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Conflict of In Brest is defined as the participation in any activity, rc <br />from which thd individual has or could have the potential to receive <br />direct or indite t. (See attached "Conflict of Interest" Ordinance) <br />In accordance <br />however organ. <br />If yes, provide <br />Applicant <br />Questions <br />vith this definition, do you have any legal or equitable into <br />,zed, which could be construed as a conflict of interest?F <br />details on a separate pigge of paper. <br />-01 — I /,� <br />Date <br />led action, or decision <br />gain, whether it be <br />A in an business, <br />es �No <br />be directed to the Administration Department at 763.635.1000. <br />OFFICE USEIONLY <br />❑ New Applic int ❑ Reappointment <br />Council Meeting Date: <br />❑ Appointed to: <br />Term Expires: <br />❑ Not Appointed <br />