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6.4. SR 1-08-1996
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6.4. SR 1-08-1996
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1/21/2008 8:31:48 AM
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SR
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1/8/1996
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City APPLICATION FOR APPOINTMENT TO <br />"~ ~, ' · CITY BOARD OR COMMISSION <br /> <br />Please indicate by order which of the following you are <br />interested in (1,2,3 etc.) <br /> <br />O) x <br /> <br />Economic Development Authority <br />Health Care Delivery Commission <br />Housing and Redevelopment Authority <br />Library Board <br />Park and Recreation Commission <br />Planning Co~mission <br />Utilities Commission <br /> <br />ADDRESS: ~"/~ a ~ ~ ~7~ <br />PHONE: (Home). (Work) <br /> <br />OCCU~PA~TI,.ON~o~ ~-'m~,~.z~'m,~.. EMPLOYER~z~ ~7~/ <br />HOW F~NY YEARS HAVE YOU LIVED IN ELK RIVER? <br /> <br />STATEMENT OF INTEREST: <br /> <br />Please explain why you would like to serve on the board or <br />commission selected above? <br /> <br />EDUCATIONAL AND PROFESSIONAL EXPERIENCE: ~ - <br /> <br /> Describe your educational and professional experience or skills <br /> which qualify you to serve on this board or commission <br /> <br />nox 490 13065 Orono Parkway · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 <br /> <br /> <br />
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