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Home My WebLink About15.F.1. Nominations to Boards and Commissions /~ F, / · CITY OF SHAKOPEE Memorandum COrlSENT TO: Mayor and City Council Mark McNeill, City Administrator FROM: Judith S. Cox, City Cler~ SUBJECT: Nominations to Boards and Commissions DATE: January 30,2003 INTRODUCTION: City Council is asked to make nominations to Boards and Commissions to fill expiring terms on February 4,2003. BACKGROUND: Terms on various Boards and Commissions will be expiring on February 28, 2003. According to Council policy, it is appropriate to make nominations to Boards and Commissions at the February 4th City Council meeting. An Interview Committee will then interview the applicants and make recommendations to City Council for appointments at the February 18th meeting. (Councilmembers will be invited to vote by ballot prior to the start of the meeting on February 18th.) Some applicants have expressed interest in more than one Board or Commission. It has been past practice to nominate all applicants to the Boards and Commissions for which they have applied; however, that is not required. The number of terms that are expiring and the names from applications received to date are attached. Should additional applications be received prior to the City Council meeting on February 4th, they will be placed on the Council table. In order to inform the community that the City Council is seeking applicants for Boards and Commissions, the following actions, as outlined in the Guidelines for Boards and Commissions, were taken: 1] Two ads in the local newspaper 2] Notice on the cable television government channel 3] Notice on City's web site 4] Notices on bulletin boards: City, County, SPUC, Public Library, and Marquette Bank 5] Letter to chairs of local organizations 6] Letter to incumbents eligible for reappointment On November 26, 2002 Jim Turnwall and Kathy Gerlach were appointed to fill vacancies on the Environmental Advisory Committee expiring on February 28,2003. Because of the short length of time for their terms, it was anticipated that they would both be reappointed for a three year term expiring February 28, 2006. We did not advertise for openings on this Committee. RECOMMENDED ACTION: Move to make nominations to Boards and Commissions (as desired): 1] Shakopee Public Utilities Commission: Marschall Walker, 1 Opening Brian Young, Noreen Duffy 2] Police Civil Service Commission: Stan V onBokem*, Steven Hoppert, 1 Opening Douglas Forsman 3] Economic Development Advisory Committee: Jeff Jansen*, 3 Openings Marshall Walker, Barbara Felber, Noreen Duffy 4] Park and Recreation Advisory Board: Jim Dorenkamp*, Dave 2 Openings V osejpka* , Brian Madden 5] Transit Commission: Eldon Reinke*, Marshall Walker 5 Openings 6] Building Code BOAA & Housing Advisory and Appeal Board: 3 Openings Gene Juergens 7] Board of Review: Brian Call * , Eldon Reinke* 2 Openings 8] Planning Commission: Deb Amundson*, Gayl Madigan*, 2 Openings Marshall Walker, Matthew Masica 9] Telecommunications Advisory Commission: Benjamin Adams* , 1 Opening Don McNeil, Noreen Duffy 10] Environmental Advisory Committee: Kathy Gerlach*, 2 Openings Jim Turnwall * * Incumbents I:Clerk/Jeanette/B&Cnominations /~ CITY OF SHAKOPEE APPLICATION FOR COUNCIL ADVISORY BOARDS AND/OR COMMISSIONS Name: /n a" S), ?i II tA/4 / k~,.. Address: , Phone:(H) , - - - - - . (W) E-mail Address: - - i'l How long have you been a Shakopee Resident? c;rnon~<; Occupation: c: 0 hl f' ,.... ..J- e r ~ Y'd ~ /' r, n'l P"Vl .j!> y-.. Place of Employment: 5 v. FJ.e " V~... / t4 , Does your work require you to travel? (Check one) _ A great deal _Periodically ______\TeryLittle INone Do you have any special interests or training, which you feel a particular board or commission could use? (Use a separate sheet if necessary) /)IrS)!:, ,"'(~ql.;/'P'" 111'" -h:> ",..etl)"?" r;;I-....:f..,..,'1<;,; ,-"N;,.-h wa..l.g ,1I3"",,/,JJ k?"'tI.",,, i"',(~;1"""''''+;(''1.; P;.."I t-'l... b... 'T (.<><.< 11" '" ofccct;....,. Tk( pnl' ,~5 ,'.5 tIt~ slfW\-Ph (>;'(1 c..Jy -/1..... o~ ie..-kv.."s dV.e ,); ,(.~",.-.,..-f, Board or Commission in which you are interested? (If more than one, please indicate order of preference) - Pia ,,' Lorn cenc"" ;. , OQ,/eJo /YiQ,"I+' _Sf! (? Iro .. " f4,J.,I:c.. (j.J..:Lh-~<; ~ ',....a. n c;; ;"1- c~ m I'Y1 / <:c; ;' C"'l " Please state briefly why you are interested in serving on this Board/Commission for which you are submitting an application: Tt... v Co,:nA/; ,,,; .:.'.... .016.'1" ^ /.JA... +-;.., ('h..n; ('5 'f-'htl ".-C/.,Y1Mu... ;1-1' ,-Iv /;1'1 "" h.... i +- '" b", -f'f...~ JC Ie; c'" * , I I /;I/~ a,../ +;" ~p.;,.n '" s~. AJof e vnvtt.; '''5 ~.;; " b<J +~,;.", ), ,.f eFt. pf.f'",,+ I'l o?"j eft:;. /'e /'I'? <t:'~.()' , .. 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. In accordance with this definition, do you have any legal or equitable interested in any business, however organized, which could be constructed as a conflict of interest? Yes_ Nol(. If yes, please provide the details on a separate sheet of paper. Please list three references (Name, Address, Phone): 9s-;. _ 9/'-1- 4~ 0<-1 w 1.. fJ ;;t 9 ') ./11,' -e// /Jl ;:;'/fVl w.s-.r::l ? 95':2.- . 7.. 5-7'79 iI 2. (: Ao) Hac ki11 rJ'1, 3306 Jr:~ b4i II /J.'.; E)e., fi~;:J:"': T', ,MY.iT')l.I? 9 s"J. - fA <; '1- '7 "1 ;15- t."J '/S.; - 9741 - (,7 ) t "7 it _ 9 5';J.- ?,;.y-,!"FS" 3. Cd r" J IYJw /1) lEi 111.:1 :1 t.f" O{h(l w Or I I;.I..!.~ jJ",€: .--: ~ /YI.t1 (,"S-:Jf.{ 7 9 !JJ. -9~;l-{P() 'f.;< J.~ I hereby certify that the facts within the foregoing application are true and correct to the best of my lmowledge. m~-y ~;/~ Signature /-- i) ;7--0 '7 Date RETURN APPLICATION AND PLEDGE TO: City Clerk City of Shakopee 129 Holmes Street South Shakopee, MN 55379 952-233-3800 Date Received: 1.6 j 1 Cf:-' CITY OF SHAKOPEE APPLICATION FOR COUNCIL ADVISORY BOARDS AND/OR COMMISSIONS Name:,&"q;/(J Ytxn{ Addres" . - (_. I - Phone: (H) , _. _ _ (W) . _ -4 o _.._ /''' E-mail Address: '" ~- (-, How long. have youbeen a Shakopee Resident? - rl ~ r-:> D tY\<Ol\.~ S Occupation: 50p6NZsor 6* V~~lE.C Place of Employment: CI~ ~ rL~ fN)~ Does your work require you to travel? (Check one) A great deal _Periodically ~ Very Little _None Do you have any special interests or training, which you feel a particular board or commission could use? (Use a separate sheet ifnecessarY)--r ~ 4- '^ ~-U t:.. 13 f:~/!\ (..() (l), /,(( ~ li\ *~L \~~r f-rh!) Sewer .pl~(D ~OV' ,4l{E-frf'SJ.p~ ~+-(~ ~ ~Ptf\~j(.I1'C'\~+' Board or Conunission in which you are interested? (If more than one, please indicate order of pre~ ~. I'" r; .' lD~f..fJ' ~ tG \.) ,,"\Ll t-\. e,S :f)~ \~ S ,t)1I\ Please state briefly why you are interested in serving on this Board/Commission for which you are submitting an al?plication:. " ':J: \X:) l\. \. 'bE:. ~\~ k> ~ ~\)(, ~('.. t.f)<!)~~ $\~i~k-\ \"'{o +h<(, ~~ ":(:r-.t0.$~'t A{'\~ ~ ~'lt). \fl\ $\-.'SGOS.$~t9()S . UJ~ G\~ ST~I :::t: GAlt) ~f:.\~ .sf{ ~rt.Dp~t ~€"pA{,~ UTLLl'h~ ~ V.\~~~t.. ~V1:oto~rv"\~ A:AD hEAD tnt-tv) ~fe>qr(j> GCON:1tv\\,~Y Conflict of interest is defined as the participation 111 any activity, recommehMed action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. .~~ ~~~rtll In accordance with tillS definition, do you have any legal or equitable interested in any business, however organized, which could be constructed as a conflict of interest? Yes _ No ~ . If yes, please provide the details on a separate sheet of paper. Please list three references (Name, Address, Phone): 1. j~ ~\c.htt)~ t-E:1S:n /f'I"uaJ N. .2~I~fJI I'N\ (js~) if!9'/). ~ige,:}. 2.1orr"\ \ J(.,+.5& ~ I '-l9. <90 $11> p\v(. N,~ ~~ I 1<\1\ GcC;;,j:Y:PI-5CJ<[ , - 3. tN:j. fC'Fr:knM~P.,^ 4')r;t) (~ ~ ~ .?JjI~. t'\t I hereby certify that the facts within the foregoing application are true an~rrect to ~ :;;t ~ 111 Y 1m dge. RETURN APPLICATION AND PLEDGE TO: City Clerk City of Shakopee 129 Holmes Street South Shakopee, MN 55379 952-233-3800 Rcr,,--n 'CD ,r" '-I,F;-! i:_vL" V t,,~ JAN 2 9 20:l Date Received: f'1 I iF S~L~Vnp~r- -. ~ .'~',..", ~ ...... :.........,-. CITY OF SHAKOPEE APPLICATION FOR COUNCIL ADVISORY BOARDS AND/OR COMMISSIONS II 2l 'f ~ A - NameAhl?ee-U ~ 'k;e../ " -IN Address: _ - ~ . - I / Phone: (H) . - .-- - . --, (W) .~ I E-mail Address: }I') How long have you been a Shakopee Resident? I!tf/ P (Ii. / CJCj f . J .' '~'. (; 1 Occupation: It&.. Ai w0<-f-; {4u~ o~ tl("V<.iA~ ,. j & h -h /. ...?~tlfi6',7 Place of Employment: (S/:.v'<::L (^-it.~. . LL, ,d./ e.. 't.-j ~ V{I CUI_v ;) Does your work require you to travel? (Check one) ~l. . ~ ,Lb4~ ~ . . / . tYl'\... A great deal _Periodically __ Very Little ?-None Lv (;1,~ Do you have any special interests or training, which you feel a particular board or commission could use? (Use a s~ara1e sheet ifneces~ary) '. h.Jl. t<.-I /-M <Ie C',i;~' cd ., "IS. r<r:Je(!'(}It-{'A_U.K.L(!~d,C7fS'-17'O ss' ;.,'v4~li . ZJ... L -:t2f'(SI dl/{ 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. In accordance with this definition, do you have any legal or equitable interested in any business, however organized, which could be constructed as a conflict of interest? Yes _ No'X... If yes, please provide the details on a separate sheet of paper. Please list three references (Name, Address, Phone): <.'"' / / -" /J . t,../ , ~ -c..JltaJ / tP-.-c l... 1. L/;u d~ 3CJ~Y 1//0/ (lCJ~rc?d ALt: &, /1~~ fe2h -;2:307- '. . ~V t>~ se.1c~S: . .. . WLS-t1/l//f,;;;- 'Ylf') !A/ ~(!tLti L'tJlLCvfy ijC;c, - S7i:2/ ~ I"~UZZ/t& -LC;d=? ':<2Q. L/W(,~'CtAst $- 3179 I SluL.laxflU- I hereby certify that the facts within the foregoing application are true and correct to the best of my knowledge. ! Slgna~ Ci _ _ " .J~I ,;2 I;, c.)t1(/ d--- Date RETURN APPLICATION AND PLEDGE TO: Cj4r...Glefk---___.. -: "" / City of Shakopee -....,., ( 129 Holmes Street South . ~ > '~lakopee, MN 55379 ~ 9~~ Date Received: If, ,h,~ If-- APPLICATION FOR REAPPOINTMENT TO A CITY OF SHAKOPEE ADVISORY BOARD AND/OR COMMISSION If you have previously completed an application for a board and/or commission, please complete this abbreviated application form and pledge for reappointment. Name: g 'FA IV \/0 tJ a () t{ E:.lLJ Address:~, ..~ ' . _ _ ;;S" fJ /11( (j ? t;.e /11;J > Sr'3 '7 7' Phone: (H) , ' <. ~'" (B). ._._ E-Mail Address: Place ofEmployment:~.otn.R U~ r/~,J U l:;:'nr J PtlL;)l:::.n.. .L;u'Cr. ~r: j) ~ JJL )11,.'/- ( Board or Commission you wish to continue serving on)(~uC.6 C/ViL ::;)b1l.lJ';CC (!eJ/>Jj:.;;;;s/'/J,J Other Board or Commission YOll wish to be considered for: cJ ~. . / ' . ~1 ,{JrtyJ ~) l.-,w I - G ., iJ 3 Signature Date Return application and pledge to: City Clerk City of Shakopee 129 South Holmes Street Shakopee,~ 55379 952-233-3800 r--- ...., ~..., .....' i '"'' ..') 1 . I ,}j.j':..i';,;.j Date ReceIved: I \~__"""'.~i :.:' '".i.' \ \-----------l I , I J,l\N 8 2003 I \1 ' I lJL----.~ \ 1i'- ~ ~ ". ~{M-~;'- r i"fV P '. \', \.., I,d ; ,j;. ~ \ ~..1t ~~ ~Jt \,,~.~:.~~::~ CITY OF SHAKOPEE APPLICATION FOR COUNCIL ADVISORY BOARDS AND/OR COMMISSIONS Name: Sre..v'e.Y\ tv\. -WoppeYT Address:_. .~ - - Phone:(H{ - . (W) E-mail Address: How long have you been a Shakopee Resident? 51/z. ye Ae ~ Occupation: - reri r-~ - aJ~7 fJet,er- r/Me ,c-t:Jb 5T7'+re o~ ;L(1!1fJesoT14 A-AI V4/IOf POtO(~, Sprt~, Place of Employment: Does your work require you to travel? (Check one) A great deal _Periodically _Very Little X None Do you have any special interests or training, which you feel a particular board or commission could use? (Use a separate sheet if necessary) ~3 '1eAl!.'6 WI#1 *'~ l5lAr~V,II(!:. 'PoIlU DepA-IC/Merrr- '"SJ4r t:>/J I1UM~ -S'f!,-/~t!.-rl Dn ~ t5 t!>A-LdS fi:;t:. t:)r;jCl ~ - ~eUY1T/'1 '1?,l/C.H 14-1 rI1t::. ~EpreY f?t;~ t!fl.I~fP# Jur:,rce 4-JU.J) LA- w en '::::-e;JLCEt4fi31l/ r. t ~~ A.;T*II~ct 1?H~r J Board or Commission in which you are interested? (If more than one, please indicate order of pr~rence) " . . rolit:e ~,vll -6e.'fVIc.e ~M j\...\rS'5'D~ Please state briefly why you are interested in serving on this Board/Commission for which you are submitting an application: A~ree: Be;"',! A- PO/IeL. t1JF'f/ICa poe tfJ~ pit-51 Z3f.jeJ4fZ'5 r Be/le!fe..:c f..hq tA.e 8e u:>m <::= ,4- Gy()(5)aJ J CAdcf€ . d) ~ eHA-I!Ac:ro:/ /kit! ;Ht>o flu ~ t9~ p~y~t:)n.r IOtPt.bl& ~ uJ~ /119 012- (see t;-7T~H~ :51-15ef 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. In accordance with tins definition, do you have any legal or equitable interested in any business, however organized, which could be constructed as a conflict of interest? Yes_ No >/. If yes, please provide the details on a separate sheet of paper. Please list three references (Name, Address, Phone): 1. DA" ( D ~A~' \J~TDl\J , DC> c ,'" t'e., CW)e flc:w4 (q5z) SqG"- ~LDcOO '6(..( ry)~'il\\e, M tJ 2. ~Oe. ~Al.O k.i~~ 100 C.\lIlC- CJ.)TlL PKwt.i (q5Z)tY~5..<f~OI!) 3. 'B'il i ~ ;Q.~Lu S 15"'......-,$111 ,,~, Mo 201 t~~/iJ.ctG LtJ (Q52.) ~q&:> - 33"0 f3'1 ('M, V'';' C I .4;.0 !:~3 -;'r I hereby certify that the facts within the foregoing application are true and correct to the best of my knowledge. .. ~7~~ . - Signature 1-/~-2oc03 Date RETURN APPLICATION AND PLEDGE TO: City Clerk City of Shakopee 129 Holmes Street South Shakopee, MN 55379 952-233-3800 Date Received: /- (;? J- 03 Special interests or training Continued: By teaching at the Center for criminal Justice and Law Enforcement I have the opportunity to observe potential police officers, while they are in their training phase, prior to becoming licensed Police Officers. I believe this information would be worth while to the Police Civil Service Commission. Why I am interested in serving on the Commission; While working in the field of Law Enforcement, I have watched the city of Shakopee continually grow. Once my wife and I decided to build a new home, we looked at different cities, but decided on Shakopee. One of the reasons was the size, and another was the lack of serious crime. But with the growth coming, I think that the city needs the best-qualified officers to work in it, to provide the best services possible to the community. That is my interest. So, that the best officers come to work for the City of Shakopee. Steven Hoppert , CITY OF SHAKOPEE APPLICATION FOR COUNCIL ADVISORY BOARDS AND/OR COMMISSIONS Nanle: L;)cnJ t:J!;J. 5 ~'A 5' h'1 '" "J Address: -- / / Phone: (H)_ - (W) ~ - E-mail Address: How long have you been a Shakopee Resident? ~ / ,.vt!" e. ;'I/O v /A..Do/ Occupation: :?J.1T! C 'C{ t. - ,k't? /,' (,'c O~? ~'",-e A-7+' -v ,,- / /l!JN At!,r: "'? /,I/,6/;C. $/ltc-<.'l-y' __ ' . Place of Employment: A I (!" At.> i, + 6.pt/77 ~ /. .:J 9- L"...,;::'&;, rr ~..'V1 i' 'v ' A1 tV'. $' 0 ,J , Does your work require you to travel? (Check one) A great deal X Periodically _ Very Little None Do you have any special interests or training, which you feel a particular board or cOlmnission could use? (Use a separate sheet if necessary) .. - ,../ c..) v' 't' p< /<.. S j. fl ....J ,[ N I<-~(''' >?1-l1..v' c')c /Jci'/?; t',vt-e. 51 r v ,,\/1.:; lid) / .. , /' /!J-'+r~'" J '"" ^' .::7:"v V'<" :S'~' c- t..~~ "1/- S'v 'f.. f' v' S'" r ' C-'> ,''7 ,t/,.v 5... .::z..v ~c!/.,+' O,.J , . -r- )(l....e. ~"\ -6,'.<(' ).&11..../0: o? A,e'~ ;' ...J # v.5/ ,1.:. c:\. / n1 ' .4/ S'T....""-r/G .....) .- / Board or Commission in which you are interested? (If more than one, please indicate order of preference) {'u,l'??/1'1; .5'5, '" ..J /,CJ 1/ (Y!.. (f/V, '- ~'.r.<! V. '(-e, Please state briefly why you are interested in serving on this Board/Commission for which you are submitting an application: . -rA.-L / C' / ; .( -e.. {! /vJ' '- .5..... f' v.. ('-.e, t (/d?'U"V1' c; So - o-J /': "7 5'- /1/, E~ 'y tA/'..;1.. ;Yt,/ c ,x'/-l;f>,,'7 A/t'-< J -rra, . /v,.. '-VI' 'I- c::. tI v C eel Y , t'" ,J Ail."" t! /1"1.;/ , . / , /j-c S-'~ e ~ -5~('Vn7< /?7 v ,'<" ;'.A./vC'lv"'7"{;/ )r./ ~L"'V'A/'.:; ""v tQ""""'Yf</N"~ /' r / Conflict of interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. In accordance with tins definition, do you have any legal or equitable interested in any?siness, however organized, which could be constructed as a conflict of interest? Yes_ No_. If yes, please provide the details on a separate sheet of paper. Please list tl'll'ee references (Name, Address, Phone): \ / i/l/tI Cf Cco", I1/NON l,A//I. V ~,tl< 1. /P"'i';;L /?'7' / /-( /~, ;{I-i/~V ~c;-3 - <7-:f- J 7 / / A {)C'~..Mrl y :$-r- c;, e:; I 2. ~J/,.J /1/,,/ '5'/ ~/a.'/(. j1 l; t: /',ttv t. ? 9.f- .. s:;-c;,./o , <;"r /l /l-.;... C. L, c,- I 3. Set'R tJL c" do( L /dJ t/ t.... UNII/t'''''~dy ;dl.e... ce, V',;J - c.J G. ~ 7 , I hereby certify that the facts within tile foregoing application are true and con-ect to the best of my knowledge. ~ _()~ i-~ Signature / /,,;z. a../:".3 Date ' , RETURN APPLICATION AND PLEDGE TO: City Clerk City of Shakopee 129 Holmes Street South Shakopee, MN 55379 952-233-3800 Date Received: /-,;;3'-63 , ~ ,.-41 APPLICATION FOR REAPPOINTMENT TO A CITY OF SHAKO PEE ADVISORY BOARD AND/OR COMMISSION If you have previously completed an application for a board and!or commission, please complete this abbreviated application form and pledge for reappointment. Name: y~~ :J;n.~ Address: I . I I. . Phone: (B) I\. .IS .I f - (B) E-Mail Address: Place of Employment: ~ \-Qtt'I ~V"'<j ~ Board or Commission you wish to continue serving on: GD~. Other Board or Commission you wish to be considered for: ~~ !{r /-dv9-C)3 Date Return application and pledge to: City Clerk City of Shakopee 129 South Holmes Street Shakopee,~ 55379 952-233-3800 Date Received: / /;'7 !o 3 0-' 01/29/2003 14:46 FAX 952 837 7103 ~.!t'.Kh::;::; ::;t;KU'T::J ~vvu - , t. CITY OF SRAiKOPEE APPLICATION FOR COUNCIL ADVISORY. . BOARDS AND/OR COMMISSIONS . ,,' ~-Yue " Name: B~ t:,Wa. /- '\ . I-d~ - . II - Address: - : , Phone:(H) - - (W) E-mail Address: , - I - . -- I How long have you been a Shakopee Resident? ~ 1~ C-r) Occupation: L~jd ~Lf 5'+ Place of Employment: ::. 'r 'P r-c G.5 S bA'p-1-5 -' Does your work require you to travel? (Check one) - _ A great deal _Periodically ~erYLittle _None Do you have any special interests trainin which you feel a particular board or commission could use? (Use a separate sheet if necessary p{tU-UM Boa-vd . ~1'5 M ~:.- ~i1A Boa.-vd. . HouS~ ~ 'R~fJ~. ~~) r:a..v.-haJ.J+- U,LuA; .0~ R~e>f!-~~tri ~<.L Board or Commission in which you are interested? (If more than one, please indicate order of preference) , A~+k()Y;+y =- C DY1 a"Y\^. \'- c- D e.-I./~I o'(J VVl ~ i Please state briefly why you are interested in serving on this Board/Commission for which you are submitting n applicati M.C!. fi~ 5 I ~e. UA.. O'u.M-G - ( \JIG( -f ~lt/~ 1\Jvt aM.Ol ~ (" t.Q.. ~ 6:~~ ~ ?3 LLh j-/twt f,'M V Cr; ,,~ 'n..{ .<t-u.ol ; "Law. hI ~ rrJV.rtb- h-\ =tt.<- C<-ve.':' , '\AJ "^^* -to J vi- I nAI in ~~ Conflict of interest is defined as the participation in activity, recommended action, r decision from which the individual has or could have the potential to receive personal gain. whether it be direct or indirect. . 01/29/2003 14:47 FAX 952 837 7103 EXPRESS SCRIPTS - - ~..' . , In accordance with this definition, do you have any legal or equitable interested in any 7ness. however organized, wbich could be constructed as a conflict of interest? Yes_ No_, If yes, please provide the details on a separate sheet of paper. . Please list three references (Name, Address, Phone): \. .j" dL ~:" l.'.. ~'1 1II1.e. <c kfuV\.-' $5 ~ -t' 5 2 (", 2. I 3 0 2,~ N1 " cJv;..e.-I ~ Jl-G, I:z.. {Z d. 0 H ':[ 3, Da.wt'c.l Cu...} ~q5L H'L. 1'14~ ] hereby certify that 'he facts within the foregoing application are true and correct to the best of my knowledge. ~dA4(]' ~ ~. - ~ . . :L5', 2003 te RETURN APPLICATION AND PLEDGE TO: City Clerk City of Shakopee · - ,. 129 Holmes Street SOUth' " , . .. Shakopee, MN 55379 .. 952-233-3800 Dr-r.,-;'. ;'~:n' H' .,'-" ,.-., '.I!l.. 'I H ~~.__\0LJ ~v ~ ,~; 1-- . - . I Date Received: I JAN I 1 ! I _.~ C iT\{ (~F S ~...~ p: ~:f 01/29/2003 14:46 FAX 952 837 7103 EXPRESS SCRIPTS I.}!:Jvv~ -- January 29, 2003 City of Shakopee ATTN: Jeanette Shaner 129 Holmes Street, South Shakopee, Minnesota 55379 Dear Ms. Shaner: Enclosed please find the APplication for council Advisory Boards and/or Commissions. I am most interested in serving on the Shakopee EDA Board to be a proactive and progressive citizen. I have experience in assisting creation of new businesses, tax increment financing districts, business retention/company recruitment and industrial/commerCial development. I have also had the opportunity in working with funding agencies such as the Department of Trade and Economic Development (DTED), Region IX, Southwest Initiative Fund and the Faribauit County Local Redevelopment Authority. I welcome the opportunity to speak with you on related issues arising in the City of Shakopee. Should you need to speak with me I can be reached at 952,233,5034. Regards, ~ ~ Brae Felber APPLICA TION FOR REAPPOINTMENT TO A CITY OF SHAKOPEE ADVISORY BOARD AND/OR COMMISSION If you have previously completed an application for a board and/or commission, please complete this abbreviated application form and pledge for reappointment. Name: Jj f") boff/(r~f /'> ...... -. .... ") , . - .. Address: - ~ I, '0 ", - , '- j '-'~ . . . - , .-- -a..__ I", . Phone: (H) ~_ .C" J __/ ~ " l ..J . ~ (B }( J- - l~ II ./ , E-Mail Address: ./' ,;~/ , -/ ~ ,', 'I It' v...,- - ..... ~'.. , r ...:.:..:...,... -' J .! 'J ' . -- &~ ~ Place of Employment: f~ Board or Commission you wish to continue serving on: par 1<-. ~j .. f2ec. 4)v13ory ~ Other Board or Commission you wish to be considered for: Q~ 1/;;2 r03 Date Return application and pledge to: City Clerk City of Shakopee 129 South Holmes Street Shakopee,~ 55379 952-233-3800 ~ Date Received: / ,.:')?f. () .3 APPLICATION FOR REAPPOINTMENT TO A CITY OF SHAKO PEE ADVISORY BOARD AND/OR COMMISSION If you have previously completed an application for a board and/or commission, please complete this abbreviated application form and pledge for reappointment. Name: DOJJ,L ths;;o~ , A Address: -- Phone: (H) (B) - E-Mail Address: c...~ JI "- Place of Employment: VflJ l~ rbA r Board or Commission you wish to continue serving on: /-:tu-L/ Ree. I Other Board or Commission you wish to be considered for: t:P~ 4~ I /28/03 Date I If Return application and pledge to: City Clerk City of Shakopee 129 South Holmes Street Shakopee,~ 55379 952-233-3800 erne-!I'iF'1) ._J._! 1.,'/"" '.- I ,\~_\t.)L V L.,~\ ~2 9 2003 , I I Date Received: I I rrrv or \P,D !,(npr-I=' ,J ...~,'~ \,,.;'1 ~f ',: '~"j~ L~;'"., -- Wednesday, January 29, 2003 5;33 PM Brian Madden 952-496-2035 p.u:.! _ - CITY OF SHAKOPEE APPLICATION FOR COUNCIL ADVISORY BOARDS AND/OR COMMISSIONS Name:~ rl'C\n CUdJlcnn f'Y1oJJeV\AddreSs: - ~ I ~ _ ~ Phone: (H) .. ~-- .. .......- --___"'-i (W) ,. . . --.. E-mail Address: How long have you been a Shakopee Resident? $] "j ~o..(" 6 Occupation: S '('. SO~\-Wa.~ QVo.l\ ~ Ano.l\{ sT I Place of Employment: C03{\()S Inc. Does your work require you to travel? (Check one) _ A great deal _Periodically ..2L Very Little __None Do you have any special interests or training, whic.h you feel a purticular board or cornm's~ion could use? (Use a separate sheet if necessary) S.~e (:t., H ().c.~ d, Board or Commission in which you are interested? (If more than one, plea<;e indicate order of preference) r G.:. k. ReG Ad V 150(::1 Boo..rd -\- Please state briefly why you are interested in serving on thi.s Board/Commission for which you are submitting an application: $-€~ c:\, t\-<.~c,h~. d . ...-. Conflict of interest is defined a<; the paliicipation in !lny activity. recommended action, or decision from which the individual ha."l or could huvc tht: potoutinl to receive personal gain, whether it be direct or indirect. Wednesday, January 29, 20035;33 PM Brian Madden 952-496-2035 p,03 - . . In accord[ll1ce with this definition, do you have any legal or equitable interested in any business, however organized, which could be constructed as a conflict of interest? Yes_ Nol(. If yes, please provide the details on a separate sheet of paper. Please list three references (Name, Address~ Phone): 1. ~'So.. 1A,lj-S J~~~ P rathe. la.n e. S ho,.lt:.o p~ ~ j MN '-I- t+S"' - 0 Ca :, 2- 2. tv\\ckt\( S'kB'j~~'j- ~~O iV~h\~\ov, C:t ~~3 -~ S"ho..kopee J All N 3. 5k\f<. Sc,hl'~aV\ \ q 55 E" o,~ -h.v~ f\-..J e. s ha.kc p,e~ J ~\ N 4D3- Ol..fJ.1 :r hereby certify that the facts within the foregoing application are true and conect to the best of my kn.owledge. B~7 W1U~' fYlct~ Signature D (I J.~ l2-oC 3 Date RETURN APPLICATION AND PLEDGE TO: City Clerk City of Shakopee 129 Holmes Street South Shakopee, MN 55379 952-233-3800 Dnte Received: I 1- ;27- tf 3 vveanesaay, .January ":l:l, ":uu,:) 0,':)':) t"'IVI Cfli:lfl IVlaLlIH,m l:lO".<tI:'O."U.;l;;l f).U;;l City of Shakopee Application for Council Advisory Boards and/or Commissions Brian Willinm Madden 26 Jan 2003 Do you have any special interests or training, which you fell 0. particular board or commission could use? I've recently renewed old interests in running~ mOWltam biking, and weight liftinglconditionin& having lost 60+ pounds since this past August. I have held supervisor and manager positions at Kavouras Inc and Adaytum Ine respectively, and I've taken. several courses in project management and general management which may prove useful. My education background includes a BS in Atmospheric Sciences from the University of Wisconsin - Madison (graduated December 199)). Please state briefly why you are interested in serving on this board/commission for which you are submitting an application: I'll admit that I'm fairly new to the scene. Previous to this past summer, I had not been involved with any servioe provided by the Park and Recreation board. In July, however, my wife enrolled my son in swimming lessons. 1 was very impressed with the way the young "teachers" handled a group of eight 4 year olds! My son enjoyed the lessons, and he talks about going to swimm.ing lessons again this summer. Around the holidays, I "discovered" the community center and all it had to offer. I was aware of the community center as it was being debated, then built around the time that Stephanie and I moved to Shakopee. I was very happy to find that the community center had a track, conditioning and weight equipment. I've taken advantage of the track since then. and I plan on taking fuller o.d.vantage of the facilities now that my family is a member. While researching trails in the Minneapolis metro on the internet, I learned of several highly regarded trails in and around the Minnesota River valley just to the north anclfor west of Shakopee. It's quite obvious that current and past commissions and city employees have done an excellent job of providing high quality. accessible facilities and educational courses. and I want to provide whatever leadership and assistance I can to m.t1k.e sure the tradition continues. This is not a fleeting fancy of mine, and I realize that there is a certain amount oftime. energy, and attention roquirc:;d to serve on the board. I'm prepared to listen, ask questions, and provide an opinion based on what is best for the City of Shakopee and its oitizens, .~ APPLICATION FOR REAPPOINTMENT TO A CITY OF SHAKOPEE ADVISORY BOARD AND/OR COMMISSION If you have previously completed an application for a board and/or commission, please complete this abbreviated application form and pledge for reappointment. Name: El/)tJ/!/ /I ,K E/A//(F Address: ---J.- , . .< - . / ~ .-""t~' / Phone: (H). (P' ,- E-Mail Address: Place of Employment: mtl J/I G / P /I L I:; /// 1- /) / Ai 0 I!d m fh / (~~/!JIJ Board or Commission you wish to continue serving on: f? cJa t d o t Pe,t/ /e"aJ Other Board or Commission you wish to be considered for: ~ q f1 S' /3 j/' 7.tP 1/o;J ~0 ~~4- ~Pn :Jr), ~tf;! 1 SIgnature o:ie .. /' <./ Return application and pledge to: City Clerk City of Shakopee 129 South Holmes Street Shakopee,~ 55379 952-233-3800 RC'H-'l '~-D 'rt'I"IVi- _.J._ 1_, JAN 3 1 2003 Date Received: I Clr{ nr.:: ~!..u<rn,,)CL <.n v; :"",f~.'j'l Lr. APPLICATION FOR REAPPOINTMENT TO A CITY OF SHAKOPEE ADVISORY BOARD AND/OR COMMISSION If you have previously completed an application for a board and/or commission, please complete this abbreviated application form and pledge for reappointment. Name: Gene Juergens Address: Phone: (H) (B) E-Mail Address: Place of Employment: Juergens Construction Board or Commission you wish to continue serving on: Building Code BOAA Other Board or Commission you wish to be considered for: per phone call on 1/29/03 Signature Date Return application and pledge to: City Clerk City of Shakopee 129 South Holmes Street Shakopee,MN 55379 952-233-3800 Date Received: APPLICATION FOR REAPPOINTMENT TO A CITY OF SHAKOPEE ADVISORY BOARD AND/OR COMMISSION If you have previously completed an application for a board and/or conunission, please complete this abbreviated application form and pledge for reappointment. Name: ./6 r i (Lf) VI C~II - , L') /'"J Address: - -- Phone: (H) . (B) . " - - - E-Mail Address: Place of Employment: Jd (1 t h f u knL V b 0.-1\ fJ () {;> r a_I' J"a/, J/Iy a , , f / Board or Commission you wish to continue serving on: f3dard P R e (} / C? UJ O' Other Board or Commission you wish to be considered for: ~Df ~~2. ~ fll} I~. !botJ3 Signature I Date Return application and pledge to: City Clerk City of Shakopee 129 South Holmes Street Shakopee,~ 55379 952-233-3800 Date Received: ! ~?< /-/';( . () ~ APPLICATION FOR REAPPOINTMENT TO A CITY OF SHAKOPEE ADVISORY BOARD AND/OR COMMISSION If you have previously completed an application for a board and/or commission, please complete this abbreviated application form and pledge for reappointment. Name: Deb Amu..l)d so Y) _ .. Address: Ii . . ,~ !I Phone: (H) (B) . (~Fij E-Mail Address: -1":- Place of Employment: KraA-<) ff)ffi VOf.- fA Board or Commission you wish to continue serving on: PI~()Vl\ v).~ CO mvY1t ~~ldY1 Other Board or Commission you wish to be considered for: - Deb arnu/~.J '1,1 '''1 I (P! 0..::; Signature Date Return application and pledge to: City Clerk City of Shakopee 129 South Holmes Street Shakopee,~ 55379 952-233-3800 Date Received: APPLICATION FOR REAPPOINTMENT TO A CITY OF SHAKOPEE ADVISORY BOARD AND/OR COMMISSION If you have previously completed an application for a board and/or commission, please complete this abbreviated application form and pledge for reappointment. Name: Gf\"i LM~ \,-G:,A-N Address: - \.....'.r ' Phone: (H)---:,: -r-,- (B) - .- - ~ . , - E-Mail Address: ' I - ~ . - - ' Place of Employment: ~eAe ''P ~CN\ :r::^ (\ ,. .. Board or Commission you wish to continue serving on: ~ ~ ~^^ v\ i. V\ ()\ ~1V1. i ~s. ~/'6'O~ \ Other Board or Commission you wish to be considered for: G ~~ 1-5 -03 Sigl~ . \ Date Return application and pledge to: City Clerk City of Shakopee 129 South Holmes Street Shakopee,~ 55379 952-233-3800 Date Received: /-/lj-tJ3 CITY OF SHAKOPEE APPLICATION FOR COUNCIL ADVISORY BOARDS AND/OR COMMISSIONS Name: MA1f"~evv S.. ~\U\ Address: - - , - --. - - -... '1'77.-/ 7..:~~- ?? ~ J Phone: (H) (W) I / E-mail Address: r~ How long have you been a Shakopee Resident? l}{. '{~~ Occupation: A~rTeor It-J ~~\NllJ(:7 I De..,;\~fl- I Place of Employment:~~ A~rr~~ Does your work require you to travel? (Check one) INone A great deal _Periodically _Very Little Do you have any special interests or training, which you feel a particular board or commission could use? (Use a separate sheet if necessary) S ee:.., A1tA.~t> Board or Conmlission in which you are interested? (If more than one, please indicate order of preference) 17 L.(.\.t-J t.J U..J &- to\V\fv\ \1~ ~C:N Please state briefly why you are interested in serving on this Board/Commission for which you are submitting an application: :s:: \>\~V~ AUJ..JA'1.~ ~~b AtJ \~-r" .l\J ~ kJ \:? \ t-J VOtJJeD \rJ \~ M'< (.DIM)'I\VtJ \ 1'( 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. In accordance with tills definition, do you have any legal or equitable interested~any business, however organized, which could be constructed as a conflict of interest? Yes_ No_. If yes, please provide the details on a separate sheet of paper. Please list three references (Name, Address, Phone): q 5 z-/40Sr-- C)l., 7 \ 1. ~~I~ 1~\u:i'J~ :TRAut. Av~. SPA\(~J"\~9S'37'" ~"< eVG-(L~ b\'Z..J15Z:Z..-3.I'4 2._ __ .' . . SZD~ 1'::>1:n ~~ ~ M }}vtJ6~f1>L6/Mt-J S54 . (:,/7...!15"Z4--- 77~" 3. ~lt-.J L..A~ 27& ~l:;Nf" A.ve,~\ Mr~"';Mt0~ I hereby certify that the facts witIlln the foregoing application are true and correct to tile be~t of my knowledge. f-- --- ~ ., Signature ~ \ /1... J / 0"3, Date I RETURN APPLICATION AND PLEDGE TO: City Clerk City of Shakopee 129 Holmes Street SOUtIl Shakopee, MN 55379 952-233-3800 Date Received: / ~{:lrr~ tf 3 , City Clerk City of Shakopee 129 Holmes Street South Shakopee, MN 55379 Subject: Application For Council Advisory Board - Planning Commission Dear Sir or Madam: Please consider the following special interests and/or training I feel the Planning Commission could derive benefit from. I have been a life long resident of the state of Minnesota and have enjoyed the many great things the state has to offer. During the last year and a half my wife and I have been living in Shakopee and have seen our community grow and have taken pleasure in all that Shakopee has to offer. I feel it is time for me to give back to the community that I have gained so much from. I have always possessed an interest in the development of communities and the civic processes involved with them. During my undergraduate and graduate school experiences urban planning and design were a central focus. It is my understanding that Scott County is one of the fastest growing counties in the northern United States. The City of Shakopee is currently, and will continue to be a major influence in that growth. I feel that my studies in the areas of smart growth and transit oriented development could help this commission help curtail urban sprawl and develop a community we are all proud to be a part of. Please review a partial listing of training and experiences I found to be pertinent to this commission below: University Of Minnesota - Batchelor of Arts, Major in Architecture. Montana State University - Master of Architecture. KKE Architects - Four years experience in design, planning, and the construction industry. Lastly, I would like to thank you for your consideration for the opportunity to apply for the planning commission vacancy. Sincerely, City Clerk City of Shakopee 129 Holmes Street South Shakopee, MN 55379 Subject: Application For Council Advisory Board - Planning Commission Conflict of interest Dear Sir or Madam: Currently I am working for KKE Architects Inc. KKE Architects is currently working on a large number of projects in the metro area. I am aware of two of such projects (South bridge Crossings and the Shakopee Area Catholic School) that KKE Architects is currently involved with in the City of Shakopee. I am aware that these projects, and any future projects performed by KKE Architects in the City of Shakopee in the future, may be constructed as a conflict of interest and would refrain from voting on these issues if appointed to the planning commission. Sincerely, Matthew James Masica ~AN-28-2003 19:21 TRANSPO~TATION ELECTRONIC 512 933 8498 P.01/03 AIfn; J~ ~F1 APPLICATION FOR REAPPOINTMENT TO A CITY OF SHAKOPEE ADVISORY BOARD AND/OR COMMISSION If YOll have previously completed an application for a board and/or commission, please complete this abbl'eviateq application form and pledge for reappointment. Name:~~.j~ W'o'" A~<::. Address: ---- -~ r ..... ~ f - ) Phone: (H) , - __...J (BL.....;;-' - ,-- - . E-Mail Address: . -- "-"- ..---- . ."":...." ~---- - . Place of Employment: M 1.-\ SI cc..J- 1: If lA...S1 0Y1 ~ . ,~~ Board or Coml~ission you wish to continue serving on: -je...le.-c CVn Ml.A.^' CA h ~ Other Board or: Conm1ission you wish to be considered for: JJ '- .../ 0:>. -- Date Retum application and pledge to: City Clerk City of Shakopee 129 South Holmes Street Shakopee,~ 55379 952-233-3800 ' ~' '1 s-z . 't- ~ 1 - 3 ~ 0 c Date Received: /--::J~ -() 3 . - --~- :-.. APPLICATION FOR COUNCIL ADVISORY BOARDS AND/OR COMMISSIONS ~on (V1 ~ tMfZ/ I.- l - /' Name: Address: -.......... , , , - . - Phone: (H) (B) '- , .1_ - How long have you been a Shakopee Resident? ~~~CjP_ /991 Occupation: 7(~-rI<<LD ::7::)0 (JoLU,J7t?L~ WoRK ) ;Ji/ Does your work require you to travel? (Check one) _ A great deal Periodically _ Very Little None Do you have any special interests or training which you feel a particular board or commission could use? (Use a separate sheet if necessary) CifLiLJE A (.,C.J[~5 I-I/f~ ffC'CpU rJ rlfe-urtJl{ J 60f( PO Je AT -; 2>""'/ , /4rJLJ ~~.f'1rt1J :iY )o;J rtlf#V/t?lZ~ . Board or Commission in which you are interested? (If more than one, please indicate order of preference) COM H )5_[''/ o Ii/I 7t?: L.,~ CDI11r1 q rVIC/971 (jA.J Please state briefly why you are interested in serving on this Board/Commission for which you ar~~~g~a~~a~o,~k'.- r' r; I1Je . AA;tn!!(1 ;4 b ~lLQ.fJetJr tVt I!-I 7/fE. (J/tY' 2J ~ .)';I;f KL:>/'c.f. I:"/lf J """-1 e;. I . I T7f f( 4'1'1et;J I j,) J rU t:f t-f C- tt1 fi:f) JI7 . .r- Fo L L..D t-J {1( E: , ,. 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. ~L lEe ()/I1/1u,JlC"1T1O r../ Co r1/~/ S$; oed /1l<h T7rJGS-. --n -~ I ~-r~~Cj{K:.() / tV -;fI ~ CU If If!.. t:../1J r /1;1./J Ft-( T 61 ~ c... {l;.;{?{}JL r(i1{,: 6F -rilE If. fE ~ ZJt( I(CeJ //;Jc; 77f c. r~ /ftV: /// f CAe Rl[Jllo/eW'r: -Pw 15/-./ C J1;v~ ColT- ptf. oG'I' 1 tA1 f( ( J c3 In accordance with this definition, do you have any legal or equitable interested in any business, however organized, which could be constructed as a conflict of interest? Yes_No ~f yes, please provide the details on a separate sheet of paper. 2. CoLe 3. ~ I hereb~ that the facts within the foregoing application are true and correct to the best of my kno le~~e. \ . .r I L~zrx ;4/v Ai\ Sigoatnre h h ' ~ ~ :2~ Z23 Date RETURN APPLICA TrON AND PLEDGE TO: City Clerk City of Shakopee 129 Holmes Street South Shakopee, MN 55379 PiC('" ,.0 t i: ;'. ~ ". '" {.._ '.'".1' J ~M~;;-:~3 I L______~ rl--'f to- (q I" "'~ "..-r- v' j ~\ ~)!- ');"::[.'~.;/~::)rJLJ:-, !'l~r()'\ ~ Date Received: -