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<br />~,: , . <br /> <br />. <br /> <br />CIVIC AND CO:MMUNITY ACTMTIES: <br /> <br />Describe past or present civic and/or community activities which may be <br />relevant in qualifying you to serve on this board or commission. <br /> <br />ATTENDANCE: . <br /> <br />Axe you aware of the importance of regular meeting attendance including the <br />. time commitment involved in preparing for meetings, and do you feel you <br />have the time available to be an active participant: .)(L Yes _ No <br /> <br />Comments: 1 JVs\- t~V\~sW S" yfS. of '^-:~~-t sck..J. :, V\,~k~5 <br />tA ()JC"(~~, Cl~ ~a.u<. V'WOrlL -r-\ ~ -1D ~L 'IV\. \JoJ ~ . <br /> <br />CONFLICT OF INTEREST: <br /> <br />. I wish to disclose the following potential conflicts of interest that mayor will <br />arise if I become a memb. er of this board or conrmission. Lb' . d \ <br />J- W<:::.fk ~[' 0\.. ~e.cLQ,1.I\ '.c.o^ C:o'^-\-tG\C~{', ,,\- ~ ,C^' <br /> <br />~~ ~~ ~5 ~ prDbk"'-. l <br /> <br />sbD,~ <br /> <br />--------------------------------------------------------------------------------------------------------- <br /> <br />process will vary according to the number of applicants and <br />vacanCles, d may not include interviews with all candidates. <br /> <br /> <br />OU FOR YOUR INTEREST IN SERVING ON A BOARD OR <br />COMMISSION. <br /> <br />Return A <br /> <br />OFFICE USE <br /> <br />. <br /> <br />City Clerk's <br />City of Elk <br />130650ron <br />PO Box 490 <br />Elk River, 55330 <br />Phone: 441- 420 <br /> <br />Appain tm en t: <br /> <br />Date: <br /> <br />Term: <br /> <br />s:\forms\brdcoma .doc <br />