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13065 Orono Parkway <br />Elk River, MN 55330 <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 />PHONE: (Home) (Work) ~ <br />OCCUPATION: ~'-]'(~.~'t_~&3 /~/e G~L EMPLOYER: :~c~/? O q~'7,t ~/-z(6 4 ~-'~ <br /> ../ <br />HOW MANY YEARS HAVE YOU LIVED IN ELK KIVER? / L//..~]-68.,( q <br />STATEMENT OF INTEREST: <br /> <br />Please explain why you would like to serve on the board or commission selected above: <br /> <br />:)~'CA~io:AL AND PROFESSiONAL EXPERiENCE: ~; ~ ~'t ~fl--~: <br /> <br />Describe your educational and professional experience or skills that qualify you to serve on this board <br /> <br />or commission. <br /> <br />Fax: 763,441.7425 <br /> <br />s:\clerk\boardcom\application, doc <br /> <br />w~,.ci.elk-river.mn.us <br /> <br /> <br />