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<br /> <br />13065 Orono Parl.."Way <br />Elk River, MN 55330 <br /> <br />APPLICATION FOR APPOINTMENT TO <br />CITY BOARD OR COMMISSION <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 />x <br /> <br />Economic Development Authority <br />Energy City Commission <br />Heritage Preservation Commission <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 />NAME: <br /> <br /> <br />J.,q 11 0 II <br /> <br />ADDRESS: <br /> <br />PHONE: (Home) <br /> <br />OCCUPATION:-rlC? /l6i r:::J A.-f EMPLOYER: VCr ste Ji}(/Yl Oe~~ iYJl'.-7 f /[/lf~i;.v{ <br />, / / I <br />HOW MANY YEARS HAVE YOU ~ IN ELK RIVER? I () Y Ii S <br />lNi/r k.ed. <br /> <br />STATEMENT OF INTEREST: <br /> <br />Please explain why you would like to serve (or continue to serve) on the board or commission selected <br />above: -10 f2/rOVVlo1;. 1A.e uu of ~j). -i/;t'[/~d evvJ NVl-eVJC(b~ ~-4jy <br />1-t> t~ (1 ~ r~ 9 i--f.5. f:.> We> r Ie. €A..): f-hct.. COI11/Y} ~ n.':<.:ry wh ~ cl, pi o.1'V10 {'(oS JOO; "t...J <br />fo..1.1 ~ I P W \' f h. 1-1 (',j Ct h ~ f I-{ /?U L .J -e c.. fa/' S W ~ ;" k,';7- {a:;-e fhu. ~ <br /> <br />EDUCATIONAL AND PROFESSIONAL EXPERIENCE: <br /> <br />Describe .yo.ut educational and professional experience o~ skills that qualify you to serve on this board , <br />or comnnSSlOn. S'":iL 71 Or VI. C1 F ~ v J..{ ..Lee , Y1,X J( Ct..., ; f; / J ~ 0-0 s 6- e Y1.;:-'l J. t> 't <br /> <br />f I Cl ~ t (!) I~ cd--,' 0 n .5 <br />Phone: 763.635-1000 S:c1erk/bardcom/ application/ application <br />Fa.x: 763.635-1090 <br />www.ci.elk-river.nm.us <br />