Laserfiche WebLink
Feb 11 2010 21:54 <br />Lakeland Fireplace <br />Conflict of Interest is define <br />or decision from which the in <br />gain, whether it is direct or inch <br />legal or equitable interest in <br />interest? Yes _Y NC <br />If yes, provide details on a <br />icant Signature <br />Questions may be directed to <br />Return Completed <br />OFFICE USE ONLY <br />The Applicant is: <br />Council Action: <br />S:\Sandy Documents \City ClerkSoards I <br />218 692 -2223 <br />as the participation in any activify, recommended action, <br />Mdual has or could have the potential to receive personal <br />irect. In accordance with this definition, do you have any <br />y business which could be construed as a conflict of <br />piece of paper. <br />-L I z / o <br />4 <br />Date <br />City Clerk's office at 218 -568 -5222. <br />to: City of Pequot Lakes <br />City Clerk <br />4638 County Road 11 <br />Pequot Lakes, MN 56472 <br />Email: speine pgguotlakes-rnn. og_v. <br />Website: www peynotlakes- mn.a_ov <br />New Applicant Applying for Reappointment <br />Not Appointed <br />Appointed to: _ <br />Date Appointed: <br />Term Expires: _ <br />Commissions\Application Form for Boards and Commissions.doc <br />Page 3 <br />p.3 <br />