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i <br /> i <br /> I <br /> 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 /> :fan., D0) 1-h -- f;YQ 70-0/0 7a du rr)r best a� a1) tie cu ))s wZ ,,4' ,`�re <br /> 4-d Q I" " t Ca d / ` <br /> �• �4 FC.L Pa r�- � h �'"✓`a�.,;n' Q YI d a�'"/�,,.)a r rn eH� <br /> "y3 <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 /> Signdture V 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 Tom►Length: <br /> Pequot Lakes, MN 56472 <br /> Phone:218-568-5222 page 2 <br /> Fax:218-568-5860 <br />