Laserfiche WebLink
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? YesNo <br /> If yes,provide details on a separate pjece of 12al2er. <br /> Andrew Crook Pw101Q].4B2B8 mr� °wm°= 03119/214 <br /> Applicant Signature Date <br /> Questions may be directed to the Administration Department at 763.635.1000. <br /> application This • one application <br /> must b- <br /> OFFICE USE ONLY <br /> XNew Applicant ❑ Reappointment <br /> Council Meeting Date: <br /> ❑ Appointed to: <br /> Term Expires: <br /> ❑ Not Appointed <br />