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f <br /> i <br /> Comments: The time commitment and attendance requirements wvuld not be �, <br /> a hardship or present a difficulty. <br /> Cont9ict of In�ere�t 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 incerest in any business which could be construed as a canflict of <br /> interest? )( Yes No See Attached. <br /> If yes,provide details on a separate piece of paper. <br /> ! �I <br /> � i i <br /> Applicant Si a e Da�e ', <br /> Questions may be directed to Yhe City Clerk's office at 218-568-5222. , <br /> Return Completed Applica.tion to: City of Pequot Lalces II <br /> City Administrator/Clerk , <br /> 4638 Main Street <br /> Pequot Lakes,MN 56472 , <br /> E-mail: nmalecha�a,�ce uotlakes-mn, ov <br /> Website: www.�equotlakes-mn.�ov <br /> OFFICE USE ONLY <br /> The Applicant is: New Applicant Applying for Reap�pointment <br /> Council�iction: lYot Appointed <br /> Appointed to• <br /> Date Appointed• <br /> '�erm Expires• . <br /> Notes; <br /> S\AdministraUoniCity Clerk\Boards and Commissions\Application Process and FottnslFormslApplication Form for 8oazds and Commissions.doc <br /> Page 3 <br />