Laserfiche WebLink
Conflict of Interest: is defined as the participation in any activity, recommended action, or decision <br />from which die individual has or could have the potential to receive personal gain, whether it be <br />direct: or indirect. (Sce attached "Conflict of Interest' Qrdinauce) <br />In accordance with this definition, do you have any Icgal or equitable interest inany4usimss, <br />however orpnized, which could be construed as a conflict of interest 11cs U'•O <br />If yes, provide details on <br />a�sc.l)aratc• pi= u[ pat,�c <br />Applicant Signature bate <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: j a h 115 - <br />Ll <br />15- <br />0 Appointed to: <br />'Perm Expires: <br />O Not <br />