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<br /> <br />AUG 1 0 2005' <br /> <br />13065 Orono Parl."Way <br />Elk River, Iv.[N 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 />-A- <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 /> <br /> <br />ADDRESS: <br /> <br />PHONE: (Home) <br />OCCUPATION: ~ <br /> <br />EMPLOYER: ~N:;gl~~W~'-( <br />cp 'AY1::~ ON~Y l <br /> <br />HOW :MANY YEARS HA VB YOU LIVED IN ELK RIVER? <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: <br /> <br />EDUCATIONAL AND PROFESSIONAL EXPERIENCE: <br /> <br />Describe 'yo.lit educational and professional experience or skills that S~~u to serve on this board <br />or comnnsslOn. ~~Of ~~re IY'\G:,WIT{~ ~ ~ce... 1~t1 <br /> <br />~ l~ O~\Z-ATtOl\j4,-,--~~~p <br />Phone: 763.635-1000 S:clerk/bardcom/ application/application <br />Fa,{: 763.635-1090 <br />www.ci.elk-river.mn.us <br />