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3.2. SR 05-10-2004
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3.2. SR 05-10-2004
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1/21/2008 8:33:34 AM
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5/11/2004 6:34:17 PM
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SR
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5/10/2004
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CIV'[C AND COMM'U~TY ACTZVIT~E$: <br /> <br />Describe past or present civic and/or conuntmity activities that may be relevant in qualifying you to <br />serve on tkis board or commission. <br /> <br />Are you aware of the importance of regular meeting attendance including the time commitment <br />involved in preparing for meetings, and do you feel you have the time available to be an active <br />participant:dX' Yes ~ No <br /> <br />Co ITL_TIe nts: <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following 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 />Signature ' ~/ - Date <br /> <br />The selection process will vary according to the number of applicants and vacancies, and may not <br />include interviews with all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. <br /> <br />Return Application To: <br /> <br />Gty of Elk River <br />City Clerk's Office <br />13065 Orono Parkway <br />Elk River, MN 55330 <br /> <br />Appointed To: <br /> <br />Date Appointed: <br /> <br />Term Length: <br /> <br />OFFICE USE <br /> <br />Phone: 763.635-1000 <br />Fax: 763.635-1090 <br />www. ci. eJk- fiver, mn.us <br /> <br />S:clerk/bardc om/application/appLication <br /> <br /> <br />
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