Laserfiche WebLink
<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 /> <br />,,// <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 />~ <br />/ )/vP."1..;S <br /> <br />/I (;UA '- <br />/.o"t/ ../,p'.J"". '~?:../_ r/~ -:') n <br />/ IV /I ~ - ./V. I" _ t::..-..c.", <t:i v' [: '\.....- <br /> <br />ADDRESS: /J / Y? <br /> <br />- <br /> <br />PHONE: (HomE.. <br /> <br />OCCUPATION ~M7-1 C"'P~Vl /liS/I.- <br />I <br />HOW MANY YEARS HAVE YOU LIVED IN <br /> <br />{Work) <br /> <br />EMPLOYER A//2ti ~E~4 <br />~ I <br />ELK RIVER? -r/~ 0 <br /> <br />STATEMENT OF INTEREST: <br /> <br />Please explain why you would like to serve on the board or <br />commission selected above? . i <br />Ct!>?7cc-c.vr./;J ~..u //,f ~4-.(/fc:C/2~Q-to,;J AL'S./.:>.J ~i....!. k~/! &m~aM 'f <br />K'z./. &/! &'141 C1,,(5 JY.,"1E-. J /4-"1:, ~A.Ec. {"h'Q///e OJ a~ /b~.k~ ~k~- <br /> <br />UAJ 70 g~. fo'-+ c:/ ~l.ic~, ,<../c>;'" to~-I ol-f"h€.-" /lJc}h-It--- <br /> <br />~. ;;, c ~'. ...P~_ .L .41-4-.- st, f <br />Ceo,:>1 €/4.c~~'/ ~ IlZ:-C/S/e>.;J /lJer I.~-o- <br /> <br />EDUCATIONAL AND PROFESSIONAL EXPERIENCE: <br /> <br />"~ <br />... <br /> <br />Describe your educational and professional experience or skills <br />which qualify you to serve on this board or commission. <br />{'&>?II/h.4J? ~ ~U.~ f~ {;/~. <br /> <br />.- t7" a /~ <;;<j'E....m. ~ ,:......If./ A' r. f'~n' 7.. .4~,,-../"c?c y< 7--:/kL'#'-' <br /> <br />I. .&-1'E~ t::.? h"J .S-rS".r~,...J' (. _<?~~~~ ~// 7 J <br />. .:J . ;t~I'..' /lc'J ml."7lA6 t /""":' /,//l.G ~ A ~ /11'6-- of 4.. r- a'~, <br /> <br />.5.. k:,,- /.Ad1~'/ . _' . ~ <br />!/ ("" - -I t-I-t'J ~'" "'/r.~C'~ c:~:,I,t /../. -. R ~ /-Ira Ce!o ~/.;;. h' .- <br />...... J,a. / 7~'" ~ , C n ;z _ /C6CD,,/f;/Z-';l <br />Src-,-r Glp E:y.Pf: '1/0; .....,c.c. ..<v,IL ,.i..K.- rc/"'...._ ~~C" V <br />'/~ . / (. <br />C. OP'c./ZC!,1,c.:./~ ~ /77~. c..~r"'t/c,lo../e c_ -- / ' i:. c t ~. ;S <br />. Z /~~il:"1: tY- ';:;t::> q.;1C'-.s ~..., I/h- A./12.G 5 N :;1', ;/ -'l/S 'O?oue<-...'1/' -"~;P~,'tV/S{.I"- <".- ":.f~~- . <br />P.O. Box 490 · 13065 Oro'no Parkv/ay · Elk River, MN 55330 · (612) 441-7420'. Fax: (612) 441-742::> <br />