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e <br /> e <br /> Comments: ��? ��,�-e �-[,��, c� �-�-a-z� -�-��,,,y, a.o q <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 defuution, do you have any <br /> legal or equitable interest in 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 /> �� <br /> Applicant Signattue Date <br /> Questions may be directed to the City Administration Office at 218-568-5222. <br /> Return Completed Application to: City of Pequot Lakes <br /> City Administrator <br /> 4638 Main Street <br /> Pequot Lakes, MN 56472 <br /> E-mail: nmalecha(�pe�c uotlakes-mn. o�v <br /> Website: www.pe�cuotlakes-mn.gov <br /> OFFICE USE ONLY <br /> The Applicant is: New Applicant Applyiing for Reappointment <br /> Council Action: Not Appointed <br /> Appointed to• <br /> Date Appointed• <br /> Term Ezpires: . <br /> S:�Administration\City Clerk�Boards and CammissionsWpplication Process and Forms�FormsWpplication Form for Boards and Commissions.doc <br /> Page 3 <br />