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.CMC AND ¢O1VIAdl~ITY ACTIVITIES; <br /> <br />Describe past or present civic and/or community activities which may be <br />relevant in qualifying you to serve on thi.~ board or commission. <br /> <br />~me com~tme~t ~volved ~ ~e~g for mee~s, ~d do you feel you <br /> <br />Comments: <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts of interest that may or will <br />arise if I become a member of this board or commission. <br /> <br /> Si~n~X~ure e <br />: .... : ...................... : ................................ ......... ................. <br /> e se ection process will vary accora~n g to the number of applicants and <br />vacancies, and may not include interviews with all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR <br /> COM/VlISSION. <br /> <br />Return Application To: <br /> <br />City Clerks O~ce <br />City of Elk River <br />13065 Orono Parkway <br />PO Box 490 <br />Elk River, MN 55330 <br />Phone: 441-7420 <br /> <br />Appointment: <br />Date: <br /> <br />Term: <br /> <br />OFFICE USE <br /> <br />s:~form, s~rclcomap.doc <br /> <br /> <br />