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<br />. 0 <br /> <br />CMC AND COMMUNITY 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. J A~ ...M.rl A(A.;) <br />AutU1 4~ t1ffn~.} 10 Iu. ~ ~ d... Ik ~~ <br />,oM J tunJ.J hadUkJ ~ J~ ~$O~~;J... <br />~./H(t~. ~/JV 141 j k~ ~eJ J ~ <br />. J2MkJ ~ UJDz'-{n~ J ~cJ Cck ()A.~I1twi:,b- i:J b.L ~~ ~ r-t <br />ATTENDANCE: . . ~..~. 0 <br /> <br />.Axe you aware of the importance of regular meeting attend.aJ:lce 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: :i.. Yes _ No <br /> <br />Coniments: <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 m~mboer ,of this board or commi~sion. S~ ~ ~ .;.k. ~ <br />~ ! p/tUo- n... ~ cA1t Y /JW1- ICUN ~(.g ~ t:a-. re~ . <br /> <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 />COM:MISSION. <br /> <br />Return Application To: <br /> <br />OFFICE USE <br /> <br />City Clerk's Office <br />City of Elk River <br />13065 Orono Parl'"Way <br />PO Box 490 <br />Elk River, MN 55330 <br />Phone: 441-7420 <br /> <br />.~pointment: <br /> <br />Date: . <br /> <br />. <br /> <br />Term: <br /> <br />s:\forms\brdcamap.doc <br />