Laserfiche WebLink
<br />,.(/ -~( <br />( II <br />fi!,YI~ , <br />n I\. River <br /> <br />tiEe D 3 1993 <br /> <br /> <br />APPLICATION FOR APPOINTMENT TO <br />CITY BOARD OR COMMISSION <br /> <br />--------~----------~------------------------------~------------ <br /> <br />Please indicate by order which of the following you are <br />interested in (1,2,3 etc.) <br /> <br />Economic Development Authority <br />,., Health Care Delivery Commission <br />Housing and Redevelopment Authority <br />Library Board <br />Park and Recreation Commission <br />Planning Commission <br />Utilities Commission <br /> <br />-------------------------------------------------------------- <br /> <br />NAME: :UK .c. .. ...._L:,':1J <br /> <br />ADDRESS 5. 6tl1 .f:::~'~2. =LIC <br />: -.' <br /> <br /> <br />PHONE: (Home)____~~ <br />OCCUPATION C'T:E:_ <br /> <br />(Work) <br />----,---,~"._---~._-- - ------- <br /> <br />~~,I.\r~!::.'~-::_ OIL <br /> <br />EMPLOYER :~'L}C 21\132:; <br /> <br />.......,.-,- <br />Li l '. <br /> <br />CO h:F ~;.~'~y <br /> <br />e <br /> <br />HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? h6 <br /> <br />STATEMENT OF INTEREST: <br /> <br />Please explain why you would like to serve on the board or <br />commission selected above? <br /> <br />I am a member of the ?lk rivEr ~ire an ~mbulance Service <br />an; I v:ouL 1il{:2 to ItesD informs:: of an:v concel.~ns '/Ti th thE: <br />transportation of people by our ambulance. <br /> <br />EDUCATIONAL AND PROFESSIONAL EXPERIENCE: <br /> <br />Describe your educational and professional experience or skills <br />which qualify you to serve on this board or commission. <br />.T_~lk D._l'~_TC, r~' - + t 17 <br />-~ ,- -- _~~J_re 1_~eparvm2n' m8moe~' ys~r~ <br />Flk Fiver Ambulance 16 years <br /> <br />e <br /> <br />P.O. Box 490 · 13065 Orono Parkway · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 <br />