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N --'.' 10 :01 M7-TRC = R3:)JC--- :7-ST <br />CIVIC AND COMMUNITY ACTIVITIES: <br />P. S/ E' <br />Describe past or present civic and /or community activities <br />which may be relevant in qualifying you to serve on this board <br />or commission. <br />FAS:' FDz -ToA of TNB "A*C 9rve% -/ ' z,i Tns w.S.C- . 5 P,T4z�r+f <br />Past AAAo%-.q.J HoKsESHo•✓ :.NA�RPiRtOn! <br />R8C z PzT�vT eF Ar✓aA b <br />OF Ap f Ajej R r %, ,,j SoR V,w.rl-L'C 4 wo ft k <br />FRan� �'NA 1r-/76tA1A7- A*^I,*- ARAdZAoI �+ °:.56 gSiea�Gr►�za.J <br />YoLv�aBR k/e1C goR t14M/ evvAA&O <br />ATTENDANCE: <br />Are you aware of the importance of regular meeting attendance <br />including the time commitment involved.�n preparing. for <br />meetings, and do you feel you have the time available to be an <br />active participant?. X Yes No <br />Comments: �S <br />MA�✓Rfr:lZ Z K�v0r✓ ?s/c' y npoICrgfro of 7sDELsicXS <br />q,..D PODD A ,q../4C BIND <br />.vfo 01 pT7fdRS wyc„/ o.�f rS !ldS�'✓% <br />CONFLICT OF INTEREST: • <br />I wish to disclose the following potential conflicts of <br />interest that may or will arise if I become a member of this <br />board or commission.. <br />The selection - process will vary according to--the- number of - <br />applicants and vacancies, and may not include interviews with <br />all 'candidates. <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. <br />Return Application To: <br />City Clerks Office <br />City of Elk River <br />PO Box 490 13065 Orono Parkway • <br />Elk River, Mn 55330 <br />Phone 441 -7420 <br />