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..-fir <br />City Of ,~~! ~~ APPLICATION FOR APPOINTMENT TO <br />j ~', ~ CITY BOARD OR COMMISSION <br />1 Raver <br />____________________________ <br />____________________ <br />Please indicate by order which of the following you are <br />interested in (1,2,3 etc.) <br />Economic Development Authority <br />Health Care Delivery Commission <br />Housing and Redevelopment Authority <br />Library Board <br />Park and Recreation Commission <br />Planning Commission <br />Utilities Commission <br />-------------------------------------- <br />.NAME : _ ~,•-Ct.) ~+ ~,. -~4'I ~ (') r i ~ h .~ / <br />ADDRESS : ~ ~~ ~ ~ ~ ~~i 11(' t;) Y1 `~~ ~ V~ <br />PHONE: (Home) - <br />OCCUPATION ~ii~-~e~~ (~1~Vi ~(~~a EMPLOYER. die ,'~j~V-,y~CS ~~~JV~~~ C <br />• HOW MANY YEARS HAVE YOU LIVED IN ~ELK'IR~ R? <br />STATEMENT OF IATTEREST: <br />Please explain why you would like to serve on the board or <br />commission selected above? <br />i~1~~, GL 11Q~ G•T ~t~'r a'1 ~•~'~ rev, ~~'v~;9~ ~ 1~~~")'tGi.iC l1 1, ~ i • ~ :~ ,.- •- (. ~ • ' <br />11~rr G~~v~ce I~188, ~Ik 1~IVc~~ i~5 <br />~.11~'VI i1'l u-t1 t ~..t 5 41 ~ ~ ~I~ , <br />EDUCP.TIONAL ~1AND <br />,- <br />1' : k <br />~~-4~ ~ <br />C'j~GVViI'~C1 /C~ I)iC} ~ y~ L~.LIG`} ~ U11Ci.L~~~~ ~ I~~. <br />J ,) , <br />C~i-~ ~ y~~-i~~ ~~~ E~ l~ ~'i ~ t_ ~~.~r-~ ~~r~ rm~ c;~.- <br />PROFESSIONAL EXPERIENCE: <br />Describe your educational and professional experience or skills <br />which qualify you to serve on this board or commission. <br />~~) ~L~~1'"~~. 111 ~~°C.~~(.~~r~i'~ y ~Ct~l'~~ -+ Le.~~~.1-C~ ~k'V4,,R~~'~ U..r~G'~- V(..~~Y'IOL~.:. <br />~~J \;~~ r~'I~ i'\ } r=r i,r(.-I'j 1:~~~(_t. ~ ~c, e ~ II-t'it=C, lid F'~<,~~ I'lC~ ~'t~~e ~1~:t~ it,'-, <br />` t ~~ <br />J. <br />P.O. Box 490 • 1306 Orono Park~~ay Elk Ri~Jer, MN »330 (612) 441-7420 • Fax: (612) 441-742 <br />