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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 accor4n e wi this definition,do you have any legal or equitable interest in an business, <br /> however org ni ed,which could be construed as a conflict of interest? es No <br /> If yes, rovi e etaijs on a separate iece of a r. <br /> 1/22/14 <br /> Applic n ign,t k/ Date <br /> Questions may be directed to the Administration Department at 763.635.1000. <br /> OFFICE USE ONLY <br /> New Applicant 13 Reappointment <br /> Council Meeting Date: <br /> Appointed to: <br /> Term Expires: <br /> Not Appointed <br />