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<br />({ v d.. () (IOIO(P <br /> <br /> <br />1 ~065 Orr,no Parmy <br />Elk Ril'ct. 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/bow you <br />ate interested in (1,2.3 etc.); <br /> <br />------------------..-----..-------------..--......-------------..---....-----.----..- <br /> <br />- <br />~ <br /> <br />Economic Development Authority <br />Energy City Commission <br />Heritage Preservation Commission <br />Housing and Redevelopment Authority <br />Ice Arena Commission <br />Ubrary Board <br />Park and Recl"'el.tion Commission <br />Planning Commission <br />Utilities Commission <br /> <br />.--------------------------..-----....-----------..------------------------.------------..- <br /> <br />NAME: I J~l~ L~j,,..; <br />- <br /> <br />ClIT OF RESIDENCE: .tJ)t,e?9rJ <br />OCCUmlON, g..,L6-kJ. J~-I-EMPWYER: ~/J...,~^ I?.lrl....j {L'fJ <br />WORK PHONE: 7{,J -6'.JJ -5''10;7' <br /> <br />STATEMRNT OF INTP.REST: <br /> <br />Please apIai1l w)lY}I= would like \" serve (or contin"f to ,-l 9" the boozd or commlssion .eIected I <br />above: :J:' J /Jke. 10 ~:t MQ,,*!" in vol"e.d i. /Aa.ve &in J"f~ 9V't. ~ jJr~5e"..fla. 7112", <br />anf'7/"' .;l-...t. Ivlv~ clevd(}fr",~+ of fk crfy:c jre.ill a..p fJl'I,J [f\Advtti-td <br />il'l. Elk /llvt!.r b ~b.M"C Ilt v-e-s.-kd J" I-~:J- 1"" f-l-t-f. 6/J1nWlI.I>1. i- y <br /> <br />EDUCATIONAL AND PROFESSIONAL EXPRR1F.NCE: <br /> <br />Describe YOut educational and. professional experience or skills that qualify you to s~e on this bop:! <br />orc:ommission. :r: ti ~ ~ j"u I ru.1+t1f'. ;J: e"'Jo Y r:Ju./1n7 WI+~ {4 J <br />J.-i.1' """:! "f /'''' p-J.,Y -b lj' /' /'N,., 'Z 411 /J"$$., k v seS _ r 1. """" el lUG' <br />VJj.//Jt, of t.1P~ fJtJ.~J, shoulJ I()t?~ 'k~ J.l.J'~"" dflt. &t>#yf~k,/~. <br />Pb01lCl763.635-10oo 1 -7 <br />Fax: '163.635-1090 <br />www.ci...lk-rlveunn.l.lS <br /> <br />9lZ-~ 'OO/IOO'd 911-1 <br /> <br />,SZ6-I,Z-S9l+ <br /> <br />NOISIA ~!MNV9 "3Ma'O~~ nvzl:11 900Z-01-93~ <br />