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. CIVIC AND COMMUNITY ACTIVITIES: <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 /> 1i -ue Hauer' sctac Doi GL �� fr 664ic o, car. r1,ss :.� /r7�/ <br /> co„I "vA,dy f3.c-'F/v,41`S u5c .//Y r✓luofue / 1 Y Cry tc 4 <br /> ATTENDANCE: <br /> • <br /> Are you aware of the importance of regular meeting atten ance including the <br /> time commitment involved in preparing for meetings, do you feel you <br /> have the time available to be an active participant: Yes No <br /> Comments: <br /> Can W'int9 sortie -68 s <br /> gr a Ge. a-( EL A 'l /UQr. <br /> CONFLICT OF INTEREST: <br /> • I wish to disclose the following potential conflicts of interest that may or will <br /> arise if I become a member of this board or commission. <br /> /IL <br /> S.gnature <br /> The selection process will vary according to the number of applicants and <br /> vacancies, and may not include interviews with all candidates. <br /> THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR <br /> COMMISSION. <br /> Return Application To: OFFICE USE <br /> City Clerk's Office <br /> Appointment: <br /> City of Elk River <br /> 13065 Orono Parkway Date: <br /> PO Box 490 <br /> . Elk River, MN 55330 Term: <br /> Phone: 441-7420 <br /> s:\forms\brdcomap.doc <br />