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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. (Sec attached "Conflict of Interest" Ordinance) <br />In accordance wit1i, this definition, do you have any legal or equitable interest in any, business, <br />however organized, which could be construed as a conflict of interest? J Yes a-K " o <br />If yes, provide details on a separate piece of paper. <br />Ap�Iicant Signature Date <br />Questions may be directed to the Administration Department at 763,,635.1000. <br />OFFICE USE ONLY <br />The Applicant is <br />Council naeeting date: <br />L) New Applicant <br />J Appointed to: <br />Term 1: `Ixplrcs: <br />Ll Not Appointed <br />LJ Applying for Reappointment <br />