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<br /> <br />SEP 1 2005 <br /> <br />13065 Orono Parkwav <br />Elk River, 1vfN 55330,1 <br /> <br />APPLICATION FOR APPOINTMENT TO <br />CITY BOARD OR COMMISSION <br /> <br />---------------------------------~~-------------------------------~-~------~~------~~--~-----------------~~-----~~~------~-~---- <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 />X- Library Board <br />Park and Recreation Commission <br />_ Planning Commission <br />Utilities Commission <br /> <br />-----------------~---------~-~--------------------------~-----------------~-----------------~~---------------------------------- <br /> <br />N.!\ME: <br /> <br />]) I:' f\.J lV~ J1j ~J'f' ~ <br /> <br />..t\DDRESS: <br /> <br />PHONE: (Home) <br /> <br /> <br />(Work) <br /> <br /> <br />OCC1J-P_A.TION: <br /> <br />c/~~ <br /> <br />E1v(PLOYER: <br /> <br />/J1 e.K~~/:);.:1 <br />/ ~ q A...tl. . <br />/ <br /> <br />HOW IvLfLN~:- 'lRARS HAVE YOU LI\1ED IN ~K.IU \~i.t? <br /> <br />STj\ TEMENT OF INTEREST: <br /> <br />Please explain why you would like to serve (or continue to serve) on the board or commission selected <br />above: II ~ -- ..z;:; ~. ~ n <br />"-!.I ~ --L..~~ ~ I ~ F~ ~~~.., ~ <br />' f ~ . ~ <br />~~4~~ ~"'..Jh-.~ ~"'~~ J ~ r~:Le.. ~ <br />fIve; j;,~ A; ~ ~1t~f."~~' <br /> <br />EDUCA TION_AL _ANl) PROFESSION_AL EY.-PERlENCE: <br /> <br />Describe your educational and professional experience or skills that qualify you to serve on this board <br />or comrmSSlon. <br />f~ ~ ~ 7'-~,ZJFcp/;;"/e. K-'~~~,jP'.~~~~ <br /> <br />Phone: 763.635-1000 S:clerk/bardcomJ application/ application <br />Fu..~: iG3.635-1090 <br />www.ci.elk-river.mn.us <br />