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'a7~iLa~4 •ie:io~OZA~!_T~RON{z~NC <br />.~I.ICE H£IAIECKE <br />P.li2 <br />t~ooi <br />~~~~j~~ <br />• City Of r APPLICATION FOR APYOINTMiNT TO <br />~ CITY BOARD OR C02'~MISSION <br />~~~er <br />Please indicate by order which o: the following you nra <br />interested in (1,2,3 etc.) <br />Economic Development Authority <br />~_„ Heaith Care DQlivery Commission <br />,_; ,.„ Housing and Redeva2opruent Authority <br />_~ Library Board <br />--~...,~.,_ Par3c and Recreation Commission <br />Planning Commission <br />Utilities Cotntnission <br />NAME: ~rCN~~~ Cl~~ecSTOP~{~r`Z, .t 1TJy~/ <br />ADDRESS : /f,~ 7,~0 ~ f" -~! l.~ r VEr2 Miu,~~Sv;~ <br />PHONE: (Home) ~1~,1'' ~ - - (Work) 6/~z~ _ <br />• OCCUP~iTION ~~~2CH~~11JG /~~~,~TT' EMPLOYER ,4r`Ti~yn3, /iJ~, <br />:IOW MANY YEARS H?~VE YOU LIVED IN ELK RIVER? ~~ <br />STATE2~IENT OF INTERES?~: <br />'-'lease exp3ain c~hy you would like to serve on the board az <br />commission selectzd above? <br />A.S A SCRVEC~ ?'o T~le/ Con4MCJrl1t"j c/ -~ ~~y~) UP !N. <br />7••O G/{l~ ~C,~F~IE,t]GE i•1.1 I,LC.f4L. GOVrrRdJµ[{1~' <br />EDUC.~TZOI~AL ANb PRt?FrSSZOi~TAL EXPERIENCE: <br />Describe your educational ant! professional experience or skills <br />Which qualify you to serve on this board or commission. <br />._._ _ MRNttG-CM~Nj LkACI~?1~+VG~. lD3 ~-~i'{ pf~C.o~~~SSio~RL, L1r`~. <br />• <br />Post•!t'" brand tax transmittal memo 7671 ~ of pages ~ a~_ <br />~ M - L~ From ~,/~'~' t-3~TrUf <br />~• A <br /> <br />13apt. ~1 <br />Phoes A'7' - d~3 0917 <br />FaY ~ 'J~ Fas f! ~i~7 !~~ <br />