Laserfiche WebLink
Comments: <br /> Conflict of Interest is defined as the participation in any activity, recommended action, <br /> or decision from which the individual has or could have the potential to receive personal <br /> gain,whether it is direct or indirect. In accordance with this definition, do you have any <br /> legal or equita.ble intere ' any business which could be construed as a conflict of <br /> interest? Yes No <br /> If yes,provide details on a separate piece of paper. , <br /> r,� <br /> ,r I ' <br /> �' ' . � .� � ,_ � � <br /> Ap icant Si ature Date <br /> I <br /> Questions ay be directed to the City Clerk's office at 218-568-5222. <br /> Return Completed Application to: City of Pequot Lakes � <br /> City Administrator/Clerk , <br /> 4638 Main Street �i <br /> Pequot Lakes, MN 56472 � <br /> E-mail: nmalecha(�a,pequotlakes-mn gov <br /> Website: www.pec�uotlakes-mn.gov <br /> I <br /> OFFICE USE ONLY <br /> The Applicant is: l�Tew Applicant Applying for Reappointment <br /> Council Action: Not Appointed <br /> Appointed to• <br /> Date Appointed• <br /> Term Ezpires• . <br /> Notes: <br /> S:4SdminislraHon\City Clerk�Boards and Comm�ssions�Application Process aad Forms�FormsWpplication Form for Boazds and Commissions.dw <br /> Page 3 <br />