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CIVIC AND COMMUNITY ACTIVITIES: <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. <br /> "'it—. 2%k-- ,altee 100N-07. iervel,0,54:7 492/2170144"4-10,"-- <br /> it.a... /d lye. . <br /> ATTENDANCE: <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 /> Comments: <br /> CONFLICT OF INTEREST: <br /> I wish to disclose the following potential conflicts of interest that may or will arise if I become a <br /> member of this commission. <br /> 4J44, -cLi // Boa <br /> Signature ate <br /> THANK YOU FOR YOUR INTEREST IN SERVING ON THE PARK BOARD <br /> OFFICE USE <br /> Return Application To: Appointed To: <br /> City of Pequot Lakes Date Appointed: <br /> City Clerk's Office <br /> 4638 County Road 11 Term Length: <br /> Pequot Lakes, MN 56472 <br /> Phone:218-568-5222 Page 2 <br /> Fax:218-568-5860 <br />