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'07~iLa~4 ~ie•io•02A~LT,~RON{z~NC 1lLICE HEII~ECKE P.1/2 X1001 <br />,~ <br />• ClI}+ OP APPLICAT70N r OR <br />i APYOINTM~,NT TO <br />~~ ~ CITY BOARD OR C02~1ISSION <br />~~~e~- <br />___________ __________ <br />Please indic8te by ardgr vh~,ch o: the follotaa.ng you are <br />interested in {1,2,3 etc.) <br />Economic Development Authority <br />'_ Health Care DQlivery Commission <br />~"' Housing and RedevE31opm8nt Authority <br />~_ Library Board <br />~-~ 3~ Park and Recreation Commission <br />Pld>Znin3 Commission <br />Utilitie3 Commission <br />NAME: ~lCH~~.~ Cf~2G5TO~f{Gt' .r3r tTl~~ <br />ADDRESS : /~~-~- ?,gyp Y ,~i~Fi! ,~1~ 1?1 V~~ M/N~~S~ <br />PHONE: {Home) //(~1a. ' ~ - <br />5~.~, (Work) 61~ <br />OGCUPATZON ~v~H~~t~JG fk~~~ EMPLOYER ~4LT12vN, 1,JG. <br />_..~_ <br />:~iOW MANY YEARS HAVE YOU LIVED IN ELK AIVLR? ~/ ' <br />STATE?~IENT OF INTERES?': <br />Please explain r~hy you would like to serve on the board oz• <br />commission selected above? <br />AS A s ERV i CE ~'o ~ ~ ~ C.oNtMc~~U 17"y ~ ~~~> uP //J, <br />To G q ~,~ ~,,ti?~ r EaJGE ~ ~-~ a.o c,~ ~ G ovE RatJM C ~T' <br />iDUC.ATZ02~AL ANb PRVFr$SZOi~tAL EXP$RZENCE: <br />Describe vour educational and professional experience ar skills <br />~.shich qualify you to serve an thf~ board or commission. <br />-- .. _ M R N ~t GC M~ tJ j LAC A C~ 1 ~NCF. t A3 !mot'{ pf2o~~~SS t o ~ f~ L L 1 r` ~ - <br />• <br />Post•{t'" brand fax transmittal memo 7671 ~- of pspes - a`. <br />~'° j"T - LE From ~/e~" ~/7~lfi <br />~- a <br /> ~1 '/ <br />faz ~ J y, Faz ~i ~7 YS~ <br />