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13065 Orono ?~rk-way
<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 />PHONE: (Home)
<br />
<br />OCCUPATION:
<br />
<br /> (Work)
<br />EMPLOYER: (_=w~e-0~m ~NG~C.5 d'F ~ut~ ~tv~---
<br />
<br />HOW MANY ~S HAVE YOU LIVED IN EI.K RIVER?
<br />
<br />'7
<br />
<br />STATEMENT OF INTEREST:
<br />
<br />Please explain why you would like to serve (or continue to serve) on the board or commission selected
<br />above: 1,' ~..~ c~v~44~e4: 44.. Cc~n~
<br />
<br />EDUCATIONAL A/ND PROFESSIONAL EX2PERIENCE:
<br />
<br />Describe your educational and professional experience or skills that qualify you to serve on this board
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<br />
<br /> ~ho~c: %3.441.7420 ·
<br /> Fax: 763.441.749_5 ~ /4~ '/~/ ~ /~_,Z~. /~ /~/,';r4'c',t- / .ff'~- ,'ff...r'.'¢'C s:\¢lerk\board¢omNforms\application.doe
<br /> w~v. el. elk-dyer.rrm, us
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