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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? Dyes o <br />If yes, provide details on a se arateiece of 12al2er. <br />UN, C ysi. Em by A* Pndersan <br />Anne Anderson CN=Anne Mda srneMd dnaYry qm 0 bd inslry <br />Oafs: ^.d 795,1509:05.97-0FW <br />Applicant Signature <br />May 15, 2017 <br />Date <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: <br />❑ Appointed to: <br />'Perm Expires: <br />❑ Not Appointed <br />