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07-13-95 02:03PM FROM SILENT kNIGHT TO 94417425 P001/002 <br />07/iS/96 10:17 'Q441T426 <br />[post-It"" brand fax transmittal memo 767'1 <br />~ oo~ <br />n.ot. vnena r Q .~ 6 Z <br />{ Fu ~ ~t41 -- `7'~'.. ~ F.= w `t< X13 E'1 7 6 <br />City of ,~ APPLICATION FOR ItPPDIN'L't~ENT TO <br />s CITY BOARD OA CQI~+tISSI0D1 <br />~ ~~~~ <br />Please indicate by order which of the following you ara <br />interested in (1,2,3 etc.) <br />Economic Dsveiopmmnt ~,utho=icy <br />Health Care Delivery Coatmissioa <br />Housing and Rodavol©prnQnt I~utho=ity <br />Library Bor~td <br />Park and Recreation Commission <br />_ Planning Commission <br />Utilities Commissf.an <br />- ------------------------------------------------ <br />NAME : _ ~Ti ~~ ~G~ d ~ i U KS ~ vt <br />:ADDRESS :- _ ~~ / 19 /~ 7~' ~/~ /~ ~ <br />PHONE: (r~vms) _~ _ (Work) !- -- - _ _ <br />dCCUPATIQN ~ . ~ 1 EMPLOYER S~ ~c~-~' ~ - ~~ <br />HUW MANY YEARS HAVE YOU LIVED IN f:LK H1V~lt? <br />STAT]s:MRNT pF :CNT~RE9'1': <br />Please explain why ~,rou would Like to serve on th® board ar <br />camrnission ael.ectad sbo~g~ <br />1 O 4SS~ S~ / n 7-~n.. de/e.JD~)~~-.e..~ D~ !i'eG ru~~tj -~eaL. ~~T~~~~ <br />EDUCATIONAL AND PR4FE55SaNAL EXPERIENCE: <br />Descxibe your educational and profQSSional experie~tce o= skills <br />which quali// fy youJ! to serve on this board ar comm/ission. / I / <br />` , ~ pb f ~ /G !~x-~ Q q re.r ~ e~•~ / O~ CA/., '-~i~~ Gv r r-~ T'~+ e~ <br />Pct ~~i~ Qn~ it.~aivc.s r./or~c:~,q c.J ~-~-1. p7-~crg •~~°e~ c~a..,~ ir+~-1f~~ <br />~tcz ~+, 5 '7F'O r.v (~.G P~a~l.-.~s .~ e...Jo~ w~,rfCi n~ ~.,~ ~ T`(~ <br />1 ! /J 1 <br />O ~~ df S Gj. n ~ ~~T-.~ ~h r •t~s Ci©h G, <br />P.O. Box 49Q • 1365 Orono Parkway • Elk Fiver, I~lN 55330 • (612) 441-7420 • Fax.: {b12) 441-7425 <br />