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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 /> lif/D��L G✓i / ��'4L <br /> dl-le-5 ov � Z lT�'it�5 �LOr�t/ lc i AT�'NOi <br /> !V Vvv&efl- M 1A .J C�/` �� �/� LJ�✓�Ilit / ""iN�z�T�lr <br /> ATTENDANCE: <br /> Are you aware of the importance of regular meeting attendance including the time commitment <br /> involved in pre aring for meetings, and do you feel you have the time available to be an active <br /> participant: 7 Yes _No <br /> Comments: <br /> ZA560 <br /> lyltt ��Ic� �►� c�007 `4IgS � <br /> CONFLICT Of INTEREST: 12 M0A)77,4t <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. �fv'!5 lie Ai T J OAO i Jfj6o 1, 4M oe <br /> iZ 2 a <br /> Signature Date <br /> THANK YOU FOR YOUR INTEREST IN SERVING ON THE PLANNING AND ZONING <br /> COMMISSSION. <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 Tenn Length: <br /> Pequot Lakes, MN 56472 <br /> Phone:218-568-5222 Page 2 <br /> Fax:218-568-5860 <br />