Laserfiche WebLink
Camrnents: <br /> Conflict of Interest is defined as the participatian 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 interest in any business which could be construed as a conflict of <br /> interest? Yes X No <br /> If yes,provide details on a separate piece of paper. <br /> 12/24/2017 <br /> Applicant Signature Date <br /> Questions may 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 /> 463 8 Main Street <br /> Pequot Lakes,MN 56472 <br /> E-mail:nmalecha�pequotlakes-mn.gov <br /> Website: www.pequatlakes-mn.�ov <br /> OFFICE USE O1VLY <br /> The Applicant is: New Applicant Applying for Reappointment <br /> Council Action: Not Appointed <br /> Appointed to• <br /> Date Appointed• <br /> Term Expires: � <br /> lYotes: <br /> S:1Admimstration\City ClerklBoards and Commissions\Applieanon Process and FormslFormslApplicat�on Form for Boazds and Commisstons.doc <br /> Page 3 <br />