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From: <br />noreplyCd)civicolus.com <br />To: <br />Jolene Richter <br />Subject: <br />Online Form Submittal: Board and Commission Application Form <br />Date: <br />Thursday, June 27, 2024 1:46:14 PM <br />Board and Commission Application Form <br />Residency Information <br />IR,esidel'ICY ReqUIII l-EM-riei"it s <br />�Must Ibe ain Elk 1::iveir resideint for the bklowiing <br />1::.::.::,C01r101rTnl1c 1Devellolpimeirnt Authority <br />I leritage Preservation Coirnirnissbin <br />I lousing and IRedevs.11olr.nirnrenrnt Authority (II i IRIA) <br />1::::1ainining Coirnirnissioin <br />Ufllklfles Coirrurnission <br />�Must Ibe a SheirbUrine C,oUint ireslideirnt for fl'ie f6klowiing: <br />I lt.)irairy 13oard <br />[esidency does inot irnatter for d'ie bklowiirig: <br />1::.3eautificafloin and IPUNllic Art Cornimittee <br />Fogefl-ieir E.::.::]k IRiveir Coirninlittee <br />E.::.::,ineirgy City Cornin-iission <br />J61int F::�iinance Coil'T'ny'flUee <br />1%..flUpuirpose Fab!�Hty Advisory Cornirriission <br />1::::)aiiks and IF ecireation Clornimissbin <br />Select the Commission <br />applying for <br />First Name <br />Last Name <br />Addressl <br />City <br />State <br />Heritage Preservation Commission <br />Doman <br />Bland <br />19541 York St NW <br />Elk River <br />MN <br />Page 111 of 159 <br />