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2. Name*
3. Email Address*
5. Preferred Name
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Numbers of years/months resident of Otsego?*
16. Please list any special interests or training you have that could benefit the Heritage Preservation Commission:
18. Attached resume or additional list:
20. Commission Meeting schedules:

    Heritage Preservation Commission: Second Tuesday of the month at 7:00 p.m.

    Regular attendance at meetings is essential to ensure each commission can effectively carry out its responsibilities. 

22. Important Information About Your Application

    Data Privacy Notice: Minnestoa law required that you be informed of the purpose and intended use of information you are providing on this application. Per Minnesota Statute 13.601, subd. 3a, your name, address, length of residence, occupation, education, training, civic affiliations, qualifications, experience, and veterans' status are available to anyone who requests the information.

    This information will be used to identify you as an applicant, enable us to contact you when additional information is required, send you notices, and assess your qualifications for appointment. This data is not legally required. but refusal to supply the information requested may affect the City's Council ability to accurately evaluate your application.

    Should you be appointed to a City of Otsego public data and available to anyone who requests the information. Commission, your residential address and either a phone number or email address where you can be reached will also become public information (per Minnesota Statute 13.601, subd. 3b). The purpose is to list contact information for Board/Commission members on a public roster.

24. Please select which of the following you will allow listed on a public roster *

    You must select either email or phone number

    1. Email
    2. Phone
    3. Both
26. E-Signature*
28. Date*
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field