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~p~JULo~4 '9`.i~~02 ArLTRON~~~NC <br />SLICE HEII~IECRE P. 22 ~ 002 <br />CZV?C ANJ CONl.~tJPiTTY ACTIyITIES <br />Describe DaS~ or present civic and/ar community activities <br />which may be relevailL in qualifyittg• you tG~ serve on this board <br />ar commission. <br />w « ~ D Ls evSS i u ~'~ 25 vN . <br />A'"TENDANCE <br />Are you aware of the importance of regular meeting attendance <br />including the time commitment involved sn preparing for <br />mee;.ings, and da you .feel you .have the time available to be an <br />.active participant? ~ Yes Na f <br />• <br />Comments: <br />• T evlL.~. ~L4~~ -7~C TrM~ AVRIt.A{iLE. To 8~ ~~} ~}C~."reV~ <br />PAi~t tCt toA nf'~ <br />CON~LIC?` OF IN2'ER£S'F': <br />i wish to disclose the zollowing notantzal canfiicts.af <br />intzrest that may or will arise if I become a member ox this <br />board or commission. <br />N~~~ <br />The selection process will vary-according to the number^af` Y <br />applicants znd vacancies, and may not include interviews with <br />all candidates. <br />TH.APiK YOCT FOR YOUR Ii~TTcP.EST IN SERVING ON A HOARD OR COMMISSION. <br />Return Application To: ^ ~" <br />City Clerks Ozfice <br />• City of El'x R:ver <br />Po Boy: 490 - 13.065 grono Par?cway <br />~'lk Rivez, Mn 55330 <br />Rhone 4~1-7420 <br />Pastrtt`• brsnd tax transmltta! memo 7ST1 ~ of ~s~= ~ ~, <br />• <br />I ~.~ ! fOt~'i ~~! ^ <br />1 C.K. <br />co. co~ . <br /> f <br />Fnx a FaY r .Lll <br />' '~~-% <br />