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<br />CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or community activities that may be relevant in qualifying you to <br />serve on this board or commission. 'P1 P(.A- Cll"/I/ t{ J tU Of ~Te I Wq 1--4 'I q; r CO+U./Yj~ , <br />fJ 0 Ck tP fYI e "'- h.u.. -80(1 S to G i ' I s C Ic..do. .r: I k Jf2 i IJJ..{ Xe &t t&u h 'f (! /) fA-{ 5 (s. IOU,{ 8. <br />a:.A- ~Ot "tf)~: II ~.. ~J q.Wfl.4J.~IO" /ltrl1 f - lurl' i; 2-: ~ ~cu.1t :~~}....vt.1 <br />y ~ \ ~ t.U... 9 vi () <.tp s f 0 m [ I t.jl1. e y,ieu y - tc:> G. Cft tJ--R y-e ~f 4. O&/n fs '10 <br />ATIENDANCE: C' ~ iJ ~ C.(!) fJ ~ f\ i UtJ~ 4' 11 S .. <br /> <br />Are you aware of the importance of regular meeting attendance including the time commitment <br />involved in preparing for meetings, and do you feel you have the time available to be an active <br />participant: ~ Yes No <br /> <br />Comments: <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts of interest that mayor will arise if I become a <br />member of this board or commission. (See attached "Conflict of Interest" Ordinance) <br />-:!:. d 011'f- ~ L'-(IJe.. ~ ~ ~ conbl'cf- of. ~1'1~: bul ,'i <br />5' ~ (? IA \ ct k VI ~ '"h J f--h- 4- f 11<-- 12 ~~.JA.. cI f.l Y\ J.h tI 11 t1 5 ct. <br />C 4 P ~ t~("fVt..S ~ U?~f-~+Ju... ~ try t!J + F//z ~I'VM. <br /> <br />~1."t W~+~~-~ L/-tJ~ <br />Si~a~e Dm <br /> <br />The selection process will vary according to the number of applicants and vacancies, and may not <br />include interviews with all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. <br /> <br />Re~n Application To: <br /> <br />City of Elk River <br />City Clerk's Office <br />13065 Orono Parkway <br />Elk River, MN 55330 <br /> <br />OFFICE USE <br /> <br />Appointed To: <br /> <br />Date Appointed: <br /> <br />Term Length: <br /> <br />Phone: 763.635-1000 <br />Fa.'c 763.635-1090 <br />www.ci.elk-river.mn.us <br /> <br />S:c1erk/bardcom/ application/ application <br />