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FEB, 19.2004 5'25PM ELK_RIVER_CITY_HALL NO, 600 P, 3 <br /> <br />~[VIC.~_AND C-OMI~H ~~~IVIT~ <br /> <br />serve on th/s board <br /> <br /> you ~w~'e o£ the importance of=egnla: meeting armnclar~ce including ~e ~'>~ cormmnnen~ <br />/nvolved m p~e~/~faag fo= ~eeangs: mud do you feel you h~ve ~e ~=c ~vaI, bl~ m be an ~cm~e <br />p~,'r/cJ.p~nu/~. Y~s .... No <br /> <br />C FLI OF I T: <br /> <br />i wish to disclose tI~e following po~end,~l con/licrs of interest ~r may or will ar~e if I become <br />member of rkis bo,.rd or comlnissiOn. (See arract~ed "Conilic~ o£ Inreresf' Ordinance) <br /> <br />The selecnon process will va~7 ~¢cording ~o r~e number of applicants and vacancie% and may <br />mclu~ie inrervie~vs wirt: all caadid~ms, nor <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. <br /> <br /> City of ~ R./ver <br /> <br />· City Clerk's Office <br /> 13065 Orono Parkway <br /> Elk River, I~fN 55330 <br /> <br />Appoimed To: <br /> <br />Date Appcinre& <br /> <br />T~'n Ler:gd~: <br /> <br />OFFIC~ USE <br /> <br />S:Cl~rk/l~iu'd eom/appiig=do~/~l~pli~adon <br /> <br /> <br />