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River <br /> <br />13065 Orono Parkway <br />Elk River, 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/board you <br />are interested in (1,2,3 etc.): <br /> <br />Economic Development Authority <br />Heritage Preservation Commission <br />Housing and Redevelopment Authority <br />Ice Arena Commission <br />Library Board <br />Park and Recreation Commission <br />Planning Commission <br />Utilities Commission <br /> <br />NAME: <br /> <br />ADDRESS: <br /> <br />PHONE: (Home), (Work) <br /> {,do <br />HOW MA~ YEARS HAVE YOU LIVED IN ELK ~VER? <br /> <br />STATEMENT OF INTEREST: <br /> <br />Please explain why you would like to serve on the board or commission selected above: <br /> <br />~ ~ ~,, ~.~ ~,.~~,-.-.-- ~, t.~,~ ~4p~x'4~.... <br /> <br />EDUCATIONAL AND PROFESSIONAL EXPERIENCE: <br /> <br />Describe your educational and professional experience or skills that qualify' you to serve on this board <br />or commission. ~..~ ~/t.~ .,,¢~t2~~--.~ ~ 5:~d~'~/~ ~ C~x.~ <br /> <br /> Phone: 763.441.7420 s:kclerkNboardcomkapplication.doe <br /> <br />Fax: 763.441.7425 <br /> <br />www.ci.elk-river.mn.us <br /> <br /> <br />