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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?oyesN0 <br /> If yes,provide details on a separate pjece of paper. <br /> David Anderson <br /> January 7, 2015 <br /> Applicant Signature Date <br /> Questions may be directed to the Administration Department at 763.635.1000. <br /> This application be 1 on for one <br /> must be <br /> OFFICE USE ONLY <br /> ❑ New Applicant ❑ Reappointment <br /> Council Meeting Date: <br /> ❑ Appointed to: <br /> Term Expires: <br /> ❑ Not Appointed <br />