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4.2. SR 02-09-2004
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4.2. SR 02-09-2004
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1/21/2008 8:33:25 AM
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2/23/2004 7:29:40 PM
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City Government
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SR
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2/9/2004
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AND <br /> <br /> o~. ~s bo~d <br /> <br />A~EN~ANC,E: <br /> <br />Are you aware of the Lmpo~t~mcc of reg-clar meeEng attendance mcludmg the time cm~ni=nent <br />invob-ed m preparing for meetings, and do you feel yon l~ave t. he th=e ava/lable to be an active <br />participant: ~ Yes _ No <br /> <br />CONFLICT OF INTEREST: <br /> <br />i wish to disclose the folIou-ing potential conflicts of/nterest that may or w/Il az-ise if I become a <br />member of this board or con2r2ssior~. (See attached "ConFlict of Interest" Ordinance) <br /> <br />Signature Date <br /> <br />Tl~e sdection process ~511 vary according to the number of applicants and vacancies, axed may not <br />include interviews with al1 candidates. ' <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COHHISSION. <br /> <br />Return Applicatign To_.' <br /> <br />City, of Elk River <br />City Clerk's O£5ce <br />13065 O=ono Park'wav <br />Elk River, MN 55330 <br /> <br />Appoimed To; <br /> <br />Dare Appointed: <br /> <br />Term Lengd~: <br /> <br />OFFICE USE <br /> <br />Phonc.' 763,655-1000 <br />F~.x: 753.635-1090 <br />~,~v.ci. elk-dyer.rrm, us <br /> <br />$:clerk/b ard corn/application/application <br /> <br /> <br />
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