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'- ~ .R/ <br />\~ <br />( / <br />City Of ,~~` APPLICATION FOR APPOINTMENT TO <br />'~~Ik, ~ CITY BOARD OR COMMISSION <br />]~.~ve~r <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 : ~1.~~ ~~ -~-~1 i~') t" I,1-~,~ / ii . <br />ADDRESS: (~~~ y~ ~~ii1('t'3~11 ~7 niy~ <br />PHONE: (Home)' ~ _ _ <br />(Work <br />OCCUPATION r~~- { ;1 i ~~r EMPLOYER <br />e - ~ ~ ~ ,v `'ri~_ ~~M ~`k ~ <br />V-1eVt~~r <br />.HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? <br />.STATEMENT OF INTEREST: <br />Please explain why you would like to serve on .the board or <br />commission selected above? <br />S C~~~~t ~ ~~.~~~ ~-i~~.<f:~~tt ~'~~ ~~~~ ~ive~- y C~1~) tGi~cjh ti i ty ,~,~;-~i~:~ ~~iciv~ ~~vecf <br />~~~+'~ c~ll~c~ i~i~~, ~(k I~iv~:v 15 C~r~w~ti~ /c:al~~c(~y` ~( <br />CZv~C ~ vua.~l~ i ik~' <br /> ti~ <br />_ i <br />~.L'~~~t11 ~i'i+t ~ <br />1.~S <br />6'1~~C~j, ~L~4'k5 <br />~~~. C'X~-VE' 11'lE l ` <br />~ I l~'l~?J+'~(zt1'`" 7~ar C?~- <br />EDUCP.TIONAL AND PROFESSIONAL EXPERIENCE • ~vl :~ti`~~ r,:~ha t~j <br /> , <br />Describe your <br />whi <br />h educational and professional experience or skills <br />c <br />qualify you to serve on this board o r commission. <br />i ~~~~"~2 i1'1 I~('.1-~C~Tivb~, I;Cc;I'ks -~+- ~C.i`~t_U-C' ~CV~,RL~S, (U_i;G-~ \~(:a_Y~101,~.~,. <br />~ ~ (' <br />~)~-~ 1;~~1.~11-'1 ~.r('i,l'Ci~if,~`t~t~ -(-('~C.i~l-~tE'C. 1~~~'~~~E I'1C~ ~i1~ it~^~It~~ <br /> <br />P.O. Boa 490 • 1306 Orono Parkway • Elk Ri~~er, MN »330 • (612) 441-7420 • Fax: (612) 441-742 <br />J <br />