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6.8. SR 12-20-2010
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6.8. SR 12-20-2010
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12/17/2010 9:05:46 AM
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12/20/2010
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Attendance: Axe your aware of the importance of regular meeting attendance including the time <br />commitment involved in preparing fox meetings, and do you feel you have the time available to be <br />an active participant? Yes ^ No <br />Comments: <br />Conflict of Interest is defined as the participation in any activity, recommended action, or decision <br />from which the individual has or could have the potential to receive personal gain, whether it be <br />direct or indirect. (See attached "Conflict of Interest" Ordinance) <br />In accordance with this definition, do you have any legal ox equitable interest in an~business, <br />however organized, which could be construed as a conflict of interest? ^ Yes U7 No <br />If yes, provide details on a se axate iece of a er. <br />i~l3o l io <br />Appli ant Signature Date ~ ~ <br />Questions may be directed to the Administration Department at 763.635.1000. <br />OFFICE USE ONLY <br />The Applicant is: <br />Council Action: <br />New Applicant <br />^ Not Appointed <br /> <br />Appointed to: <br />Date Appointed: <br />Term Expires: _ <br />^ Applying fox Reappointment <br />
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