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Feb-OS-ZOO4 03:ZOpm From-CITY OF ORONO +$5~Z494616 T-754 P.003/003 F-ge5 <br /> <br />CTVIC AND COMMUNITY A¢,.'TIVI'I'IE$: <br /> <br />Describe past or presen[ civic and/or community activities that may be relcvan~ in qualifying you to <br />serve on ~his board or commission. . . ' ..... '- ' ' ' <br /> <br />Are you aware of the importance of regular meeting attendance including thc dine commitment <br />involved in preparing for meetings, ,and do you feel you have the time available to be an acdvc <br />participant: ~ Yes ~ No ' <br /> <br />CONFLICT OF INTERF. ST: <br /> <br />I wish to disclose the fo]lowing potential conflicts of interest that may or will arise if I become a <br />member of this board or commission. (See attached "Conflict of Interest" Ordinance) <br /> <br />................................................................................ -~-,-,,;~: ~ .... 7" ...... <br />The selection process will vary accorclmg to the number of applicants and vacancies, and may not <br />include inrerviems wirA all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. <br /> <br />]~emm Apphcarion To_.' <br /> <br />City of Elk River <br />City Clerk's Office <br />13065 Orono Parkway <br />Elk River, Mlq 55330 <br /> <br />Appointed To: <br /> <br />Dare Appolnre& <br /> <br />Term Length: <br /> <br />OFFICE USE <br /> <br />Phoa¢: 765,6.~-1000 <br />I:;~=: 765,635-1090 <br /> <br />$:clcrk/b~,rdcam / ~-pplic~do a/a pplic~tlou <br /> <br /> <br />