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<br />PHONE: (Horne) <br />OCCUPATION rf~~ ~EMPLOYER <br />, <br /> <br />u.s tP~#~ <br />Or <br /> <br /> <br /> <br />APPLICATION FOR APPOINTMENT TO <br />CITY BOARD OR COMMISSION <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: <br /> <br />1 11 !? R \/ <br />v, !.- <br />3'/] rtiw~ <br /> <br />rr <br /> <br />. <br /> <br />.T 0 III <br /> <br />ADDRESS: <br /> <br />J?~ <br /> <br />e <br /> <br />HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? <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 />kM va,;C~~,t)~ <br />~ rf~~~~-rrLf_ <br /> <br />- <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 /> <br />'00c1~ dd:r~rf~~~ <br />~p----J( ~ v ..-J 1LA- ef? .i::r ~ ~ <br />rrI~ ~;tLvr~;b ~~ <br />· {f~ --J;i;;~.:ae ~ ~ ~,. <br /> <br />P.O. Box 490 · 13065 Orono Parkway · Elk River, MN 55330 · (612) 441-7420 . Fax: (612) 441-7425 <br />