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__ <br />Conflict of Interests defined as the participation in any acti~~ity, recommended action, or decision <br />from which the individual has or could have the potential to receive personal gain, ~-hether 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, which could be construed as a conflict of interest? ^ Yes ~No <br />If yes, r vide details on.a e -agate ip ece of a er. <br />Ap licant Signa e Date <br />Questions maybe directed to the Administration Department at 763.635.1000. <br />OFFICE USE ONLY <br />^ New Applicant ^ Reappointment <br />Council Meeting Date: <br />^ AppJointed to: <br />Term Expires: <br />^ Not Appointed <br />