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SEP. 2,2003 3:53PM ELK_RIVER_CITY_HALL N0,466 P. 5/6 <br /> <br />CItriC AND COMAIUNITY ~5~CT1WITEES: <br /> <br />Desca:ibe past or pres=hr civic and/or comm-,~ity activi~es t.~t may be relevant i¢ qualifyin~ you to <br /> <br />~~Cg: <br /> <br />_Kre you aware of ~e imports_ oce of regular mee6ng attendance including ~e me co~m{~ent <br />NVoNed m pzep=.fi~g for mee~gs, md do you fed you have ~e me arable to be m active <br />p~dpant: ~ Y~ __ No <br /> <br />C_ONFLICT OF 1-N. ~'F~tLEST: <br /> <br />I w/sh to disclose the followi~ potential conflicts of interest that may oz will arise if I become a <br />member of this board or commission. (See attached "Conflict of Interest" Ordinmce) <br /> <br /> · -- Da~e / <br /> <br />The ,election process will vary according to the number of applicant~ and vacancies, a~d may not <br />include Jaxterviews with all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. <br /> <br />Remm Ap!~lication To: <br /> <br />Ci~, of Elk River <br />City Clerk's Office <br />13065 Oromo Parkway <br />Elk River, MN 55330 <br /> <br />Appohxted To: <br /> <br />Date Appointed: <br /> <br />Term Length: <br /> <br />OFFICE USE <br /> <br />Phone: 763,6~$-1000 <br />Fax: 76&635-1090 <br /> <br />-~: clcrk/b ardcom/applica~ioxx/sppllcatlon <br /> <br /> <br />