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CIVIC A.ND CON.A:UNITY -A C771%7,1 IES ; <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 />ov � •2 - lVt L C U /V\ h, , n/ i S S --. E C- n <br />2 <br />MoD £ R A-Tn N c. n S — 1-3 U L i T C A-t n .Mt <br />1�:c� F.�C (J i .M ✓� � r <br />i4W4�Z4':vCSS C„ 5'>Fc'�/�•�iZfi/J C:c•�o NtEDS — �.R. �2tr4 �'�� <br />ATTENDANCE: b i STr Z k c r' ?Z-, <br />Are you aware of the importance of regular meeting attendance <br />including the time commitment involved in preparing for <br />meetings, and do you feel you have the time available to be an <br />active participant?. X Yes No <br />Comments: <br />CONFLICT or INTER-.qT: <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 />ur1Ai_ CeN, -L.ccr p. 3^'�Rfsr- i <br />,MzU r., tN nt CGMMvIJ i n/ <br />The selection process c' 'i ----- - - - - -- <br />applicants and vacancies, and- may cnot cincludetinterviews ©with <br />all candidates. <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR CONiIiISSION. <br />Return Application To: <br />City Clerks Office <br />City of Eli: River <br />PO Box 490 — 13065 Orono Parkway <br />Elk River, Mn 55330 <br />Phone 441 -7420 <br />