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Richter, Jolene <br />From: noreply@c'rvitplus.tam <br />5ent: Wednesday, February 23, �4�2 3:(35 PM <br />Ta: Richter, Jaiene <br />5ubjet� DnGne Form 5ubmittal; 6v�rd and Commission Applicatian Form <br />�vard and �arr�rnissian AppliG�tipn Form <br />Residency Infarmaticrn <br />I'Nemk�ers of the Hsritage PreservatiQn, Planraing, �r�d Utilities Carr�missio� m�st be <br />Elk River residen�s. Residency is not � requirem�nt far the Energy �ity, <br />M�altipurpos� F�cility Advisary Commissior� artd Parks and Re�reatinr� Commission. <br />Libra�-y Boarci members must be Sherbume Caunfy residents. <br />5efect the Commission <br />applying for <br />First hlame <br />Las# Name <br />Addressl <br />�f� <br />State <br />Zip <br />Home Phone N�mber <br />Cell Ph�ne Numb�r <br />Email Address <br />Public Contact Informatian <br />Empl�yer <br />C�tcupa#ivn <br />Why are you interested in <br />servir�g �n a city <br />CDR'ilfi11551dC1? <br />Parks and Recrea#iQn Cvmmissic��n <br />Charies <br />Goysr <br />21349 Jopliro St NW <br />Efk River <br />MN <br />55330 <br />Fie1d nc+t eom�al�ted. <br />C�II Phane Num�rer, Email Address <br />Herrnepin Caunty Medic�l Examiner <br />IT 7e�hruical analyst II <br />f moved ta Elk Ri►►er just aver a year aga and I am loaking for <br />ways ta get mors �nvolved w�th the cflmmunity. f r�ally enjoyed <br />parti�ipating in Fali 5oftba(I and errJc�y laca� activities as ways to <br />mee# peopfe and get outside. i wauld liks fo help w�th fhat <br />prpoeSs. <br />1 <br />