9.1. SR 02-18-2020 - Laserfiche WebLink

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EW1 r,� River t aoes e��N, rod.,,a,• ?G3.h.15. i1NN1 Commission Reapplying for First Name BR1AN Address City Home Phone Employer. APPLICATION FOR REAPPOINTMENT TO CITY ADVISORY BOARD/COMMISSION Last Name State M Zip C.11 PlinnP Email Occupation 53D Public Contact Information The city maintains a directory of current board/commission members on the city's website. Once appointed, state statute requires members to provide a telephone number, email address, or both where the applicant can be reached. This is the contact information we will include in our online directory. Please indicate which contact information you would like us to use: ❑ Horne Phone Number C"Cell Phone Number Email Address State briefly why you are interested in continuing to serve on the board/commission for which you are seeking reappointment: _'L- H AVE EN T10YEu MY T�M►E 5ERVtnf& a.L< R.Ivr-g Ong THE r+R ,1 - CAMMtSS►OIL. W LT14 "CFW— CAn9STRvCTIOIIJ ptob CAc-^krL.ETroAl oF- oVR Naw 4F-F-0 41 : 6M ,ExUTXD To cotj- toj0F i #rs gr-xoce AtJD 5yPPoRT Ttfa NEr~DS of ELK R1V+✓R. Attendance Are you aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you still have the time available to be an active participant? ®' Yes ❑ No Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. Do you have any legal or equitable interes in any business, however organized, which could be construed as a conflict of interest? ❑ Yes Lir No If yes, explain on a separate sheet of paper. Applicad Signature 1-1-c?—�r_� Date Board/Commission Application Page 1 of 1