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 any business, <br />however organized, which could be construed as a conflict of interest? ❑ Yes X No <br />If yes, provide detain a�separate piece of pape r. <br />. .- January 6, 2017 <br />Applicant.Sig- e Date <br />Questions maybe directed to the Administration Department at 763.635.1000. <br />OFFICE USE ONLY <br />The Applicant is: ❑ New Applicant ❑ Applying for Reappointment <br />Council meeting date: <br />❑ Appointed to: <br />Term Expires: <br />❑ Not Appointed <br />