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<br />CIVIC _AND COMMUNITY i\CTIVITIES: <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. <br /> <br />:r ~~ Yo b.- ~ Tk:- ?~ L.;.p~ B?J~ AV.~~ Z. ~ <br />~ ~ t"..CJI \. # - rI-' €... · 14 "- AI ~ J1..or....( ~ 7tc.:..,5, L-6 B e. ~~ <br />..:C ~~ -IS z, ~.i:J~ '" ~ <2- ~ "-"'~ d<~. J ~/L <br />li TTENDA-NCE:: <br /> <br />i~..re you aware of the importance of regular meeting attendance including the time commitment <br />involved in prep~g for meetings, and do you feel you have the time available to be an active <br />participant: ~ Yes _ No <br /> <br />COlnments: <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 />lnember of this board or commission. (See attached "Conflict of Interest" Ordinance) <br /> <br />~tr;rLQ -I <br /> <br />~~-~ ~ ?J;~~ <br /> <br />Signature <br /> <br />---- <br />'? -/ --- t:'S <br />Date <br /> <br />--------------------------------------------------------------------------------------------------------- <br /> <br />The selection process ~-ill 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 />Return Application To: <br /> <br />OFFICE USE <br /> <br />City of Elk Ri\Ter <br />City Clerk's Office <br />13065 Orono Parkway <br />Elk River, IvfN 55330 <br /> <br />Appointed To: <br /> <br />Date j\ppointed: <br /> <br />Term Length: <br /> <br />Phone: 763.635-1000 <br />Fu.'G 763.635-1090 <br />\V\ V'.v . ci. elk - river. om. U~ <br /> <br />S:clerk/bardeom/ a ppliea tionl a pp liea tio n <br />