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p <br />Conflict of Interest is defined as the participation in any activity, recommended action; or ;decision f <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 arith this definition, do you have any legal or equitable interest in a~business, <br />terest? ^ Yes LF~ No <br />however organized, which could be construed as a confltct of m <br />If yes, provide details on a se arate ip ece of paper. <br />Applicant S~ tur~ Date <br />Questions may be directed to the Administration Department at 763.635.1000, <br />OFFICE USE ONLY <br />^ New Applicant ^ Reappointment <br />Council Meeting Date: <br />^ Appointed to: <br />Term Expires: <br />^ Not Appointed <br />