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<br />I.> <br />~ <br /> <br />. CMC AND COMMUNITY ACTMTIES: <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 />J.,.~Cl..aQ.~~;f ~ \k Ri\la.-(' ~ctv"*-- - \Cfq~ <br />~~ t<,~~\ rn(t'M~ <br />a.-~"I.,. r'V\LYV\VcA o~ C.~ri"\ Lv1.'kf't:V\oo. c..tu.,('cL... ~"cl"Jj", {V\Lr.c M,V\j,\.,.y B.,~~ MlttK~ <br />e.~. ~tt...\ BV}i ~ \).I~~C.-\- \r0C'V\'^5 VJo.r\r.. G.r~ mLY\I\. ~ <br />i'.....s1 ~1~~\ d:t ~MV"~","", \A> ltl't\-tL.c,;.. .a.w-\r- \CMi"c.(. BCI~'" AJ~"" P.../ccfo.. <br />Ac.t\,,~ I? NII't~ '''1 ~'Tt~ ~~I:VVO. Izc..~jCN' ~.J. itz-w-v' 6't"l ~ ,.,e,,~ tcJ.t" C f . <br />-n-~lll't" Do ~t$tn:UA. ~'b'I\ C~ "".nffi!4.~ <br />ATTEND~CE: . - <br /> <br />Axe you aware of the importance of regular meeting attendance including the <br />time commitment involved in preparing for meetings, and do you feel you <br />have the time available to be an active participant: ..x Yes _No <br /> <br />Comments: <br /> <br />CONFLIQT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts of interest that mayor will <br />arise if I become a member of this board or commission. <br /> <br />0.,\'1 CPv' t \ \c. ~ U)\J~ ~ ~':f ..fu. fv >("(.. pre j<- c-6 o..s$oc..i ~ c.A.jiit-. <br />c..u r Y ~t .JZ,M '('\01 ~r. .s "'-0 v\J: ~~~ DC.C.v..r -:r: wav {c,X o...bS~'.V\ -fr~ <br />VQ~^J C"i' ~e. '~5~. <br /> <br />a~ (i2,~.A-~ <br /> <br />Signature <br /> <br />..----------------------------------------------------------------------_.~-_.------_._---------_._.----- <br /> <br />The selection process 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 />_l>.ppointment: <br /> <br />Date: <br /> <br />Term: <br /> <br />s:\forms'-brdcomap.doc <br />