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<br /> <br />13065 Orono Parkway <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 />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 />Hv- Y\ Cl Lt <br />, '-- <br /> <br /> <br />f\ <br /> <br />H "A'\ d V' d:,. k J; 6 \/\ <br /> <br />ADDRESS: <br /> <br />PHONE: ~om~ ~or~ <br />COflsvl-t-at\ t R'6-11'lIttG <br />OCCUPATION: I-oco-I G-oue-V'ttl't\~\II'f. -t''EMPLOYER: <br /> <br />(~eVlterPoiVlI enev-f <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 (or continue to serve) on the board or commission selected <br />above: T b au -e a s.-fy,iY 14 f i t'lfe\~<:t s I' i i1t I\'evf~ 0 l1 d .c n.er{i <br /> <br />Pi- c h \'\:0 11' ~. eS <br /> <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 commission. 17 5 .De8'\".e~ ; ~ Jtc c- OUVi-t,' I/l f +- 3.;2. --r yeJ rs ; VI the. <br /> <br />Phone: 763.635-1000 f \1 ev t ~ ') V1 J II 5 'i V Y <br />Fa.,<: 763.635-1090 <br />www.ci.elk-river.mn.us <br /> <br />S:c1erk/bardcom/ application/ application <br />