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9.1. SR 02-18-2020
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9.1. SR 02-18-2020
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APPLICATION FOR REAPPOINTMENT TO CITY <br />ADVISORY BOARD/COMMISSION <br />13065 Qww Pukwsy <br />763.635.1000 <br />Commission Reapplying for <br />Planning Commission <br />First Name Last Name <br />Alexander Feinstein <br />Address <br />City Elk River State MN Zip 55330 <br />Home Phone Cell Pho^- Email <br />Employer Occupation � <br />MG McGrath, Inc. Project Manager <br />Public Contact Information <br />The city maintains a directory of current board/commission members on the city's website. Once <br />appointed, state statute requires members to provide a telephone number, email address, or both where <br />the applicant can be reached. This is the contact information we will include in our online directory. <br />Please indicate which contact information you would like us to use: <br />❑ Home Phone Number C�J Cell Phone Number ❑ Email Address <br />State briefly why you are interested in continuing to serve on the board/commission for which you are <br />seeking reappointment: <br />I believe Planning Commission plays an important role in shaping the <br />future of Elk River and I want to be part of it. <br />Attendance <br />Are you aware of die importance of regular meeting attendance including the time commitment involved <br />eparing for meetings, and do you feel you still have the time available to be an active participant? <br />LU Yes ❑ No <br />Conflict of Interest is defined as the participation in any activity, recommended action, or decision from <br />which the individual has or could have the potential to receive personal gain, whether it be direct or <br />indirect. Do you have any legal or equitable int410 <br />in any business, however organized, which could be <br />construed as a conflict of interest? El Yes <br />If yes, explain on a separate sheet of paper <br />(* K�" 01-30-2020 <br />Applicant Signature Date <br />Board/Commission Application Page 1 of 1 <br />
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