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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" Ordinance) <br /> In accordance with this definition, do you have any legal or equitable interest in an business, <br /> however organized,which could be construed as a conflict of interest? es ao <br /> If yes,provide details on a se agate ice of a er. <br /> A plicant Signature Date <br /> Questions may be directed to the Administration Department at 763.635.1000. <br /> B _ d <br /> OFFICE USE ONLY <br /> L3 New Applicant D Reappointment <br /> Council Meeting Date: <br /> LJ Appointed to: <br /> Term Expires: <br /> Not Appointed <br />