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8.4. SR 03-21-2011
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8.4. SR 03-21-2011
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3/24/2011 9:07:39 AM
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City Government
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SR
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3/21/2011
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Attendance: Are }'our aware of the importacice of regular meeting attendance including the time <br />commitment involved in preparing Eor meetings, and do }'ou feel t°ou 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" Ordi~iancc) <br />In accordance ~crith this definition, do you have an}'legal or equitable interest in an}' business, <br />however organized, u~luch could be construed as a conflict of interest? ^ ~'es ~ No <br />If ties, provide details on a e arate iecc of ~a er. <br />:applicant Si afore <br />1-11--1 <br />Date <br />Questions may be directed to the Administration llepartment at 763.633.1000. <br />OFFICE USE ONLY <br />'1 he Applicant is: ~ Ne~v Applicant ^ Applying for Reappointment <br />Council Action: '9~ \?ot Appointed ~a=1- ~ <br />O <br />appointed to: _ <br />Date Appointed: <br />Term Eepires: _ <br />
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