4.1. SR 01-16-1995
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ITEM 4.1 - 4.6.
MEMORANDUM
River
TO:
Mayor and City Council
FROM:
Sandy Thackeray, City Clerk
DATE:
January 9, 1995
SUBJECT: Update on Board and Commission
Applications
INTRODUCTION
The City advertised for commission and board applicants in the Elk River
Star News and in "The Current." Applications were accepted until December
9, 1994. Applications for the Library Board are still being accepted as a
vacancy still exists on the Library Board.
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Listed below is the status of each Commission and Board in regard to term
expirations and applications received.
PLANNING COMMISSION:
Term - 3 years.
The following members' terms will expire on 12/31/94:
Dan Tveite - Has not requested reappointment
Robert Minton - Submitted application for reappointment
Mary Eberley - Has not requested reappointment
PLANNING COMMISSION APPLICANTS:
Thomas Dillon...has submitted an application requesting consideration of
appointment to the Utilities Commission as his first choice and to the
Planning Commission as his second choice.
Robin Tuttle...has submitted an application requesting consideration of
appointment to the Planning Commission as her first choice and to the Park
and Recreation Commission as her second choice.
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13065 Orono Parkway · P.O. Box 490. Elk River, MN 55330. (612) 441-7420. Fax: (612) 441-7425
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Vicki Sullivan... has submitted an application requesting consideration of
appointment to the Planning Commission.
PARK AND RECREATION COMMISSION:
Term 3 years.
The following members' terms will expire on 12/31/94:
Mike O'Brien - Has not requested reappointment
Rolfe Anderson - Submitted application for reappointment
Joseph St. Dennis - Has not requested reappointment
PARK AND RECREATION COMMISSION APPLICANTS:
Shawn Donais...has submitted an application requesting appointment to
the Park and Recreation Commission.
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Robin Tuttle's...application indicated the Park and Recreation Commission
as her second choice and the Planning Commission as her first choice.
Larry Ebert...has submitted an application requesting appointment to the
Park and Recreation Commission.
Tom Cruz... has submitted an application requesting appointment to the
Park and Recreation Commission.
UTILITIES COMMISSION:
Term 3 years.
The following member's term will expire on 12/31/94:
J ames Simpson - Has not requested reappointment
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UTILITIES COMMISSION APPLICANTS:
James Church...has submitted an application for consideration to the
Utilities Commission
Board and Commission Memo
January 9, 1995
Page 3
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John Dietz...has submitted an application for consideration to the Utilities
Commission
Thomas Dillon...has submitted an application requesting to be considered to
the Utilities Commission as his first choice and to the Planning Commission
as his second choice.
Don Kettner... has submitted an application for consideration to the
Utilities Commission. Mr. Kettner's application was received after the
application deadline.
Roger Holmgren... has submitted an application for consideration to the
Utilities Commission. Roger Holmgren's application was received after the
application deadline.
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LIBRARY BOARD:
Term 5 years.
The following members' terms will expire on 12/31/94:
Vicki Sullivan - Has not requested reappointment
Mary Keifenheim - Submitted application for reappointment
Mary Keifenheim's application is the only one that has been received for the
Library Board.
. ~ .
HOUSING AND REDEVELOPMENT AUTHORITY:
Term - 5 years.
The following member's term will expire on 12/31/94:
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Larry Toth - Submitted application for reappointment
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The City has received no other applications for the HRA other than from
Larry Toth.
HEALTH CARE DELIVERY COMMISSION:
Term - 3 years
The following members' terms will expire on 12/31/94:
Tom Tyler
Mary Jo Swanson
The Health Care Delivery Commission has submitted a letter to the Council
requesting to disband the Commission. Reasons for this request are
indicated in the attached letter.
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APPLICATION FOR APPOINTMENT TO
CITY BOARD OR COMMISSION
~ \%~~
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-----------------------------~--------------------------~----~-
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
-L-- Planning Commission
Utili~ies Commission
-----------------------------------~--------------------------
NAME:
Robert 1. lunton
ADDRESS:
13700 Riverview Drive, Elk River MN 55330-1624
PHONE: (Home)_
OCCUPATION Accountant
EMPLOYER Doran & 1'-landeville, Inc.
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HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER?
3!
STATEMENT OF INTEREST:
Please explain why you would like to serve on the board or
commission selected above?
I have appreciated the opportunity to serve one term on the Planning Comwission,
and would look forward to the privilege of serving a second term. The City has
also invested in a fair amount of training in me, at two state conferences and
one national conference in addition to local training ODpol~ur~ties. I feel I
will be able to put this traiLing to good use in another term.
EDUCATIONAL AND PROFESSIONAL EXPERIENCE:
Describe your educational and professional experience or skills
which qualify you to serve on this board or commission.
Please see the attached resume.
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P.O. Box 490 · 13065 Orono Parkway · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425
CIVIC AND COMMUNITY ACTIVITIES:
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Describe past or present civic and/or community activities
which may be relevant in qualifying you to serve on this board
or commission.
Please see the attached resume.
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:
CONFLICT 0F INTEREST:
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I wish to disclose the following potential conflicts of
interest that mayor will arise if I become a member of this
board or commission.
Any decisions that may affect tre property where I live, or that may affect
clients of my business.
---------------------------------------------------------------
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
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RESUME
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Robert L. Minton
13700 Riverview Drive
Elk River MN 55330
EDlJCA nON
Masters in Business Administration (MEA), University Of Minnesota, 1979.
Separate 4 year college degrees in Philosophy (Ph.B.) and Theology (S.T.B.), University Of Louvain,
Belgium, 1954 and 1958.
Education For Reflective Leadership Program, Hubert H. Humphry Institute For Public Affairs, University
Of Minnesota, 1984.
PROFESSIONAL EXPERIENCE (Most recent 20 years)
President, Doran &, Mandeville, Inc. , 1991 - Present. Home office accounting service.
I Regional Manager (part-time), Carlson & Associates. 1998-1992. Marketing manager for financial
services, and recruitment, hiring and training of new agents.
President, Marob Enterprises, Inc. , 1985-1988. Privately held cleaning services company with 30
employees.
Assistant Director, Planning & Agency Relations, United Way Of Saint Paul Area, Inc. 1975-1985.
Staffed committees for the distribution of funds and the evaluation of agencies.
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Executive Director, Anoka County Council Of Economic Opportunity, 1971-1975. Administered the
county Community Action Program with 33 employees and 9 different programs.
COMMUNITY EXPERIENCE (Most recent 20 years)
Elk River Planning Commission, 1992 - 1994. Chair in 1993. Also Chair of Comprehensive Plan
Steering Committee, 1994.
Member, The 2001 Committee, Inc., The Elk River Area Citizens League, and Secretary of The Greater
Elk River United Way, Inc.
Member of Board Of Directors and Treasurer of Sherburne County Historical Society.
City of Fridley Charter Commission (1986-1991), Planning Commission (1985-1986) and Human
Resources Commission (1983-1986, Chair in 1985-1986).
Chair, Accessibility Project Committee, 1984. Developed handbook on accessibility of Fridley buildings.
Chair, Fridley DFL Club, 1981-1982.
Treasurer and member of Board Of Directors, lnnsbruck North Townhouses Association (1975-1978).
Treasurer and member of Board Of Directors, Operation De Novo (1970 - 1980).
Anoka Kiwanis Club Board Of Directors (1974-1975).
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rill River
APPLICATION FOR APPOINTMENT TO
CITY BOARD OR COMMISSION
---------------------------------------------------------------
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
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--------------------------------------------------------------
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ADDRESS: J 3 _5 '3 .;;z 17 R tJ, A V of" r 1\/\1\/ I f/I<.' 7</" p r
PHONE: (Home) 4-4/- / r' 70 (Work) ~
OCCUPATION V-~ zt/ ~ e d EMPLOYER OPA (..pf)V'-YJ;7-f~)
HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? 35' .::1 t?;)}I"-;;:
NAME:
'Dor?a./d
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STATEMENT OF INTEREST:
Please explain why you would like to serve on the board or
commission selected above? . "
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EDUCATIONAL AND PROFESSIONAL EXPERIENCE:
Describe your educational and professional experience or skills
which qualify you to serve on this board or commission.
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P.O. Box 490 · 13065 Orono Parkway · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425
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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. ,
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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? v--Yes No
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CONFLICT OF INTEREST: I
I wish to disclose the following potential conflicts of
interest that mayor will arise if I become a member of this
board or commission.
----y? 0 n ~.
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
PHONE: (Horne)
OCCUPATION rf~~ ~EMPLOYER
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u.s tP~#~
Or
APPLICATION FOR APPOINTMENT TO
CITY BOARD OR COMMISSION
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:
1 11 !? R \/
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.T 0 III
ADDRESS:
J?~
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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?
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EDUCATIONAL AND PROFESSIONAL EXPERIENCE:
Describe your educational and professional experience or skills
which qualify you to serve on this board or commission.
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P.O. Box 490 · 13065 Orono Parkway · Elk River, MN 55330 · (612) 441-7420 . Fax: (612) 441-7425
CIVIC AND COMMUNITY ACTIVITIES:
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Describe past or present civic and/or community activities
which may be relevant in qualifying you to serve on this board
O~O~iS~ /{J\!r ~}tP~ ~
~-dt(A1~':;'-f .. ~~ ~( ~::? ~tP;, if ~
h-vI ~ ~,~.bh ~ ch~ 2;
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ATTENDANCE:
Are you aware of the importance of regular meeting attendance
including the time corr~itment 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:
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I wish to disclose the following potential conflicts of
interest that mayor will arise if I become a member of this
board or commission.
~~ ~-vr- c1 ~ 4
---------------------------------------------------------------
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
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APPLICATION FOR APPOINTMENT TO
CITY BOARD OR COMMISSION
--------------------------------------------------------~------
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: Mary Keifenheim
ADDRESS: 19425 Irving Circle
PHONE: (Home) .-:.__
OCCUPATION Librarian
EMPLOYER St. Andrew's School
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HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER?
20
STATEMENT OF INTEREST:
Please explain why you would like to serve on the board or
commission selected above?
I was appointed last year to the Library Board to complete another
L,C::::.C;~IS term, I would like to continue on the board because I am\interested
i Ii c:i5(.~h,ui ng the Board' s work on the new e-ddttlon. I found the Board to be an
interesting and importantsservice.
EDUCATIONAL AND PROFESSIONAL EXPERIENCE:
Describe your educational and professional experience or skills
which qualify you to serve on this board or commission.
I am a librarian at the St. Andrew's School. I have worked as a subst[tute
librarian in the Elk River Library. I have been a member of the Friends of the
Li brary.
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P.O. Box 490 · 13065 Orono Parkway · Elk River, MN 55330 · (612) 441-7420 . Fax: (612) 441-7425
CIVIC AND COMMUNITY ACTIVITIES:
It
Describe past or present civic and/or community activities
which may be relevant in qualifying you to serve on this board
or commission.
I have been a member of the Friends of the Library. I am a member of the
2001 Steering Committee.
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:
CONFLICT OF INTEREST:
e
I wish to disclose the following potential conflicts of
interest that mayor will arise if I become a member of this
board or commission.
I have been a substitute librarian at the Library.
---------------------------------------------------------------
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
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DEe - 5 199~
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City of '~ APPLICATION FOR APPOINTMENT TO
~ll(', River CITY BOARD OR COMMISSION .
---------------------------------------------------------------
..
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
..L- Utilities Commission
--------------------------------------------------------------
NAME:
JAMES C. CHURCH
19318 BALDWIN STREET N.W., ELK RIVER, MN 55330
ADDRESS:
PHONE: (Home).
)rk)
OCCUPATION (retired U.S. Government)
EMPLOYER
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HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER?
1~ years ... previous 16 years in Livonia Twp., 5 miles north of city limits
STATEMENT OF INTEREST:
Please explain why you would like to serve on the board or
commission selected above?
I would like to utilize my education and experience
For the beneFit of my community
EDUCATIONAL AND PROFESSIONAL EXPERIENCE:
Describe your educational and professional experience or skills
which qualify you to serve on this board or commission.
I am a graduate Electrical Ehginee~University of Wisconsin, Madison, BSEE-1949)
with almost 40 years of experience in the Fields of public utilities, electronics,
aerospace, civil engineering, and mining... and have managed organizations and
been employed in decision-making positions in each of these Fields.
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My employers have been: Iowa Southern Utilities, Collins Radio, TRW/Aerospace Corp.,
NASA, and the FAA and Bureau of Mines with the U.S.Government.
P.O. Box 490 · 13065 Orono Parkway · Elk River, MN 55330 · (612) 441-7420 . Fax: (612) 441-7425
CIVIC AND COMMUNITY ACTIVITIES:
e
Describe past or present civic and/or community activities
which may be relevant in qualifying you to serve on this board
or commission. Elk R' L'
As a battle veteran of WWII(ETO) I am a member of the lver eglon.
I am currently serving my second term as Deacon of Union Church.
I am a frequent guest lecturer at Elk River High School on the .
subjects of the history of the Arthurian Period and Middle Ages Perlod
of English history.
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:
Unless I am willing to participate in the activities
of an organization, I do not join it.
'CONFLICT OF INTEREST:
e
I wish to disclose the following potential conflicts of
interest that mav or will arise if I become a member of this
board or commission.
NONE
~~~~
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-------------------------------------~-------------------------
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 Aoolication To:
City Clerks Office
City of Elk River
PO Box 490 - 13065 Orono Parkway
Elk River, Mn 55330
Phone 441-7420
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TEL No.
Dee OS.94 6=42 P.02
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I City of ~
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APPLICATION FOR APPOTNTMENT TO
CITY BOA no OR COMMISSION
.----------h_________________. ._____________________~__________
Plea3e indlcate by ordAr which of tho following you are
interested in (1,2,3 &~c.)
-
E~onomic Uevelopm~nt Authority
Health Core Delivery COmmiSSjon
H(')l\sing and Redevelopment Authority
Library Board
rark cnd R~creatlon CommisRion
Planning Commission
Uli11tLes Commission
_.20L
._--------------------------------------------~--------
NhME: John Dietz
ADDRESS: 13319 IUVl:lL.view Drive, t:lk Ri ve.r, MN 55330
PHONE: ( Horne) 4
d' AMF.. Group
OCCUPATION Account~nt,sports E ~lOtMPLOYEn~K .River ~tar Ne~s
~OW MANY YEARS HAVE YOU LIVED IN ELK RIVEK7 40
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.S~ATtME;Nl' U.f INTF.:REST:
.PlA~s~ explain why yoU would like to serve on the board o~.
.cvllun1ssion Se] Act@d above? I think .it' 5 important to hnvo a Council
lllomber on the utili t.i es commission to link the two YL'UUPS together ant"!
better the lines vf Communication. 'l'he Utilities i.o an importanL pCiL.t
0f the City. I h~ve an interest ln rna1ntaining low po~er rates but
also 1n seeing thnt the city and utilities work tuyother toward
common goals.
ElJUCA'l'lONAI, AND PROFESSIONAL EXPERIENCE:
Describe your ed~c::atiolla.l and professj onal experien~e or.. skills_
~hlCh qua.lify you to serve on this boa.rd or commi~~ion.
My heavy a~~nunting background would make it easier for me to ne~l
wi lh Llll:l numerous financial reports associated with being on the
Utiliticc Commission. I feGl my involvement in local government
and the comm1.1T\it~, would be a great asset f01 Ci utility commis~ioneT'.
My familiaL.l ty with government fi nanees would aleo Q.s::list me ill
bein9 a good utility c::ornmissioul:lr.
. 1'.0. Hox 490 · 13065 Orono Parkway · IJlk Ri,cr, MN 55330 . (612) 44J.7420 . Fax: (612) 441-7425
TEL No.
Dee 08.94 6:42 P.03
.
CIVIC AND COMMUNITY ACTIVITIES:
e
Describe past or present civic and/or community activities
which may be relevant in qualifying you to serve on this board
or commission.
*Four years as active member of City council
*Member various other boards and commissions
ATTENDAN:E:
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
Conunents:
I think utility meetings should be held later in the afternoon
or du.t:ing the evening hours.
e
CONFLICT OF INTEREST:
I wish to disclose the following potential conflicts of
interest that mayor will arise if I become a member of this
board or conunission.
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
-
APPLICATION FOR APPOINTMENT TO
CITY BOARD OR CO~MISSION
Pl~ase indicate by order which of the following you are
interested in (1,2,3 etc.)
y
Economic Development Authorit~T
H~elth Care Delivery Commission
Houiing and Redevelopment ~uthority
Library Board
Park and RGCreAtion Commi6sion
Planning Commission
Utilities Commission
--------------------------------------------------------------
NAME: L ~ ~.:~.... '-{
ADDRESS: \3~ ~
'S. EQ.""~
\..,~ \1~ ~ \)1/ I E..Ui- ~~\t~~1 ,~~
PHONE: (Home)
OCCUPATION ~""t>~~~'O u..."'\.,~
{~'1or}. .
EMPLOYER E:.\..--t-. 9...~~"\..,Q.. ~t\CA\.,u:.
e
. HOW YJANY YEARS HAVE YOU LIVED IN ELK RIVER?
\~
u. "-~ ~
\
STATEMBNT OF INTEREST:
Please explain why you would like to serve on the board or
commiss i.on selected ahoVl=>'?
l-,~'u ~ ~ ~~ \~ ~~" ~L~~1\I%. C:n~t)~~
-r
--t- "v-:l {) ",,",-0
o~ ~\....cv ~~).
EDUCATIONAL AND PROFESSIONAL EXPERIENCE:
Describe your educational and professional experience or skills
which qu~lify you to serve on this bo~rd or commission.
\) o\-v..~'\..~(L \J f\~'\ ()~$ 'E~ ~~~"'\.4- ~ \.1.~ ~~ \~:s: ~~ \:,t)\\~
e
P.O. Box 490 · 1306~ OrcmC'l Parkway · Elk River, MN 55330 · (612) 441-.7420 . Fax: (612) 441-7425
CIVIC AND COMMUNITY ACTIVITIES:
e
Describe past or pre6ent civic and/or community activities
which may be relevant in qualifying you to i~=Ve on thi$boArd
or commission.
ATTENDANCE:
Are you ewarE! of thE! importance of regull:.r meeting attendance
including the time commitm~nt involved in preparing for
meetings, ~nd do you feel you have the time available to be an
active particip.!nt? ~ Yes No
Comments:
CONFLICT OF INTEREST:
e
I WiEh to dlsclo$e the following potential conflicts of
interest that m~y or will arise if I become a member of this
board or commission.
NQt-lE
--------------------------------- -- --- - - - ." ...', ..'- - -. --- - --------- -----
The sel\:fcLion 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 CO~IISSION.
Retur.n AePlicdtion To:
City Clerks Of!ice
City of Elk River
PO Boy. 490 - 13065 Orono Parkway
Elk Riv~r, Mn 55330
Phone 441-7420
e
APPLICATION FOR APPOINTMENT TO
CITY BOARD OR COMMISSION
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:
~
/ )/vP."1..;S
/I (;UA '-
/.o"t/ ../,p'.J"". '~?:../_ r/~ -:') n
/ IV /I ~ - ./V. I" _ t::..-..c.", <t:i v' [: '\.....-
ADDRESS: /J / Y?
-
PHONE: (HomE..
OCCUPATION ~M7-1 C"'P~Vl /liS/I.-
I
HOW MANY YEARS HAVE YOU LIVED IN
{Work)
EMPLOYER A//2ti ~E~4
~ I
ELK RIVER? -r/~ 0
STATEMENT OF INTEREST:
Please explain why you would like to serve on the board or
commission selected above? . i
Ct!>?7cc-c.vr./;J ~..u //,f ~4-.(/fc:C/2~Q-to,;J AL'S./.:>.J ~i....!. k~/! &m~aM 'f
K'z./. &/! &'141 C1,,(5 JY.,"1E-. J /4-"1:, ~A.Ec. {"h'Q///e OJ a~ /b~.k~ ~k~-
UAJ 70 g~. fo'-+ c:/ ~l.ic~, ,<../c>;'" to~-I ol-f"h€.-" /lJc}h-It---
~. ;;, c ~'. ...P~_ .L .41-4-.- st, f
Ceo,:>1 €/4.c~~'/ ~ IlZ:-C/S/e>.;J /lJer I.~-o-
EDUCATIONAL AND PROFESSIONAL EXPERIENCE:
"~
...
Describe your educational and professional experience or skills
which qualify you to serve on this board or commission.
{'&>?II/h.4J? ~ ~U.~ f~ {;/~.
.- t7" a /~ <;;<j'E....m. ~ ,:......If./ A' r. f'~n' 7.. .4~,,-../"c?c y< 7--:/kL'#'-'
I. .&-1'E~ t::.? h"J .S-rS".r~,...J' (. _<?~~~~ ~// 7 J
. .:J . ;t~I'..' /lc'J ml."7lA6 t /""":' /,//l.G ~ A ~ /11'6-- of 4.. r- a'~,
.5.. k:,,- /.Ad1~'/ . _' . ~
!/ ("" - -I t-I-t'J ~'" "'/r.~C'~ c:~:,I,t /../. -. R ~ /-Ira Ce!o ~/.;;. h' .-
...... J,a. / 7~'" ~ , C n ;z _ /C6CD,,/f;/Z-';l
Src-,-r Glp E:y.Pf: '1/0; .....,c.c. ..<v,IL ,.i..K.- rc/"'...._ ~~C" V
'/~ . / (.
C. OP'c./ZC!,1,c.:./~ ~ /77~. c..~r"'t/c,lo../e c_ -- / ' i:. c t ~. ;S
. Z /~~il:"1: tY- ';:;t::> q.;1C'-.s ~..., I/h- A./12.G 5 N :;1', ;/ -'l/S 'O?oue<-...'1/' -"~;P~,'tV/S{.I"- <".- ":.f~~- .
P.O. Box 490 · 13065 Oro'no Parkv/ay · Elk River, MN 55330 · (612) 441-7420'. Fax: (612) 441-742::>
CIVIC AND COMMUNITY ACTIVITIES:
e
Describe past or present civic and/or community activities
which may be relevant in qualifying you to serve on this board
or cOmmission.
e/J)m,~ 11. .t.- ~7"./ Uyf,ks It L /11
eo - f) c:. ...f j. .J2J~r te r e... j f'ct:J Q c.
(!~ 'HJ ~ {~ AV<;'7---::T~
ATTENDANCE:
Are you aware of the importance of regular meeting attendance
including the time commitment involved in preparing for
meetings, and do you fe~ you have the time available to be an
.active participant? ~ Yes No
!
Comments:
'CONFLICT OF INTEREST:
e
I wish to disclose the following potential conflicts of
interest that mayor 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 ADDlication To:
City Clerks Office
City of Elk River
PO Box 490 - 13065 Orono Parkway
Elk River, Mn 55330
Phone 441-7420
.
e
Shawn M~chae1 Dona~s
Educat~on and Exper~ence
Educat~on
university of Minnesota COllege of Natural Resources Bachelor of
Science degree. Major - Recreation Resource Management, 3/19/94.
Anoka Ramsey C.C. Associates in Arts Degree. 6/15/92
See attached copy of unofficial transcript for course work
evaluation. Will fax/send official transcript if requested. (They
cost me fifteen dollars apiece to be certified originals.)
Exper~ence
GrouD Dresentations
e
* Course work: Speech 101, Rhet 3266 Communications and small
group discussions, Engl 289 Topics English, Rhet 3562 Writing in
your profession, English 111,121,209. All 5000 level FR (Forest
Resources courses) involve completion and presentations of
multiple projects which consist on average 4-12 weeks research,
design, preparation, implementation, and status reports, followed
by final presentation of 15 to 60 minutes, and a formal written
project report of 10-45 pages.
* 100 hours volunteer work teaching and conducting hikes, and
presentations on natural related topics for Hennepin County Parks
Elm Creek Nature center.
* Seven years as scout master/ assistant scoutmaster Boy
Scouts of America, Councilor for six merit badges. Instructor for
BSA Kota/Alpha Lupus winter camping program. Advisor for BSA High
Adventure Explorer post.
* u. of M. COllege representative to the Society of American
Foresters National Convention. Indianapolis, IN November 1993.
* Represented Wild river State Park assisting in BSA Fall
Camporee for 1000+ people and MCC deer enclosure project.
Conflict resolution
* Course work: Rhet 3266, FR 5257, FR 5253
* wild River State Park Seasonal Resource Management Intern-
Public Contact, special projects.
* St Croix State Park Enforcement Levell Training, Seasonal
Night watch,security,public assistance and contact.
* Seven Years BSA scout master/assistant scout master
4It * Assistant manager Hobnetti's Pizza restaurant 4 years.
Outdoor recreation site olannino and develooment
e
* Course work: FR 5233 Principals of outdoor recreation
planning, FR 5257 Rec. land policy, FR 5200 Air Photo
Interpretation, FR 3300 Elements of surveying, Fr 5232 Management
of rec. lands, Fr 5130 & 5131 (GIS) Geographic Information
Systems, Soils 3125 basic soil science, FR 5114 forest hydrology.
* Two seasons state parks employee variety of trail and rec
lands rehab/development projects.
* Eagle Scout Project developed and executed plan to rehab.
ten miles of trails in Cohutta Wilderness Area Georgia.
Approximately 150+ hours work.
Land manaoement;
* Course work: FR 5232 Management of rec. lands, FR 5257
Recreational land policy, FR 5233 Principals of recreation land
planning, Geog 103 Physical geography, GIS, Air Photo Interp.,
Landscape Architecture 1024 Landscape theory.
* Two seasons state parks worker
Trail or water recreation site maintenance
* Two summer seasons Minnesota state parks, various trail and 4It
site rehab/development projects.
* Eagle Scout Project 150+ hours of development and trail work
* 100+ hours volunteer trail work with various organizations
in Minnesota and Georgia.
Proficient in use of chain saws, tractors, mowers, hand and power
tools. Personal experience in automotive repair and some building
construction.
* Class "B" drivers lic. ATV state certified, PADI open water
scuba certified.
* Two summers landscaping work
References
Please feel free to contact:
St.Croix State Park Assistant Manager Rich Bruns (612) 384-6591
Wild River State Park Manager Chuck Kartac (612) 583-2125
Both have been given written permission to allow them to release
any information on my employment at these parks. I hope that this
will help in any further evaluation information that you may
need. Please feel free to contact myself also, if I can be of
assistance. Thank you for your consideration. 4It
APPLICATION FOR APPOINTMENT TO
CITY BOARD OR COMMISSION
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
--L- Park and Recreation Commission
Planning Commission
Utilities Commission
--------------------------------------------------------------
,.-, ,
NAME: ~ A,.::\. L.v n
ADDRESS: q 0 ,
(VI; c~o..-e I Do<7'\~; ~
L 1">0 h- 0,...+ .p I, '1= l h R,' v c: ('
e
PHONE: (Home) ---.!:
/" " '''~
1 , J' rlJ('~'.'J L.
OCCUPATION TC)1- 1-'9, ~~LJ€ j~:"iEMPLOYER
rr" c. ""J .
HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER?
C/~'.}.'C")l
(;
STATEMENT OF INTEREST:
$c () \oJ ,~; ~
COt\~1' ;t.."J..e.
EDUCATIONAL AND
Please explain why you would like to serve on the board or
commission selected above? () .j)
"I hCt.....e C\ IS.S. Dcsrc:e I~ "eciCc.,..J;o'~ (\c.so.....t(~
(\C,".:17{V\..!f\..). +~OM +I\-e.. U () (. ,v\:ftn. A-c.Jil..e ~/) Y'o\oJ~VJ
/' '^ (I .J \ r (\ (5 i-k.... e ~ lo-i '.)0
1f\t L-Orn'.......nJ"I-'(/ I'C'~''-.--Ife
J- 1+ L 0...).. -l-r> ,9 c.. ; JJ
PROFESSIONAL EXPERIENCE:
Describe your educational and professional experience or skills
which qualify you to serve on this board or commission.
e
~, 5.
J- yc: c, r 5
1 }Ie cr
01....4- Jo 0 r
R e c r C~.}~OIl
R e So-..rC e f\ 5 VV1 ....).
~.-lc.~ e
lrD ) ... 4\ ,..). .
Sftil1l5
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I-!C61f' fC..K5
r" s,Jr ,-c..Jo r
P.O. Box 490 · 13065 Orono Parkway · Elk River, MN 55330 · (612) 441-7420 . Fax: (612) 441.7425
CIVIC AND COMMUNITY ACTIVITIES:
e
Describe past or present civic and/or community activities
which may be relevant in qualifying you to serve on this board
or commission.
5; 'i
l(-et::;.S
0S
Va J
0e
.) CO-.)..
1- e " J e"c-
'~,aor
Pc.;-hS
Cfc;
{ CO..+ ~ ovfS
l~e{)J,e?
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:
e
I wish to disclose the following potential conflicts of
interest that mayor will arise if I become a member of this
board or commission.
....a ~.......;,: .
r ~~ -~~I ~ ~.. j[
, ""'J _~
\ ( I I " ^-t Y7 e
1\ 't - e:. I ~ (l ~ "-- I l Cor-t-l : /1 "" e . I
4..r ; -+ i"\ i l\ c ~-kA -t:: D r--I K ,~ I c:.-.- 0.... I ~ () e .e c-fc) s c..,? f 6 ('..1.
---~+L--_J_~~~~iQ~--_O~_-P_QL~~___~f___i~~__~{~{~__2?_0~_~_
The selection process will vary according to the number of
applicants and vacancies, and may not include interviews with
all candidates.
~
1
-{..~ ~ v le~ Q
"-or h
THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION.
Return ADDlication To:
City Clerks Office
City of Elk River
PO Box 490 - 13065 Orono Parkway
Elk River, Mn 55330
Phone 441-7420
e
vi c '1S e ~ c e
~..... a, I ,'.f/ c c.) / D .'1.5 .
A- .-l-Jr;. cJ, e d
.5'~ee.+-
-G r COrJ p J .f61.t ...
DEe - 8 19M
-'\(
)!
APPLICATION FOR APPOINTMENT TO
CITY BOARD OR COMMISSION
Please indicate by order which of the following you are
interested in (1,2,3 etc.)
-I-
Economic Development Authority
Health Care Delivery Commission
Housing and Redevelopment Authority
Library Board
Park and Recreation Commission
Planning Commission
Utilities Commission
--------------------------------------------------------------
NAME:
kOl f"(
19+0
A-,JDtKSO,J
TRv/Jex C/~
ADDRESS:
PHONE: (Home)_
OCCUPATION ~gVP-./\'I'Jc\..
l'-r6.fN(
EMPLOYER fA.i(K ~~U~'1 IllafJC~ ~\JC.
e
HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER?
/6
STATEMENT OF INTEREST:
Please explain why you would like to serve on the board or
commission selected above?
::I? tM\I E
P. '\t2-t-L ~
-Au (S' (12-L
;< It CfZH.A '7'(..."J
1futZ f ll(
f< III [.4... 11 i)~ v~ tJ,o ~
A- uo-w]
f't2c:~ ,,It-A7v\
v'1( L I :z...1'"i: /7s
/tII/W11'1' N Arc..V~
PH<t )(~ 0Ih1{!.At:7'0Q (rrlc~.
3.. W:C....l.O L/K~ JIi'- s~~ (tK .t,vk
P,:lo '" I O~ A 13/!.(;.A1) r f'4ct'/..!- () M. 0 f. A C.l2..'i /.I ?/...v/H.. /:J,-t: 7, v I 7, tU' p.,.< ;H.L In (I'T, ~vr.
EDUCATIONAL AND PROFESSIONAL EXPERIENCE:
Describe your educational and professional experience or skills
which qualify you to serve on this board or commission.
(3 ^C~ Lc.1't.S D€-4~~ 'N f"o VC/-I 7""toJJ .
"\
e
P.O. Box 490 · 13065 Orono Parkway · Elk River, MN 55330 · (612) 441-7420 . Fax: (612) 441-7425
CIVIC AND COMMUNITY ACTIVITIES:
e
Describe past or present civic and/or community activities
which may be relevant in qualifying you to serve on this board
or commission.
~~1 PR-{~IO~./,j{ c~
r~-I< v' IN 4
61( /2, v:(..1-
"'iId
~ - 't' -< l'17L
Y<<>v7H.
~<t1141.( .
~ i~ /joy J r:: .rt~
j7~K~7/;?"lj <.( .
CV/4~rJ1( '1
€I .J .of- L/(
ATTENDANCE:
Are you aware of the importance of regular meeting attendance
including the time commitment involved in preparing for
meetings, and do you fe~l you have the time available to be an
.active participant? V Yes No
Comments:
:z f'I\.^'i tM-v'l M oc..C.Aj/4J,J,A. L
co."JFLtl-r
VJIZtA-
~ /tCA.!-uJ(;.,
4 Y"'J7t-1
A 114t~ tl c-
1<C.A1l'\ (!, J., I~ Y INv1) c./...ul-€ c...? '^'o vlJ,) ~
~ (. tLJb /1 ? 'l c.,'JJ) I}- r
CONFLICT OF INTEREST:
(.<< /\-j'r
Q~... ..t. "".
,.' {-O e"J .~ j.t'!<. h'l'if ?'.....Ci I,
e
I wish to disclose the following potential conflicts of
interest that mayor will arise if I become a member of this
board or commission.
;10 Nt...
---------------------------------------------------------------
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
e
DEC-09-94 FRI 10:14
I -'\j
( );
tflJ(
IDS
FAX NO. 6126713239
P, 02
APPLICATION FOR APPOINTMENT TO
CITY BOARD OR COMMISSION
------------------------------------ -- .
Please indicate by order which of th~ f~~~~~:~;-;~~-~~;--------
interested in (1,2,3 etc.)
-
Economic Development Authority
Heal~h Care Delivery Commission
Housing and Redevelopment Authority
Library Board
Park and Recreation Commission
Planning Commission
Utilities Commission
-
---
--...2-
-L
--------------------------------------------------------------
NAME:
Robin M. Tu't'tle
ADDRESS: 13324 Ranch Road Elk River, Mn55330
e HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? 23 years
PHONE: (Home)
OCCUPATION Sr. Accounting Speciali~PLOYERIDS Financial Serv.ices, Inc.
STATEMENT OF INTEREST:.
Please explain why you would like to serve on the board or
commission selected above?
r have lived mos~ of my life in Elk Ri~er, and ~hose ~o build my
10~evhec~~~=~he~eEoti~Im.ob~derike to play an active role in
decisions regarding the ~elfare of Elk River's future.
I hope to gain knowledge of ho~ our commission boards work:land
the experience that acompanies it.
! would like to be a member of either the Planning Commission or
the Park and Recp.eation Commission.
EDUCATIONAL AND P~OFESSIONAL EXPERIENCE:
e
De~cribe y~ur educational and professional experience or skills
wh~ch qual~fy you to serve on this board or commission.
I have nine years experience of Accounting, Investiiating, and
problem solving for IDS Financial Services~
J. have taken several In-House Classes over ~he paSt nine years
including: Leadership for individual Contributors
Feedback training
Several Computer Classes: DW4, Lo~us 1,2,3, OS/2,
and Excel.
In high school I competed on a team against other FFA groups across
the state, in horticulture and soil mana8~m~nt contest.
P.O. Box 490 · 13065 Orono Parkway · Elk River. MN 55330 . (612) 441-7420 . Fax: (612) 441-7425
DEC-09-94 FRI 10:14
IDS
FAX NO. 6126713239
P.03
CIVIC AND COMMUNITY ACTIVITIES:
e
Describe past or present civic and/or community activities
which may be relevan~ in qualifying you to serve on this board
or commission.
I am currently the Elk Rive~ Chapter FFA ~lumni Secretary.
I tutor a six year old at the ~ra1n Coyle ~ommunity C~nter in Mpls.
I am helping her develop reading,writing and maih skills.
.This is my ~hird year. helping with the furid raising campain for
STOP SIDS (sudden infant death syndrom) for the National RED NOSE Day.
I will be leading the campain fQr.sthe second time this March in
Elk River, Big Lake, and Mon~icello.
ATTENDANCE:
Are you aware of the importance of regular meeting attendance
including the time commitment involved in pr€paring for
meetings, and do you feel you have the time available to be an
active participant? X Yes No
Comments:
The above activities sho~ my commitment and devotion to a project.
My tutoring is every other Thursday until 5pm and the SIDS campa1n
is in March each year. They do not con~lict ~ith the 7pm commit~ee
meetings on Tuesday ol:.;".Yednesday. e
CONFLICT OF INTEREST:
I wish to disclose the followi~g potential conflicts of
interest that mayor will arise if I become a member of this
board or commission.
At this time I don't forsee any conflicts of interest.
- --_.- -. - _._-- - - - -,- - ---- - ----- - ------- - - - ----- -....'- - - -- - ------- _.- ----
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 CO~IISSION.
Return Application To:
City Clerks Office
City of Elk River
PO Box 490 - 13065 Orono Parkway
Elk River, Mn 55330
Phone 441-7420
e
DEC-09-94 FRI 04:15 PM E.R. CHAMBER OF COMMERCE 612 441 3409
12/09/9~ 12:$7 ft441142S CITY/ELK RI\1ER ~~~ Ca~ER OF COMME
P.01
1lI002/003
/ -\.(
( )!
.City of "
Ell{ River
APPLICATION fOR APPOINTMENT TO
CITY BOARD OR CO~1ISSION
--~~--------~~---------------------------------------------~~~~
Please indicate by order which of the following you are
interested in (1,2,3 etc.)
____ Economic DevQlopment Authority
____ Health Care Delivery Commission
____ Housing and Redevelopment Authority
____ Libraxy Board
Park and Recreation Commission
-----
-1-- Planning Commission
____ Utilities Commission
~----------~--------------------------------------------------
NAME: 0ck1~ ~. 'sw I. y' AN - SItSCJLrt'\
ADDRESS: 375' UANS AVli!.N~ 1:J:-~03
PHONE: (Home) (Work)
e OCCUPATIONMIY\IY\i .5tv-zL{.ive. A5Si.sfafl.r El~PLOYER tJ.JdJ.yerA+eal!)~eM~
HOW MANY YEARS HAVE YOU LIVED IN ELK ~IVER? /3
STATEMENT OF INTEREST:
Please explain why you would like to serve on the board or
commission selected abo~e? ' ~~
J.~hk~~~b.u~3~
~~~~~~~. .
~~~~tU~~ ~~U->~~
vb, ~~ '-1\-,,-4> <1 b.J ~ ~'
'0JrvW'" ~ ~ -lo~.
EDUCATIONAL AND PROFESSIONAL EXPERIENCE:
Describe your educational and professional experience or skills
which qualify you to serve on this board or commission.
.
DEC-09-9~ FR I 04: 10 PM ~. ~ ._._CHAMBER OF COMMERCE 612 441 3409
P.02
U/OQ/94 12; 57
'D'U1742S
CITY/ELK RI\'ER ...... CHAMBER OF COmtE tal 003/003
e
CIVIC AND COMMUNITY ACTIVITIES:
Descx1be past or present civic and/or community activities
which may be relevant in qualifying you to serve on this board
or commission.
Are you aware of the importance of regular mseting attandanca
including the time commitment involved in preparing for
meetings, and do you feel you have the time available to he an
active participant? ~ Yes No
Comments:
e
CONFLICT OF INTEREST:
~ wish to disclose the following potential conflicts of
~nterest that mayor will arise if I becoma a member- of this
board or commission.
--------________M_______~__~_____________~-------------------~-
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 CO~IISSION.
Return Application To~
City Clerks Office
City of Elk River
PO Box 490 ~ 13065 Orono Parkway
Elk River, Mn 55330
Phone 441-7420
e
_ DEe _ 7 1991t
rei -'\)
( );
4fiYl?l
APPLICATION FOR APPOINTMENT TO
CITY BOARD OR COMMISSION
----------~----------------------------------------------------
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
2.. Planning Commission <")
~ Utilities Commission~
--------------------------------------------------------------
NAME: 5l:k-{v\ A 5 r-t.K.R \.L-r 1) I L Ln t-J
ADDRESS: 'b 2... i "5 Q c.k. <;bN AV--L fVw
PHONE: (Home)
OCCUPATION-.f) c.ct)\ArAGl^-f EMPLOYER-2tARk~ L-Ab~
4It HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? 3 r~
STATEMENT OF INTEREST:
Please explain why you would like to serve on the board or
commission selected above?
-:;: U/pu/I lie h .rer'l/b
'lit (JktJIl/Y ef/777fJ1i5~;tJAJ.
a ~()mrn/j$l~" /Y1Jm.6-N2.. /5
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fa i-tn /}J If .
EDUCATIONAL AND PROFESSIONAL EXPERIENCE:
Describe your educational and professional experience or skills
which qualify you to serve on this board or commission.
:J. 11./1'1 arJ QCCdH/1 !t;" -f ."tI Ir-tmAn ;M. -JIu {'If,. j;. P.;J1y !t~/it
-Jk e/I'j tl~ tl Hj~ (J/l1 //117- AfWeY~ :t ofro tytJt'l/r/ /14
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as wd/ :f hAV? q Ie?/"U ,;, (}IC""<Prj;.
P.O. Box 490 · 13065 Orono Parkway · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425
CIVIC AND COMMUNITY ACTIVITIES:
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Describe past or present civic and/or community activities
which may be relevant in qualifying you to serve on this board
or commission.
r~I'(.~\hiru'1.. ~\)-( Cd( ~~~;: ~ '1h~
f:'t~~'\""\..~ ~ f;:,1 AI\L\I.a.12- ~ l~u.....-)~
P,^b\il.-1<.Q.\~~I"'l1.\ D,(Q ~t~v ttlV' A^-~vt<J<... Y~'(1l. ))~t 2. \/J.(~
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:
CONFLICT OF INTEREST:
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I wish to disclose the following potential conflicts of
interest that mayor will arise if I become a member of this
board or commission.
NotJ -L
------------------------------------~--------------------------
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 COMNISSION.
Return Application To:
City Clerks Office
City of Elk River
PO Box 490 - 13065 Orono Parkway
Elk River, Mn 55330
Phone 441-7420
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APPLICATION FOR APPOINTMENT TO
CITY BOARD OR COMMISSION
I -'\(
( )!
!IIlll River
---------------------------------------------------------------
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
X Utilities Commission
--------------------------------------------------------------
NAME: 12JfY' /liLe a -;.J. [/"hIre J'l
ADDRESS : ff,j.:5~ G"'tfnJ" 1)(/
PHONE: (Home) f'll-- 7t;<.j (Work) . d-L//~ 02?9/
OCCUPATION /J.erJlI ~y !JSJLJ:r(JfL,- EMPLOYER Jlwr6"l'tJ~ Co '
tit HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? /4 .Y~4-S
STATEMENT OF INTEREST:
Please explain why you would like to serve on the board or
commission selected above?, ~
.:r:bttW,o ,ct-L'.(:.ro J'eRvL (/YJ -mL trr;//rg. S' Comrnlrs?'O~ ';;rt-/ 711~~
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d." :.L/? S(! (J_ ---hL j1{/(l c/ -fi,r d e~t( Me l {., ~-f!t'.eS'~ tl;P//v.e dr? 7i!J.-
L {J Pn ~n gf'/o nJ"::p IJ ~-n :1;.cl ~v F~ ,6i'4:;'~ lJt{"/,f". tlJ ~ '\J. '
~ zr6-1Jr~fe Jfrt.M'l~' 'r:L!'-rl;eY-4L- j')~E-'-clJ- '7ZJ,bL- di?Ueky:(7.d
,I'f-../:Jt2//;"rSr;;/ ~ c-? COIA:Tft'~f/tf 11 PL ror+,~,n ~{L Ct7y /l/JO'-r-4-~
EDUC ONAL AND PROFESSI.O NAL EXPERIENCE: CdNj,/1'l/JJ'/dr../_ . .--L '_ /,
. :..t-rlI9LJL)4 Q{A/ lit n L ~477'~ I /I 'ij,e a1WJ4I/SP(J~f A/I (/t ~...r
Des lbe your educational and professional experience or skills
which qualify you to serve on this board or commission.
.71l-L. €du.CI1-77cJrta ( sAle's :I iA!()U/c/ ~~.I?'l ~. tIle- {1r117~ I~S /~A/
A-t.L 6w ~cZC/'1*lSL :z: CZ'CT?nL ,heM? -;:j;&ch/h '7J!/ff;Vi~y.
f%~Yh)Iln.~.;/lOWQif<r :ft/ii, ;J1?t'r} /1/ ;If s-;L/c ,/?'tI/dJe..4Y'
e t' , . J<J- r/Ci J? .f 4~- ~f ..4 ZZ:-11fl/rc2 JKCZ /{ {In 7': -rA~ fi ifer:
ff::~l?jY-h J: ,tJ/1Ittl/c:!!'OJ/Mn-I'7 -<:R&RM,J' r'J -r~~ .
. btstJT J'hLJ 1. /) e- ",~~ ,# ,P'dlL7 o,c 1/1/3, Abj~
P.O. Box 490 · 13065. @rono Parkway · Elk River, MN 55330 · (61~) 441-7420 · Fax: (612) 441-7425
,/?7l~~7>I?([{"f /)J1f) ,f-;'/ofcPr? J~ 2Tor- (11 ~1/.-OP'l7cL
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."
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. .
g YC/l/ZS C,-ry Cc'):.u7c,l . .. . .'
q YLIf/lf ./h/Ptla~h1(fc~tlcJ~-rflujffTilmjJlt!e:f _1 "'"
CH..rT heS; ckit;/ :&n'D d.fff 6;J /,1 6 St'{l / ~ T{;J lj )
6 yE/?/ld- E;::)#, , .
~Y/#jlJ m6n?,tXr /l1s7'/..r~ tJ,c/{C;~CS /JJJd('7#/KJrI
Q Y/JfK../ /Y) ~,m/:Jty- c) ~ rn,v 6>()~ )-,c ;4-J'JeS:JcJ,vA j} .
ATTENDANCE: ~::> YMIlIiJ- ~& -?/L d~;1/Ifr1IJt1AL~kiV'OCit?nr~ 1~6.n/t?lt9L-/.
dh YEI9Ilf' 1)fi~7"ip7,e:- 8/J.JEL?~L/- ~Cdl/'7: tfJi'fJL::t!?4-LL
Are you aware of the i portance of regular meeting attendance
including the time commitment involved in preparing for
meetings, and do you fe~you have the time available to be an
active participant? --.:A- Yes _ No
Comments:
en 7::7
,#-r
~tftQ;#I1(.z fta~/t~
~/A w~;erJ (]dtlf/CIt/JJ~/lJ~r
e CONFLICT OF INTEREST:
I wish to disclose the following potential conflict$ of
interest that mayor will arise if I become a member of this
board or commission.
;JIll-
e
----------------------------------------------~----------~-----
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
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November 17, 1994
0"6ar City Council:
In 1991 the Health Care Delivery Commission was established to address citizen
questions and needs related to medical transportation for the community. Specific
agenda items addressed were Advanced Life Support (ALS) and Basic Life Support
(BLS) ambulance issues in Elk River and the establishment of a mechanism for
citizen input, evaluation and resolution of transport issues.
We believe we have addressed the original questions and needs posed to us by the
Council. No further questions or needs have been brought to our attention as of
this date. Therefore, we recommend the following:
a) That the Health Care Delivery Commission be disbanded prior to January,
1995, reappointments.
b)
In the future, if further questions or needs arise, a task force consisting of
like representation, be established.
We would like to thank you for the opportunity to be of service to the community.
Sincerely,
~~~
~. a:a~son
Community Represebtatuve
Vice Chairperson
~~M#J/)
Steve Dittbenner
~alO
Mark Stutelberg
Health Span Representative
4I~"
Rob Driessi~
Ambulance Staff Member
Dr. Lee Rock
Medical Community Representative
LiV~2J
Dr. David Goldsteen
Medical Director
Tom Tyler
Elk River Police Department
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210.34 - AMENDMENT
This ordinance may be amended at any time by the City passing a
subsequent ordinance declaring the provisions of the amendment,
which amendatory ordinance shall become effective upon the filing
of the Company's written consent thereto with the City Clerk
within 90 days after the effective date of the amendatory
ordinance.
SECT~ON 212.00 - HEALTH CARE DELIVERY COMMISS~ON
212.00 - ESTABLISHMENT OF HEALTH CARE pELIVERY COMMISSION
There is hereby established in the City of Elk River a Health
Care Delivery Commission pursuant to the provisions of this
Ordinance.
212 . 0 ~ - MEMBERl;: AND TERM
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The Health Care Delivery Commission shall consist of seven (7)
members who shall be appointed by the Council at the first
meeting of the year for terms of three (3) years except that of
the members first appointed, two shall serve for a term of three
(3) years, two for a term of two (2) years, and three for a term
of one (1) year. The Commission will consist of the following:
1. A resident of Elk River.
2. Medical Director for Elk River Ambulance or designee.
3. A member of Health One Transportation.
4. Coordinator for Elk River Ambulance.
S. Elk River ambulance staff member.
6. Representative of Elk River Police Department.
7. Member of the Elk River medical community.
A vacancy during the term of any member shall be filled by City
Council appointment for the remainder of the term.
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2.21
212.04 - POWERS AND DUTIES
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The Health Care Delivery Commission shall have those powers and
duties imposed upon them by local ordinance. The Commission
shall:
1. Listen and respond to community input and comments on the
delivery of emergency medical transportation services in the City
of Elk River.
2. Communicate this input and these comments to the emergency
medical transportation services staff.
3. Monitor, on an ongoing basis, the needs of the Elk River
community for emergency medical transportation services.
4. Submit an annual report to the City Council which shall
include the Commission's findings on the needs for emergency
medical transportation services provided in the City of Elk River
with appropriate recommendations.
212.06 - MEETINGS
The Commission shall meet at least two times each calendar year,
at such time and place as the Commission shall determine. Notice
of Commission meetings shall be posted at City Hall and published
in the City's official newspaper.
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SECTION 214 - PLANNING COMMISSION
214.00 - ESTABLISHMENT OF COMMISSION
A City Planning Commission for the City of Elk River is hereby
established. The Commission shall be the City planning agency
authorized by Minnesota Statutes, Section 462.354, Subdivision
214.02 - MEMBERS AND TERM
The Planning Commission shall consist of seven (7) members
appointed by the City Council for terms as follows: two members
whose terms expire December 31, 1982; two members whose terms
expire December 31, 1983; three members whose terms expire
December 31, 1984. Thereafter, each member shall be appointed at
the first meeting of the year for terms of three (3) years. A
vacancy shall be filled by the City Council for the remainder of
the term. The members of the Planning Commission, by a majority
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