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5. SR 08-07-1995
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5. SR 08-07-1995
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12/3/2009 8:50:20 AM
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City Government
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SR
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8/7/1995
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~Ti++~o~4 ~9~.iv"02 ArL~RON~c~NC :LICE $EINECRE P.2/2 <br />• CIVIC AND COM.~iUNT?'Y ACTIVITIES: <br />Describe t~a5t ar present civic and/a. community activities <br />NhiCh may be relevant in qua.Iifying~yaa to serve cn this board <br />ar commigsian. <br />w i ~ i '?~SWSS ~ IJ +~E25~N. <br />A'"TENDANCE <br />C~oo6 <br />Are you aware of the importance of regular rnaeting attendance <br />including ;.he time commitment invo?ved in preparing for <br />meetings, and do you feel you have the time available to be an <br />,active participant? ~ yes No <br />Comments: • <br />T vv~~.~., vii} ~~ -7~C •TrM~ AVA~LAt'>LE, ToB~ ~~ ~1c~Tev,~ <br />P~~rrc~ ~anrt . <br />~CONF?',IC'?' Oi T_Z~T'?'ER~ST: <br />I wish to disclose the zollowing notzntial canfiicts.of <br />interest that mey or will arise if I become n member o,; this <br />board or commission. <br />N~~~ <br />`1`he selaction p,aces5 Will vary according to the numbe, of <br />applicants and vacancies, and may not include interviews wzth <br />all candidates. <br />THAPIK YOU FOR YOUR 233TcP.EST IN SERVING ON A 90ARD OR CDMMISSZON. <br />Return Application To• ^ -" <br />City Clerks Office <br />.City of Elx R_ver <br />• RQ Bow 494 - 15065 grono Parkway <br />Elk Rive=, Mn 55330 <br />Phone 4~1-7&24 <br />Post-It" brand {~x itStlSrtliR2! memo 76T1 ~ of pagaa • L^„ <br /> <br />! C,.~. r rom *~~ <br />i <br /> lam. ~ <br />est. Pnone~ • •~r/ .~ <br />Fox d FaY ~ •~! - ~ / ; <br />
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