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5.6. SR 01-14-2002
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5.6. SR 01-14-2002
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1/21/2008 8:32:03 AM
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12/17/2002 2:59:47 PM
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City Government
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SR
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1/14/2002
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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. )~ lca/c~j, ze"'~' c~ gl e.~ / ~ q ~ <br /> <br />ATTENDANGE: <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 may or will arise if I become a <br />member of this board or commission. <br /> <br />STlgnature - d'~ <br /> <br />Date <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 Ol"lldlSSlON. <br /> <br />Return Application To: <br /> <br />City of Elk River <br />City Clerk's Office <br />13065 Orono Parkway <br />Elk River, MN 55330 <br /> <br />Appointed To: <br /> <br />Date Appointed: <br /> <br />Term Length: <br /> <br />OFFICE USE <br /> <br />Phone: 763.441.7420 <br />Fax: 763.441.7425 <br />www.ci.elk-river.mn.us <br /> <br />s:kclerkkboardcomkapphcation.doc <br /> <br /> <br />
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