6.1. SR 11-13-2012 >I*Ekkl REQUEST FOR ACTION
River
TO ITEM NUMBER
Mayor and City Council 6.1
AGENDA SECTION MEETING DATE PREPARED BY
Worksession November 13,2012 Jessica Miller, Executive
Secretary/Deputy City Clerk
ITEM DESCRIPTION REVIEWED By
Interview Planning Commission Applicant Tina Allard,City Clerk
REVIEWED BY
Cal Portner, City Administrator
ACTION REQUESTED
Interview Mike Keefe for consideration as a Planning Commissioner. If appointed,Mr. Keefe's term
would expire February 28,2015.
BACKGROUND/DISCUSSION
There is one vacancy on the Planning Commission.The vacancy has been advertised per the Board and
Commission Policy since January.
Staff received one application from Mike Keefe. Mr. Keefe will be in attendance at the meeting.
ATTACHMENTS
• Application
Action Motion by Second by Vote
Follow Up
PRIVERE0 8Y
N:\Public Bodies\Boards\Council Memos\Planning Commission 11 13 12.docx IftJLATIJREI
APPLICATION FOR APPOINTMENT TO CITY
ADVISORY BOARD/COMMISSION
RiverTerms beginning in March
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Thank.you for your interest in serving your community!Please indicate in order of preference on
which of the following boards and commissions you are interested in serving with 1 indicating your
first choice,2 your second choice,and 3 your third choice.
Energy City Commission 3 Parks and Recreation Commission
a Heritage Preservation Commission 0 Planning Commission
I\ Ice Arena Commission S Utilities Commission
All terms are three years and begin on the first day of March.See the specific board and commission
description for additional information.
APPLICANT INFORMATION
Name: M' C City of of Residence: E es-
Occupation: Sch\Q !QC'O\C.(* N V. Employer. IJJhee.le.c k{ethwa('e!
Statement of Interest:Please state briefly why you are interested in serving on this
board/commission for which ou are submitting this application. ll
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Education/Professional Experience:Describe your educational and professional experience or
skills that quillify you to serve on this board/commission
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Relevant Personal/Professional Experience:Please describe your professional,civic, or
comettwi ty participation,which may e elevant in serving on this board/ ommissio /!
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Attendance:Are your aware of the importance of regular meeting attendance including the time
commitment involved in preparing for meetings,and do you feel you have the time available to be
an active participant? Yes ❑ No
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Conflict of Interest is defined as the participation in any activity,recommended action,or decision
from which the individual has or could have the potential to receive personal gain,whether it be
direct or indirect. (See attached"Conflict of Interest'Ordinance)
In accordance with this definition,do you have any legal or equitable interest in any business,
however organized,which could be construed as a conflict of interest?❑Yes kNo
If yes,pro,'de details on a separate piece of paper.
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Applicant Signa e Date
Questions may be directed to the Administration Department at 763.635.1000.
This application will be kept on file for one year; after that time a new application
must be —
---___-- --------__—_ —_
OFFICE USE ONLY
The Applicant is: ANew Applicant ❑ Applying for Reappointment
Council Action: ❑ Not Appointed
❑ Appointed to:
Date Appointed:
Term Expires: