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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 "1 <br /> serve on this board or commission. -T"V- r0 ;A� t-1 �rJ�; lG. L. Y ���_. 1-??L�� ,yl\(O l ve <br /> rr rnerc .. �o� L5�u i'1 He�C <br /> G< tti't �n-lb�r� c� Ec e.f C) �1� C�� <br /> Lj ;��' kY l,t `ai'Z `� Cc, m rv,)i A-z-e— v,- C�1 Llf tc w L <br /> A�TENDANCE: <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: X 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 /> R <br /> /Ocl <br /> Signature Eilte <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 Cleric'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 />