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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 interes 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 /> , . - � I a;o� <br /> Applicant Si ature 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,pequottakes-mn. o�v <br /> Website: www.pequotlakes-mn.�ov <br /> . . <br /> OFFICE USE ONLY <br /> The Applicant is: New Applicant Applying for Reappointment <br /> Council Action: Not Appointed <br /> Appointed to: <br /> Date Appointed: <br /> Term Expires: <br /> S^�.aJministrztion`,City Clerk'�,Boards and Cummissions;.4pplicatiun Process and Forn�s\Fomis`�,.�pplication Fonn for Boards and Commissions.doc <br /> Page 3 <br />