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APPLICATION F <br /> City of ADVISORY BOARD/COM MISSION <br /> o n <br /> Reappointment to: <br /> 13065 Orono Parkway. <br /> 763.63$,1000 <br /> APPLICANT INFORMATIO N <br /> Name: -,f A tv?z-`� ��' "° � �� �(�' City of Residence: C.p:' LK <br /> Occupation: E" gLeE� ZE" Employer: 1--(912.41 <br /> Statement of Interest:I have been a life long user and supporter of parks and trails and a <br /> participant in recreation programs in Elk River. I believe that a lot of progress has been <br /> made in the last several years with the addition of Bailey Pointt and the.possibility of <br /> adding the Houlton Property to the Park system. Recreation opportunities should improve <br /> with the addition of a lighted field Oak Knoll park. I also have adopted Ridgewood East <br /> Park. I feel have the background, training and experience to continue on the Park and Rec <br /> Commission. <br /> Background Experience: I graduated from ERRS, and the U of MN. Most of my <br /> working career was at Cretex in ER where I was a civil engineer. I was a long time <br /> member of the ER Fire Dept.,ERFD Relief Association and a former member of the <br /> Sherburne Co. Fair Board. Recently I have been a trtentor to graduating senior Civil <br /> engineering students working on their Cap Stone projects at the U of MN. Many of the <br /> Cap Stone projects have been related to and were of great value to the functions of the <br /> ER park system, Last summer I helped an Eagle Scout build a pedestrian bridge in <br /> Woodland Trails Park. <br /> commitment involved in preparing for meetings,and do you feel you have the time available to be <br /> 4 <br /> an active participant? Yes D No <br /> Comments: <br /> Conflict of Interest is defined as the participation in any activity,recommended action, or decision <br /> from which the individual has or could have the potential to receive personal gain,whether it be <br /> direct or indirect. (See attached"Conflict of Interest" Ordinance) <br /> In accordance with this definition, do you have any legal or equitable interest in any business, <br /> however organized,which could be construed as a conflict of interest? El Yes El No <br /> IAyes,provide deta�s on a se arate-piece of paoer. <br /> lz.9 <br /> Applicant Signature Date <br /> i <br /> Applications will be kept on file for one year,after that time,a new application must be filed. <br /> OFFICE USE ONLY <br /> Council Meeting Date: <br /> El Reappointed <br /> Term Expires: <br /> El Not Reappointed <br />