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4.8. SR 03-16-2015Request for Action To Item Number Mayor and City Council 4.8 Agenda Section Meeting Date Prepared by Consent March 16, 2015 Jessica Miller, Executive Secretary /Deputy City Clerk Item Description Reviewed by Planning Commission Appointment Tina Allard, City Clerk Reviewed by Cal Portner, Ci", Administrator Action Requested Appoint, by motion, Garrett Christianson to the Planning Commission to fulfill an unexpired term until February 28, 2017. Background /Discussion Thomas Petschl has moved out of Elk River and has submitted his resignation to the Planning Commission effective immediately. There is one Planning Commission application on file for Garrett Christianson. As the Council may recall, Mr. Christianson was interviewed and appointed to the Energy City Commission at the February 2 Council meeting; however, he declined appointment due to a scheduling conflict with the Energy City Commission meetings. The Planning Commission was Mr. Christianson's first choice. The open position was advertised per Board /Commission policy and no new applications were submitted. Financial Impact N/A Attachments ■ G. Christianson application p 0 W I R I I a UREJ rt vc( l a 1 z)rO l L-j APPLICATION FOR APPOINTMENT TO CITY ctrygr_ (M6 ADVISORY BOARD/COMMISSION �1Veane% ®—� Terms beginning in March ar�h �` t�flf..i f In xss •. 1'.�rl.w :.0 'Lb.tr�5_f�xr.� 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. QEnergy City Commission ❑( Parks and Recreation Commission ❑ Heritage Preservation Commission 119 Planning Commission ❑ Ice Arena Commission ❑ 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: 6AA44: � �f /Kk ''5,, /,-' City of Residence: 'el VER V Occupation: S,t. -PE'2V/So/Z Employer: (fiyrrF4 A/Zce:G. ,fir/ /CE Statement of Interest: Please state briefly why you are interested in serving on the board /commission for which you are submitting this application. / Ap,,� /, -rFA- 'ST'CQ rA-% /.✓ M y CvMM UNrt-y,� Nr9 uC- A vES�� r,v7°,izFST / n� 7t/E PANN�N ��� Relevant Experience: Please describe your educational, professional, civic, or community participation, which may be relevant in serving on this board/ commission, �r4n/ Fat ELt�- 121 V6 Ct-'rr CC fL S6767- k111,t 1 rw TrYE .�;Zo l 41 o tJ5 Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved irepar for meetings, and do you feel you have the time available to be an active participant? es No Comments: 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 an business, however organized, which could be construed as a conflict of interest? []Yes ONO If yes, provide details on a separate pitce of 12aper. Applicant Signature Date Questions may be directed to the Administration Department at 763.635.1000. OFFICE USE ONLY D�` New Applicant ❑rr Reappointment I ` a w 10+ Ltsc Council Meeting Date: d* o`l IS {lllrr �-V � �3 0-0, �,1,� i�� p '-Appointed to: Term Expires: a- A ❑ Not Appointed