
<br />Park and Recreation Commission
<br />Planning Commission
<br />Utilities Commission
<br />
<br />---------------------------------------------------------------------------------------------------------
<br />
<br />NA.\1E: '!:~ SJt;.){')C
<br />ADDRESS: //&/19 )qt1 'I~ I. n. /J~.
<br />
<br />FJ /c.~ ~. t.H!r' /1'1# fi'"S'33tt>
<br />.
<br />
<br />.
<br />
<br />PHONE: (Home)
<br />OCClJP ATION: !?.tll'~ /'1:J1,rl,
<br />
<br />f\xr ork)
<br />\JJ _____..
<br />
<br />Wt!t'b~r EMPLOYER: C,'1j oJ .Ar'Jo k
<br />
<br />HOW.1v.l4....'t\:"Yx"E.A..RS R4.. VE YOU LIVED IN ELK RIY"ER? ~hNL.
<br />
<br />STATEI\mNT OF INTEREST:
<br />
<br />Please e'xplain why you would like to serve on the board or comrn;c:;sion
<br />selected above: -;: ~ur: I.S~~ ;'",pt;/"'fJ ..h:j1... c:::c.. icrS"e vClI',reb d~ A/l::. sysf..".,s.
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