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Attendance: Are your aware of the importance of regular meeting attendance including the time <br />commitment inv=olved in preparing Eor meetings, and do you feel you hate the time available to be <br />an active participant= ~~'es O No <br />Comments: <br />Conflict of Interest is defined as the participation in any= activity, recommendecl action, or decision <br />from which the individual has or could have die potential to receive personal gain, .vhedier it be <br />direct or indirect. (See attached "Conflict of Interest'' Ordinance) <br />In accordance with this definition, do you have any legal or equitable interest in any' business, <br />however organized, ~vluch could be construed as a conflict of interest? ^ Y'es ~ No <br />If ~•es, provide details on a ate ip ccc of ~a er. <br />--~---- ~t` '-' <br />,applicant Si aturc <br />C- l l -- ~ 1 <br />Date <br />Qucsdons may be directed to the :~drninistradon llepartrnent at 763.633.1000. <br />OFFICE USE ONLY <br />'The Applicant is: <br />Council Action: <br />Nety Applicant <br />,Not Appointed <br />^ appointed to: _ <br />Date Appointed: <br />Term Expires: _ <br />^ :~ppl}'ing for Reappointment <br />