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<br />e <br /> <br />e <br /> <br />e <br /> <br />CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or community activities <br />which may be relevant in qualifying you to serve on this board <br />or commission. <br />/1(5,4 0u m~;cIe..J <br /> <br />Ete. Ark a.-A ~~ <br /> <br />;::;;/'",. €'-r drs ,.:.}- :5:x.Ct>_ ~-?a. d <br /> <br />-reS/4 HuH- Cocu;.A- <br /> <br />- S- 7'&5, <br />&rI-t ~H (..f J'/C7/l.e'r <br /> <br />2 <br /> <br />':JrS <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of regular meeting attendance <br />including the time commitment involved in preparing for <br />meetings, and do you feel you have the time available to be an <br />active participant? ~ Yes No <br /> <br />Comments: <br /> <br />7J",,~- ('J ~7 I'tl. s f <br />le~ ~s~ 0"'- <br />tA;p fj 1 ~ ('r fa--/- a-..d. <br />c:onUcl:s t::m. /11ee 117 <br />CONFLICT OF INTEREST: <br /> <br />2. if" -> ,On. ~ <.. Q:'Jn--t I'U (s S / 0 -"L; .::z:- j t%A/ <- <br /> <br />2. occ.a.~"'S , ~J".4- af/e-da-.ce /5 <br /> <br />I AAtl.ic. every e~f h t!<.-u",.d ttU"7 <br /> <br />I'1lf/'&, <br /> <br />I wish to disclose the following potential conflicts of <br />interest that mayor will arise if I become a member of this <br />board or commission. <br /> <br />The selection process will vary according to the number of <br />applicants and vacancies, and may not include interviews with <br />all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. <br /> <br />Return Application To: <br /> <br />City Clerks Office <br />City of Elk River <br />PO Box 490 - 13065 Orono Parkway <br />Elk River, Mn 55330 <br />Phone 441-7420 <br />