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<br /> <br />CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />e <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 /> <br />5; 'i <br /> <br />l(-et::;.S <br /> <br />0S <br />Va J <br /> <br />0e <br /> <br />.) CO-.).. <br /> <br />1- e " J e"c- <br /> <br />'~,aor <br />Pc.;-hS <br /> <br />Cfc; <br /> <br />{ CO..+ ~ ovfS <br /> <br />l~e{)J,e? <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 />'CONFLICT OF INTEREST: <br /> <br />e <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 />....a ~.......;,: . <br />r ~~ -~~I ~ ~.. j[ <br />, ""'J _~ <br />\ ( I I " ^-t Y7 e <br />1\ 't - e:. I ~ (l ~ "-- I l Cor-t-l : /1 "" e . I <br />4..r ; -+ i"\ i l\ c ~-kA -t:: D r--I K ,~ I c:.-.- 0.... I ~ () e .e c-fc) s c..,? f 6 ('..1. <br /> <br />---~+L--_J_~~~~iQ~--_O~_-P_QL~~___~f___i~~__~{~{~__2?_0~_~_ <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 />~ <br />1 <br /> <br />-{..~ ~ v le~ Q <br /> <br />"-or h <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. <br /> <br />Return ADDlication 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 /> <br />e <br /> <br />vi c '1S e ~ c e <br />~..... a, I ,'.f/ c c.) / D .'1.5 . <br /> <br />A- .-l-Jr;. cJ, e d <br /> <br />.5'~ee.+- <br /> <br />-G r COrJ p J .f61.t ... <br />