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Attendance: Ate your aWaxe of the importance of regular meeting attendance including the time <br />commitment involved in preparing for meetings, and do you feel you have the tune available to be <br />an acti~re participant? ~Q Yes ^ No <br />Comments: <br />Conflict of Ynteresc is defined as the participation in any activity, zecoxnrxaezided action; oz decision <br />from which the individual has or could have the potential to receive personal gain, whether it be <br />dizect os indixect. (See attached "Conflict of Interest" Ordinance) <br />In accozdance with this definition, do you have any legal or equitable interest in any business, <br />howevez organized, which could be construed as a conflict of interest? ^ Yes ~No <br />If yes, provide details on a separate ip ece of Raper. <br />Applicant Signature ate <br />Questions maybe dizected to the Administration Department at 763.635.1000. <br />OF~~CE USE ONx..'S~' <br />The Applicant is: New Applicant <br />Council Action: ^ Not Appointed <br />^ Appointed to: _ <br />Dace Appointed: <br />Term E~tpires: _ <br />^ Applying fox Reappointment <br />90ib0 ~9yd SO~1f10S3Z1 O11I10~~~~ 6b'Z9E3Z56 8c ~60 TZ9Z/CT~'TB <br />