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v <br />• <br />CIVIC AND COMMUNITY ACTIVITIES: <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. T h�� bed a��� i,,�n CovN ✓r►� ctC:✓�fit0 <br />ar.r) ccot c ac%✓k-to iY►cl -jcQ; �•J vVaLA Zs GL j bS tvy, (sqaL <br />Gh�wtb+/ ' �o �v► n�av' i RiP t'tr /S�s � OYga at 1 zq5 AA UAi'4rd 4/av <br />4,, d 5 peckaL ©L-1 r+&o ► G s - / ✓ <br />ATTENDANCE: <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: - 11e5,,ae,,+ 't^e JUA+i►`wy vXeC.l� 44,-4 Rwt E0v44ft4 *q <br />do <br />to -f- oA Ly Itrj b� - vKo44k -/ MeeKn., j/c q j bait' q tlo `ftee- Te144 <br />r <br />1� <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 />IT do Ac+ k" V9- anY CaK-�JicI7 <br />T-Pt4vecr re f u141K- a*% P° S3 r d ('t_ co v e%, S z� e►1 �P f � ivn � � � . <br />--------------------------------------------------------------- <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 AoDlication To: <br />City Clerks Office <br />City of Elk River <br />PO Box 490 - 13065 Orono Parkwav <br />Elk River, Mn 55330 r <br />Phone 441 -7420 <br />