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<br />.~., '. <br /> <br />. CMC AND COMMUNITY ACTMTIES: <br /> <br /> <br />. <br /> <br />. <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 />l-~ct.J..Q.-r;~;t' ~ \ k Ri~<Z.:( ~~ - lC{q" <br />~ta l<t~~\ rr\<'M~ <br />O"'...~"L. fV\LYY\VcA ().f C.~ri~\ Lv~'(~ c.tc.v('cL.. ;^cluJi", ~c MiVlf,\,,-y Bo",...J MUt~ <br />e.~. ~n-....l ~Vli~ \)i~~c.-\- \r~\^5 wov-"- G.rcP"\l>fl Mt.r\II.~ <br />1>-..s,\ ~~.ckJ.-t ":t ~Mv",;+'" \h luY\~ .a..W\ ~ \""""c., B~~,,, AJe-r1+- P...lcofo.. <br />Act'.J~ I? Nvt"S '''1 ~l. Tt'o.J.t. ~o..CVV'o l~o.~;CN\ ~.l S(z.y-'" "'" ti:ll. 1'1 Cd'" tx:J.r (1 e- <br />'T7'Cllo,o(C, A '>~'C:UA.. ~.t!M C:::~h1"~;- <br />ATTEND~CE: ' . <br /> <br />Are 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: -X. Yes _ No <br /> <br />Comments: <br /> <br />CONFLIQT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts of interest that mayor will <br />arise if I become a member of this board or commission. <br />0.",\'1 CPV' ~ \ ,c.. ~ U)VlJ. ~ ~':1 ~(,). -h.,....t.. p rc:t j<. c.-6 0. cs~oc..i o.h.cP c..ui~ <br />c..u f' y ~t ..e..W\ 'f\o1.e..r. .s "'-0 vlJ: ~,~ oc.c.(.r.r -r: waV (~ o...bs-h.-,V\ -frc:T'W'\. <br />vC)~^'J ~ ~e. -~S ~ . <br /> <br />a~rf2~~~ <br /> <br />Signature <br /> <br />..------------------------------------------------------------------------------------------------------. <br /> <br />The selection proce$s will vary according 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 />COMMISSION. <br /> <br />Return Application To: <br /> <br />City Clerk's Office <br />City of Elk River <br />13065 Orono Parkway <br />PO Box 490 <br />Elk River, MN 55330 <br />Phone: 441-7420 <br /> <br />OFFICE USE <br /> <br />Appointmen t: <br /> <br />Date: <br /> <br />Term: <br /> <br />s:\forms\brdcomap.doc <br />