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APPLICATION FOR APPOINTMENT TO CITY <br />ADVISORY BOARD/COMMISSION <br />13065 <)nmo Parkwac <br />763.635.1000 <br />~Ep ~ 9 2008 <br />Thank you for your interest in serving your community! Please indicate in order of preference on <br />which of the following boards and commissions you are interested in serving with 1 indicating your <br />first choice, 2 your second choice, and 3 your third choice. <br />!~ Enexgy City Commission <br />Heritage Preservation Commission <br />Ice Arena Commission <br />_ Parks and Recreation Commission <br />_ Planning Commission <br />Utilities Commission <br />All terms are three years and begin on the first day of March. See the specific board and commission <br />description for additional information. <br />DATA PRACTICES ADVISORY <br />Your name, address, current volunteer position, previous work history, education and training are public data <br />under the Minnesota Data Practices Act. It is available to anyone who requests the information. This data is <br />not legally required but the City will not be able to present the information to the City Council without it. The <br />data is needed to distinguish this application from others and to properly exercise the City Council's right to <br />appoint members to advisory boards and commissions. <br />APPLICANT INFORMATION <br />Name: ~-~ ~~ <br />City of Residence: ~ GcL' <br />Occupation: ~ ~/'~~' ~~ Employer: i1.~1CVs C~~'~t, <br />Work Phone: <br />board/commission for which you are submitting ~ appL+'ca 'on. <br />G~~,. <br />~ ~ <br />Education/Professional Experience: Describe your educational and professional experience or <br />skills that qualify you to serve on this board/co ss <br />c3i <br /> <br />` ~, <br />cf ~. j' <br />ur~Y~-cam c'1~~v~ / ~ +~~~ .tom ~~~..Gc~ _ ~. <br />Statement of Interest: Please state briefly why you are interested. in serving on this <br />