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4.6. SR 12-16-2019
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4.6. SR 12-16-2019
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12/13/2019 8:48:24 AM
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12/16/2019
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Attendance: Are your aware of the importance of regular meeting attendance including the time <br />commitment involved in preparing for meetings, and do you feel you have the time available to be <br />an active participant? ® Yes ❑ No <br />Comments: <br />Thank you for the opportuniy to be a part of the Housing and Redevelopment Authority. I will strive to <br />help our great community of Elk River. <br />Conflict of Interest is defined as the participation in any activity, recommended action, or decision <br />from which the individual has or could have the potential to receive personal gain, whether it be <br />direct or indirect. (See attached "Conflict of Interest" Ordinance) <br />In accordancewi s definition, do you have any legal or equitable interest in any business, <br />however organiz -d, which could be construed as a conflict of interest? ❑Yes ®No <br />If yes, provide 4tails on a se aratepiece of paper. <br />December 10, 2019 <br />Applicant S4atur4 Date <br />be directed to the Administration Department at 763.635.1000. <br />OFFICE USE ONLY <br />The Applicant is: <br />Council meeting date: <br />❑ New Applicant ❑ Applying for Reappointment <br />❑ Appointed to: <br />Term Expires: <br />❑ Not Appointed <br />
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