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__- <br />__ <br />___ <br />Conflict of Interestis 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, whether it be <br />direct or indirect. -(See attached "Conflict of Interest" Ordinance) <br />~: <br />In accordance with this definition, do you have any legal or equitable interest in any b • iness, <br />however organized, which could. be construed as a conflict of interest? ^ Yes ^ o <br />s, proid~ de • s on;a separate ip ece of raper. <br />Ap ' licant S ~ 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 />