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<br />r-CLtt i (~/ (.Iff; <br /> <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 />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 />~1"t'fH~N ~O I(/.,( <br /> <br />CITY OF RESIDENCE: Gt.-k {2.J VeIL <br />gut"'/AJ I> l tII~P <br />tJt11l!.l c> ,'e .. EMPLOYER: <br /> <br />WORK PHONE: {7(,"I;)'" z..1,-/ - 31/{;" <br /> <br />NAME: <br /> <br />OCCUPATION: <br /> <br />c: J,e- /l-I V ~ /t- r OfLD <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 />. .. <br />above: LN "~t-IJ L./~ ~ T G 5~c H'c ~'fJ1'1 ~c,-pve I~ f/lVl44 n/VC t:./Yrr <br />~f1vT'" P,A{., ,*""t77l6~ <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. f>JIl7 r c t r'( or ~~ Ill-vel'- ~~FF '-JA ~ W fo /-1 f' C <br /> <br />c., II,,, wltlL t5/Vr64C;f.r(I/l~r <br />K &t.Ly ~ It", M f) ()(,"'J/r..-'/E'F.IC <br /> <br />Phone: 763.635-1000 <br />Fax: 763.635-1090 <br />www.ci.elk-river.mn.us <br />