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5.3. SR 02-24-2003
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5.3. SR 02-24-2003
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1/21/2008 8:32:16 AM
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2/21/2003 9:44:39 PM
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City Government
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SR
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2/24/2003
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CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or commm:fity actMties that may be relevant m qualifying you to <br />sense on flus board or commEssion. <br /> <br />Are you aware of the huportance of regular meeting attendance including the time corrm~m~ent <br />revolved in pz.'eparhng for meetings, and do you feel you have the thne available to be an active <br />participant: ._,X_ Yes No <br /> <br />Corm~nents: ' <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts of interest that may or will ahse if I become a <br />member of this board or co~rnrdssion. <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 />Return Application To: <br /> <br />CiV of Elk Kiver <br />CiV Clerk's Office <br />13065 Orono Parkway <br />Elk River, MN 55330 <br /> <br />Appointed To: <br /> <br />Date Appointed: <br /> <br />Term Lengflx: <br /> <br />OFFICE USE <br /> <br />Phone: 763.441.7420 <br />Fax: 763.441.74~ <br />wxvw .c~. elk-nv er .mn.u.s <br /> <br />s:kcterkkboardcomX, application.doc <br /> <br /> <br />
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