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4. SR 12-04-1995ITEM 4. MEMORANDUM I y of � TO: Mayor and City Council 1kVIRiverFROM: • Sandra Thackeray, City Clerk DATE: December 4, 1995 SUBJECT: Commission Interviews INTRODUCTION The following commission members' terms will expire on December 31, 1995: X PLANNING COMMISSION • Louise Kuester • Chris Kreger X PARK AND RECREATION COMMISSION* • Dana Anderson X UTILITIES COMMISSION • • Jim Tralle APPLICANTS PLANNING COMMISSION: UTILITIES COMMISSION: PARK AND RECREATION: Louise Kuester Jon Anderson Steve Foster Jim Tralle Steve Foster *Jim Hamann Dana Anderson * *Jeff Hendrickson ** *Rick Bitney *Jim Hamann is unable to make his scheduled interview due to Is circumstances that could not be avoided. He indicated that he was very interested in the appointment and would be willing to reschedule. I 13065 Orono Parkway • P.O. Box 490 • Elk River, MN 55330 • (612) 441 -7420 • Fax: (612) 441 -7425 indicated that the Council would review his application, but that it would be • left to the Council as to whether they desired to reschedule the interview. * *Jeff Hendrickson applied for the P &R Commission in August and was interviewed by the Council at that time. Therefore, I did not set up another interview with Mr. Hendrickson, but have included his application for Council review. ** *Rick Bitney applied for the P &R Commission in August and was interviewed by the Council at that time. Therefore, I did not set up another interview with Mr. Bitney, but have included his application for Council review. The other applicants that applied for the Park and Recreation Commission in August indicated they were not interested in being considered for the appointment at this time. • ACTION REQUESTED: Following the interviews, appointments to the commissions can be made. The actual appointments is scheduled under administration on the council agenda. s:\counciI:\intervie.doc • City of 1 `' River APPLICA:'ION FOR APPOINTMENT TO *Elk l CITY BOARD OR COMMISSION ----- ----- Please indicate by -order which -of th _________ - interested in (1,2,3 etc.) a following you are Economic Development Authority Health Care Delivery Commission Housing and Redevelopment Authority Library Board Park and Recreation Commission ___1 Planning Commission ----- Utili _ies -Commission __________`- NAME: Lout SE I <UES'►EP ADDRESS: k1834 Yo AK Sil?E� -r - PHONE: (Home) -- (Work) bCCUPATION SCI OOL C OU N SE LOR EMPLOYER b i S-t-R i CT "7Z8 .HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? 0 U fv 7 iL _n _1E �1�E5CN i STATEMENT nr INTEREST: Please ex?lain why you would like to serve on the board or commission selected above7 PJf3LtC SS&VtCL !s A Si &1V'1F1CA,NT P91,�t O1^ My pgASdJjnL Lip =F- GaA -Ls. 0�,cwG 'k P"4k+ ar- ELK kiuf2 PQomMi55ieN 0JRiN& 1'r415 °Mf Or R L� Aplo G2G;�} Cwt- l4NGrtJi; 0PPo -rux) ;`ry r -��{ 5 4 AU;cE , .�: 1 ovI+ Lik'C T1tE a P PG r`Tv fv Q" y '-r-o !k c C 4 P 7 - n4 -*�-r C 4-A L-t- ►a G E EDUCATIONAL AND PROFESSIONAL EXPERIENCE: Describe your educational and professional experience or skills which quali�y you to My P.45T serve on this board or commission. _1-1,2 E�= YEARS C- x CPE R % E!\j C E �►.� -;��� (j CO3'�lYl�SS10Q BEST (3\)r (3 P,.(ZfS ME� TLS gip!.; T�NVE l'kN)J 1N(; PR�:.tovs co:�caT1U�,a � s €(zuE . t -t-+R � � u � v c A ct � 6 � � € ,2 � € n; c As H,n! � Du c .q -i-U rZ t� TvtF G f NJ c (, f r� AL C u,\j T-5 a ;_ D L Ali Iv ti Cr .4s /iMeu� cu LL F CA r�S /l Ce�S�Dftlz£_ naL C.., .L. i �Cf U r L ti1y ApMtty �S� (4 TCN 4g �ftif,/tdl� 4t W cr, K C 0 rt, c , rL y W C /Z K S A b /4v g P.O. Box 490 • 13065 Orono Parkway ' 7_V.`4'' �'� dAAj,., 6fl? y Elk River, MN 55330 • (612) 441 -7420 • Fax: (612) 441 -7425 CIVIC A.ND CON.A:UNITY -A C771%7,1 IES ; Describe past or present civic and /or community activities which may be relevant in qualifying you to serve on this board or commission. ov � •2 - lVt L C U /V\ h, , n/ i S S --. E C- n 2 MoD £ R A-Tn N c. n S — 1-3 U L i T C A-t n .Mt 1�:c� F.�C (J i .M ✓� � r i4W4�Z4':vCSS C„ 5'>Fc'�/�•�iZfi/J C:c•�o NtEDS — �.R. �2tr4 �'�� ATTENDANCE: b i STr Z k c r' ?Z-, Are you aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant?. X Yes No Comments: CONFLICT or INTER-.qT: I wish to disclose the following potential conflicts of interest that may or will arise if I become a member of this board or commission. ur1Ai_ CeN, -L.ccr p. 3^'�Rfsr- i ,MzU r., tN nt CGMMvIJ i n/ The selection process c' 'i ----- - - - - -- applicants and vacancies, and- may cnot cincludetinterviews ©with all candidates. THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR CONiIiISSION. Return Application To: City Clerks Office City of Eli: River PO Box 490 — 13065 Orono Parkway Elk River, Mn 55330 Phone 441 -7420 c V City of «`l' `'e• APPLICATION FOR APPOINTMENT TO *E1�i 'River CITY BOARD OR COMMISSION - Please indicate by order which of the following you are interested in (1,2,3 etc.) Z Economic Development Authority 67 Health Care Delivery Commission 3_ Housing and Redevelopment Authority 7 Library Board Park and Recreation Commission Planning Commission Utilities Commission NAME: JoN ZjN DCeJOAJ ADDRESS: X160 Qy; r►C1/ Sr. ?—A� Riae 4 nin ,S.r.?; Q PHONE: (Home) (Work) OCCUPATION //PS� EMPLOYER 1'6&,,1 • HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? /d' /hpiJ STATEMENT OF INTEREST: Please explain why you would like to serve on the board or commission selected above? :7 a`n s;4ct✓`4-y i4 tc %s &_P( ih 1Rt v✓C`� fJe�� o E/� Rr �/eR� 1c�,S CJ7d7 ZC�'15 is 9 /ocJ��� I AiS MAX aHd i fs 1{ fv/rc.. & N e, v`e 1e. I Avonj47 if i/N�o/fa�?f' Q" 't t/i faL QnW fPJ,0eCt e adviSo2 y l ©�LrM�JJ• a�'! f1ruC �'fs t rr, c v,� • /So &,r eoe -A01- O e- 001L/- W-f y % eX00'47-1 014e.`3 apl/'ecia.-f M 771e ( /ocyb aPI./ 11'C i.S 1Y'o ti p�/fi c,�Owficrt,. EDUCATIONAL AND PROFESSIONAL EXPERIENCE: Describe your educational and professional experience or skills which qualify you to serve on this board or commission. ,{' _ aw► c� / /en fe.y �i'rs. dc�t t' -X, /,Sxi/fi6h Oo / /ar Telecomownica7i�W 6*VV*1Xo, colli,fj ov-eR io year' s• Mg,7,Vi1' 1 bvj,i�Mp� 6o-bi P/ivak amc//OvbGC, %iffy QXpesliehcu i,I baJ,Aw gtio/ , eduk,*m a, e- (Jas T a K cf �a /,'e G� . - 9rR cPvq From fl,,e i%h i v-S/3• ` Mi41VJ c 1 h urban Glavin in j ao.t %ac_ a 51t "Kg dev'fim 10 u Rbam mdieo. t, }- Yec ',v V%j g.S. in vrbavt plaKni,%*J /S�,vcl'reo amt- -JN V ah•( FC'ra�cdc�.y, C'dulca�iv� �' �^Q. V Wl ayd 5`1- ?1,a�YiAs- jr bo".1e5s. a� an �- c{-iu`¢. 5. eeRKe.r, t 5-kher P.O. Box 49� • 13065 Orono Parkway • Elk River, MN 55330 • 612 441 -7420 • _ 2 - ( ) Fax: (612) 441 74_� • Mtr{; m+vr and o r' a it', 2eX • -�- haJ2 ht o�1� �� � I1 Pali c f� dV1 Iota(' LtkL'%�iCA�� C�S �e6( �. F'�w+"R'Pie tar twt�acf wi � ova f���- °Stv��ti►,E on W►, Pd'tic i �}atf-c. I n t" !�S C � nv� -f'a vc✓;ovs wJr� i en c4A. and ' ..�,o L;�e,o, o41r►�( 6 f ii I►� �� �, U v %ems . �j �'Q 4 I ; f,' ca �M wt ✓✓t i +y , ' v • CIVIC AND COMMUNITY ACTIVITIES: Describe past or present civic and /or community activities which may be relevant in qualifying you to serve on this board or commission. T h�� bed a��� i,,�n CovN ✓r►� ctC:✓�fit0 ar.r) ccot c ac%✓k-to iY►cl -jcQ; �•J vVaLA Zs GL j bS tvy, (sqaL Gh�wtb+/ ' �o �v► n�av' i RiP t'tr /S�s � OYga at 1 zq5 AA UAi'4rd 4/av 4,, d 5 peckaL ©L-1 r+&o ► G s - / ✓ ATTENDANCE: Are you aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant ?. X_ Yes No Comments: - 11e5,,ae,,+ 't^e JUA+i►`wy vXeC.l� 44,-4 Rwt E0v44ft4 *q do to -f- oA Ly Itrj b� - vKo44k -/ MeeKn., j/c q j bait' q tlo `ftee- Te144 r 1� CONFLICT OF INTEREST: I wish to disclose the following potential conflicts of interest that may or will arise if I become a member of this board or commission. IT do Ac+ k" V9- anY CaK-�JicI7 T-Pt4vecr re f u141K- a*% P° S3 r d ('t_ co v e%, S z� e►1 �P f � ivn � � � . --------------------------------------------------------------- The selection process will vary according to the number of applicants and vacancies, and may not include interviews with all candidates. THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. Return AoDlication To: City Clerks Office City of Elk River PO Box 490 - 13065 Orono Parkwav Elk River, Mn 55330 r Phone 441 -7420 NO "V E '95 C9 ` _ 59 ^RO PRODUCE DTST P.Si6 _I City � APPLICATION FOR APPOINTMENT TO CITY BOARD OR COMMISSION of Rover Please indicate by order which of the following you are interested in (1,2,3 etc.) Economic Development Authority Health Care Delivery Commission Housing and Redevelopment Authority Library Board Park and Recreation Commission Planning Commission Utilities Commission NAME: - j7�41 )rr- X ADDRESS: YFRNOAI ST ivy,/ Ef_x RIVER PHONE: (Home) (Work)`- _ OCCUPATION C>PERor.xpw DgAet -rah EMPLOYER m rRo pRa Dvci HOW MANY YEARS HAVE YOU LIVED IN ELI{ RIVER? 7 STATEMENT OF INTEREST: Please explain why you would like to serve on the board'or commission selected above? F�c� �f +�rer/4D Jac A GREa i oPPOR7v�x7� To <snR.J A.�t� GRa✓ y'''.✓�T�' 7r&' GZ7� J>� �6K RX✓c R . x Gov�.i) v7-'�� -ZZ� �j y YhSi A s►�A5Z1���D PrPERx vcr 4�5 WELL A5 � i» tJ mf��s+Gt R:-<7� sxzccf T'o SBn��'FZ� Tiy6 ..Go.G�novn/Zr� of EcfC .jZz ✓FR., . EDUCATIONAL AND PROFESSIONAL EXPERIENCE: Describe your educational and professional experience or skills which qualify you to serve on this board or commission. Ez )pa'KrE:JeC z t�vE -7H� Q•D Dz ✓�QS�, RE Po.J �Bx`7�.rG Ta 77,/r ao.a..,..:r�crJr of ELK RX✓oR �yyf42s of bxRSCT rrir..rs36P•rg�? GE.os SSE ,g7"Xee -> • P.O. Box 490 • 13065 Orono Parkway. • Elk River, MN 55330 - (612) 441 -7420 • Fax: (612) 441 -7425 '•i 'f 1 tt ;I i; ii i� ,t 02 MIL 7 R'. :: R a — -- : P. 4/E �D yCS�rZu..lAL ,4.rD PRofESSto.,/�L fXPFRsPNcr' •" C ✓RJCEnJTa� �� OPfRAf'LO�✓5 �ZJt�GToll .FotL T+•vo w�v/CiNovs�' DZSyICSd✓!'�� igt.i�s�� �..T+/RLNAS�' of EQ�/zP�nFNT I➢wiD .�ATFRZa�S n�ECESSALy jai 1NARa/1`4vS�„ D:S7- Ri�f3 ✓TZ�.✓ po•7'7-41-f- tES. .AT 7NE LOwr%l''VecroJr , Z Pl�zcc'. -, . Aac HyRZ ✓ir..�.TR�f.7�•✓�'(r/ PEQFoQ.,,rK� .I�ppR4�S./LS � CoR�CEbTY✓c i4.yD Dt'ra�P4'w✓q�� .i3FT..zo�/S r ..►Na .TEIZ^7y- i�o7'�i./t. pET�e.ns-- ✓wr�c.,J of . PAS. .Ae✓.fl.s WAZ7s-16 of Go..�Pg.✓� Pol.YCx•ts R.rD PtOCS)VIes, 0 DRAFT" /f DRN(i 4^0 '94t,00C4 S�RFFn!«.�iL Pl�of�rt•+ y./ acCa ALD,# -VCC yvZTir f7ivTX- *OVb FtPfAO,& LR.✓ C..► P..y :.,:` so �'rH D. 0. r. -T-wa '" �- YtPlE�»�.+h- ��`tu.� of S.4FEr� STi►�✓DI9RDS 70 Gc.,, /Lc� wZTir AAA ?R - - SCHfDby -c•✓G OA *"*I re-$ . - AByt•vr&j lb oRZ6YrArr xy„���/Aryyt eDYAS Roo Inf'rHobs TD -o^/Ro✓r 0VVIL44.16 QvOtZV�n a -VD tfFrczs Ale �. W#CK w/6Lt wsYII 11 5 ✓EoL'D R�'lt /iv.rD M/��✓/1�brrii^/T ' a8zc� -r� s. ee.rSssra.� >ay �+,P6�" DEw�yes A.rD �'��r cep >Ra�c.frs p..•y :t=P4Tt' ?rto$c8�*s /�..rD R�soLV� �.� A Ts..r�t� 1n4dvlelx. ' BVayvarE >NE fv�'cr7o.J of D�P9kr.►,BHr� AsssS iy��DS/ ,rvirD ��v6COP EfA•Car�✓� GRn.�+Ct�reRX To :.a,cRy ovr oBjticT:✓gs, • r: • .7 10 :00 METRO PRODUCE DIST FD uE.47-X-0 -j P.5 /6 ivoerh► NEN�vrP�.J Co.n..u�✓s7y Go�c�(sa pit Dt-c �E — )'Pro DAko7-A to�.�ry TBCNid�cCAc Go�cs�8 -� �EI�.TZF'1'tA1 �' - Z.t G, �z.✓'+'ERSTis� lo�,�,lrtet Gc�n.vsssto�l� tn.✓¢ ttAc7'irtr -lQgf - �/N xd$RSx -�� of M�..�✓�SeT/f "' gvly„rtss Rt�.n z.►sf7ai►rsoJ - �9d2 C�acBG � of sr. -j wc,, s s !;V S vc..i I si I➢s%M Z.V Y S7�R T�i.ii — a N --'.' 10 :01 M7-TRC = R3:)JC--- :7-ST CIVIC AND COMMUNITY ACTIVITIES: P. S/ E' Describe past or present civic and /or community activities which may be relevant in qualifying you to serve on this board or commission. FAS:' FDz -ToA of TNB "A*C 9rve% -/ ' z,i Tns w.S.C- . 5 P,T4z�r+f Past AAAo%-.q.J HoKsESHo•✓ :.NA�RPiRtOn! R8C z PzT�vT eF Ar✓aA b OF Ap f Ajej R r %, ,,j SoR V,w.rl-L'C 4 wo ft k FRan� �'NA 1r-/76tA1A7- A*^I,*- ARAdZAoI �+ °:.56 gSiea�Gr►�za.J YoLv�aBR k/e1C goR t14M/ evvAA&O ATTENDANCE: Are you aware of the importance of regular meeting attendance including the time commitment involved.�n preparing. for meetings, and do you feel you have the time available to be an active participant?. X Yes No Comments: �S MA�✓Rfr:lZ Z K�v0r✓ ?s/c' y npoICrgfro of 7sDELsicXS q,..D PODD A ,q../4C BIND .vfo 01 pT7fdRS wyc„/ o.�f rS !ldS�'✓% CONFLICT OF INTEREST: • I wish to disclose the following potential conflicts of interest that may or will arise if I become a member of this board or commission.. The selection - process will vary according to--the- number of - applicants and vacancies, and may not include interviews with all 'candidates. THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. Return Application To: City Clerks Office City of Elk River PO Box 490 13065 Orono Parkway • Elk River, Mn 55330 Phone 441 -7420 Ci:, 4C 0 APPLICATION FOR APPOINTMENT TO iverCITY BOARD OR COMMISSION Please indicate by order which of the +follow ��! interested in (1,2,3 etc.) following You are Economic Development Authority Health Care Delivery Commission Housing and Redevelopment Authority Library Board Park and Recreation Commission Plannin C g ommission Utilities Commission NAME : ADDRESS: /V C/j U PHONE: (Home) (Work) OCCUPATION EMPLOYER HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? STATEMENT OF INTEREST; Please explain why you would like to serve on the board or commission selected above? e-n . e en4 A7,1 k-e ,frcJ CO EDUCATIONAL AND PROFESSIONAL EXPERIENCE: &t /0 4,-11 lr� U A Describe your educational and professional experience or skills which qualify you to serve on this board or commission. `� � � lac! la c,�� �I`,►7�i %'ts�'S p ,,��`'� r'`'" ►21 / et (l P.O. Box 490 • 13065 Orono Parkway • Elk River, MN 55330 • (612) 441 -7420 • Fax: (612) 441 -7425 CIVIC AND COMMUNITY ACTIVITIES: Describe past or present civic and /or community activities which may be relevant in qualifying you to serve on this board Or commission. ATTENDANCE: Are you aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant ?. ;;�'YeS No Comments: CONFLICT OF INTEREST: I wish to disclose the following potential conflicts of interest that may or will arise if I become a member of this board or commission. ------------------------------ The selection process will vary according to the number of -- applicants and vacancies, and may not include interviews with all candidates. THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. Return Aonlication To: City Clerks Office City of Elk River PO Box 4 90 - 13065 Orono Parkway Elk River, Mn 55330 Phone 441 -7420 • • 0 4�1 City APPLICATION FOR APPOINTMENT TO �CITY .BOARD OR COMMISSION ----------------------------------------------------------- Please indicate by order which of the followin ou are interested in (1,2,3 etc.) Economic Development Authority Health Care Delivery Commission Housing and Redevelopment Authority Library Board Park and Recreation Commission Planning Commission _ Utilities Commission NAME: _ •-n ADDRESS: /? PHONE: ( Home ; (Work) OCCUPATION � ' c�LLeLOYER to HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? STATEMENT OF INTEREST: Please explain why you would like to serve on the board or commission selected above? �t 7.(.t Zk '7� ..Ci - � ,, � � � - ,-,c.� r�--�t .- ^fie'►- cs --•.: - n- z- cL -�-�' - EDUCATIONAL AND PROFESSIONAL EXPERIENCE: Describe your educational and professional experience or skills which qualify you to serve on this board or commission. ;1..fe�Y�✓� -{kSt _..Q,,--. 7�4-. �', €, S'.- t.�[..s�c:r ,-� C.e�e-4, of ILI P.O. Box 490 • 13065 Orono Parkway • Elk Rive:, MN 55.330 • (612) 441 -7420 • Fax: (612) 441 -7425 CIVIC AND COMMUNITY ACTIVITIES: Describe past or present which may be relevant in or commission.. ATTENDANCE: civic and /or community activities 0 qualifying you to serve on this board xj Are you aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant?._ Yes No Comments: CONFLICT OF INTEREST: I wish to disclose the following potential conflicts of interest that may or will arise if I become a member of this board or commission. _ ,C) ,,, , , �, � 4 , J,,, , X - T - 7; t The selection process will vary according to the number of applicants and vacancies, and may not include interviews with all candidates. THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. .7 40 • ,7 Summary National Energy Policy Act-of 1992 The following lamp types do not meet the requirements of the National Energy Policy Act of 1992 and will no longer be manufactured for use after November 1, 1995. Incandescent 75PAR38 150PAR38 150/120PAR38 75l65PAR38 75R30 150R40 75/PAR38/65 75/R30/65 100/PAR38/85 Fluorescent F40CW F40WW F40W F40LW F40WWX F40D F40CW /U /3 F40C W /U /6 F40WW /U /3 F40W W /U /6 F40W /U /3 F40W /U /6 F40WWX /U /3 F40WWX /U /6 • F96T12CW F96T12WW F9GT12W F9GT12D F96T12WWX F96T12CW /HO F9GT12WW /110 F9GT12W /HO F9GT12WWX /HO F9GT12D /HO tit 3 X. >yf t r f f r� �ipfv wf Y k City of r' APPLICATION FOR AP ; POIrTMEnT TO OE 1 } • CITY BOARD OR COMMISSION kRiver ------------------------------------------------------ Please indicate by order which of the f i '-- interested in (1,2,3 etc.) ollowing you are 0 NAME: Economic Development Authority Health Care Delivery Commission Housing and Redevelopment Authority Library Board \ Park and Recreation Commission Planning Commission Utilities Commission N 6ERSON) ADDRESS: 9-7x) N1� PHONE: (Home) (Work) - OCCUPATION jQDb PfN-'YR: AIM G� EMPLOYER £R e&W S HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? '--f t L /Yr--,6 ml #E STATEMENT OF INTEREST: 4P 15 ve4'es ) Please explain why you would like to serve on the board or commission selected above? _r J V E S .ggco CJIU f4 �0 � 15S /O+G' ;CblQ 6 !. f Ei44°5. ..G �?r ,v k J7 L�'� &t .51'4 -*v,6 rh�yl EDUCATIONAL AND PROFESSIONAL EXPERIENCE: Describe your educational and professional experience or skills which qualify you to serve on this board or commission. ►A" ;A0k I Pa A , ^I ei c tfpta�ow Z P•O. Box 490 • 13065 Orono Park%vay • Elk River, MN 55330 • (612) 441 -7420 • lax: (612) 44I -7425 CIVIC AND COMMUNITY ACTIVITIES: Describe past or present civic and /or community activities which may be relevant in qualifying you to serve on this board or commission. 1 EVE G,6E r& Iq ,uFrn 6-it -7144y- y1,1r.11e PCC dew-c -6i /,.' i Ai' x-43. Sccc 'e Ae� rte,= �,�.� //, �JCr��-�/igi� S�RdFD A:5 ATTENDANCE: Are you aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant? _`Q— YeS No Comments: CONFLICT OF INTEREST: I wish to disclose the following potential conflicts of interest that may or will arise if I become a member of this board or commission. A10-'A The selection process will vary according to the number of - applicants and vacancies, and may not include interviews with all candidates. THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMKISSION. Return :VR lication To : City Clerks Office City of Elk River PO Boa 490 - 13065 Orono Parkway E1}: River, Mn 55330 Phone 441 -7:20 • • • • 07 /IS /ab 10 17 417425 Post-11' brand tax tra.^.srmnal me-no 7671 I of o,Qn . OC3 ✓ C �>r i r c"PM ,—� Paz 4 Z4 4-1 City AXPLICATIOlt' FOR APPOIh"NZ r TO i C_TY BQARD OP. CO2�`:.SSION Please indicate b order which of the following you aro Interested in (1, ,3 etc.) Economic Development Authority health Care Delivery Co=ission Housing and Rodovelopmont Authority Library Board Park and Recreation Commission Planning Commission Utilities Commission -------------------------------------------------------- - - - - -- ADDRESS: _ l / (19 / 7 ' � /� U.) PHONS: (Nome) _ _ — (Work) _ OCCITPATION a. 74 .HOW MANY YEARS HAVE YOU LIVED IN ELK KlVk:R? O S2+ATEMELI'T OF 2nt'I�ERE9T: Please explain wi.y you would like to serve on the board or couunission selected above? TO qss b / h �� NYC ✓t�JO�c >c.� OIF P,r-0-r rG��+.rt R r+d Tr7 per' - c�,�7 h.1 lJav K jo �'Zc COM y EDUCATIONAL AND PROFESSIONAL EXPERIENCE: Describs your educational and professional experience or skills which qualify you to serve on this board or commisvioZ. / y 1 17L j � Q q f�).� O / CA/-. 4-4 �,,i '� -/-4 4-4 r P� lr�l;c and ►�.�vivcr5 t�✓orr.+� c.J,tL. 074115- •74=1 9 J/ q Cct+ -• S 7'O V P.O. Box 490 - 130j5 Or= Parkway • Elk iv-:, MIN 55330 • (612) 441 -7420 + Fax: (612) 441 -7425 i� _ - --fir -lr ;�•- .�.. .._ .- r 1 -� _ -- --- C7�.�iab lo:i; V44174" :5 C:.Y/ELE FBI« C;VIC �AiD CCMM'JhITY ACTIVITIES wens civic and /or = onuaurity activities Dmgcrtbe pant a= P= &Iilying you to se=v6 on thin bOard which may be relevant 1n qu or commission• ATTENDANCE: A.e you aware of the importance of regular meeeg innattendance including the time Commitment involved in Preparing Q. meetings, and do you feel you have the time available *o be an. active p&3- -ticigant ?- � Yes co=ants CONFLICT OF INTEREST: I wish to disclose the following potential con_?icts Of interest that' MZY or will G-ise if I become a member of th?s boa: d or oomra?.0micn- Z C04 ^ The selection process will vary accord' -ng to the numbe+'s of th applicants and vacancies, and may not include interviews r.11 c.:ndidatas . TIiP.h"A YOU FOR YOUR INTEREST IN SERVING ON A BOA &D OR C:O""'rSSZON' Return Aotlica:ian mc: City Clerks office City o'f Elk River - p0 goy: 440 - 13065 Orono Parkway - Elk PLve-, Mn 55330 Phone 441 7420 • • I[] (t • City of Ell v. ..a CL _:,.7 : Fx «� A'PLICAT:ON FOR API'0?N!%h'T TO ive C1:'Y BOARD OR =0.101:SSION ------ -------- _ -_ - ..__ - - - - -- Please indicate by Order - ----- ------------------ -__ - -_ which o: the following --- Please = n�.eresbed in (1,2,3 etc.) 9 You era �.i/2 z ��l Economic Development Authority health Care Delivery Commission �. Housing and Redevelapmen, Au�hority _ Library Board -� -,1- Park and RQcreation Commission Planning Commission ,__Utilities- Cor..n:i3si*n - - - -- - -------------- ------------------------- NAME: �rCN�� C�t?rs-J-oP�{GR r PHOxE: (Home) OCCUPATION ?UZ84 rrJG fkC >��T r - - -T� w MPLOYoR 4 LTpv^)10 /"Jc. 'i0 MAA'v YEARS -1V: YOU LIVED ik zLK RIVrR? s'7'A?'EI�iENT OF Please explain why you would like to serve on the board or canuaiss,o;; selected above? AS A Sr:"iCE -7-o i tfE, CW- OAL)Ad I -ry TZOI,ThL F.Nb PRt�= r55ZaHAL = XP�RI£NCE: Describe your educ2,.;onal and pr s- Which a.ual,ifv afess_cnal experience or skills YOU to serve an this oard or S c �,. con.�1_ s si on . MAtJA� -ir��i L-kAGl�'- IENG�. 11J ►�( _P> -P-F S510 J N L L r P08t -1t" brand fax transmittal memo 76T1 # of pages r �^ To From Morw V �a-sf3 .�9n .Fax r x.27 3 990 CIVIC KIM COM.'CUNITY - kC7TV- = --rS: Describe past cr p =esent civic and /o_ community activities which may be relevant in qualifying you to serve on thin board c commission. WILL 'DISWSS IQ `;'F'eSdJ, ?.=e you aware o_ the ir.:portance of = egular meeting attendance including the time commi,�ment involved in preparing for meetings, and do you feel you have the time available to be an .active participant? f Yes No Comments: . r AM it P 7-p C T1 AS AVPM1 A$LE. T'o A&rty. PAit:t1Ci PAt4T. . CONFLICT OF iNTER ST • i wish to disclose t't^.e fo17.ac:ing aotantiel ccr._iicts. of int?re_t that may or will arise if i bBCOne a mere- of this boa=d or �o,JE ----------------------------- The selection process -i11 va=-y according to the numbe- of applican:.S and vacancies, and may not Include interviews with all ccadldates. TrkNK YOU FOR YOUR INTEREST IN SERViNU ON A BOARD OR ComyjISSION. Re"�.,r n zRtl; cat; on To: City. Clerks C-f ice C 4 -v of Elk R_ve= PO BOi: 490 - 33065 O=ono ?z: Rwav EIk River, 2Yn 55330 Phone �-_ -? :20 Post -11 m brand tax �tranSM)nal memo 7/671 , a of pasts From -qql- . ■