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<br /> <br />13065 Orono Par1.-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 />ADDRESS: <br /> <br />PHONE: (Home) <br /> <br /> <br />OCCUPATION: ('/)I1/S~~1- EMPLOYER: ~J~- ~~~~d' <br /> <br /> <br />HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? ;) 7 t~ <br /> <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: /-!~ ::5~~. -cl- P.~7 c--;-~ /k:PlJ'(~b'1 LP~(~ <br /> <br />SIIu..c... /bs ;JL~l?:Yt. $..~/, Cd11t.5~'It., )..$ ~ ~ <br />cf- ~-b($.€-. I / <br />EDUCATIONAL AND PROFESSIONAL EXPERIENCE: <br /> <br />Describe your educational and professional experience or skills that qualify you to serve on this board <br />or comrmSSlOn. "'l -""'I t..?' _ '- ..... ~ <br />~,.... / trJ ~~rc:..KU- I k ~! 4:?h.s . "/7:>k <br /> <br />Phone: 763.635-1000 C-lUltl.t:sbe, '>'"' J>)~~..:51<..s ttae/~~.fl.cJ.' ~ ~, <br />Fa-x: 763.635-1090 f'7 /' 7m/a] <br />www.ci.elk-river.mn.us <br />