Laserfiche WebLink
Comments: <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 definition,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 /> --.-- �- �' //-a 7 - /�' <br /> Applicant Signature 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(�a,�eyuotlakes-mn. o�v <br /> Website:www.peauotlakes-mn.gov <br /> OFFICE USE ONLY <br /> The Applicant is: New Applicrant Applying for Reappointment <br /> Council Action: Not Appointed <br /> Appointed to: <br /> Date Appointed• <br /> Term Ezpires• • <br /> S:W dminishation\City C1erklBoards and Commissions�Applicmion Process aad Fo:ms�Forms�Applicarion Frnm for$oards and Commissioffi.doc <br /> Page 3 <br />