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Comments• <br /> Conflict of Interest is defined as the participation in any activity,recommended action, <br /> or decision from wluch the individual has or could ha.ve the potential to receive personal <br /> gain,whether it is direct or indirec� In accordance with this definition,do you have any <br /> legal or equitable interest in any business which could be construed as a conflict of <br /> interest? Ye�U?�No l�t� h.rK h�-�- i�a. 1��11�lr���' — bu�'- <br /> 1N cJ1N l U� �� I'yu� C-e /� �Yvm- a-n-�-�1.�`r e��t- �,e�S�uti-s- <br /> Ifyes; ro 'de det�ils on a separate piece o�paper. ��v�� ��� � �^,p hu Sj�e�s. <br /> �lr� � �� <br /> App ' 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 AdministratorlClerk <br /> 4638 Main Street <br /> Pequot Lalces,MN 56472 <br /> E-mail:nmalechana.nequotlakes-mn.gov <br /> Website:www,pequotlakes-mn.gov <br /> OFFICE USE ONLY � <br /> The�iplicant is: New Applieant Applying far Reappointment <br /> Council Action: Not Appointed <br /> Appointed to• <br /> Date Appo�tnted• <br /> Term Expires• . <br /> Notes: <br /> S:UdminislrationlCity ClerklBoarda end CommiasiomlApplication Pmcsss ead FmnalFormslApplicntion Form for Bouds and Cummisslons,doc <br /> Page 3 <br />