Laserfiche WebLink
, <br /> Comments: � -� /� � � v ��r � <br /> �''' / A ,� ',��p�" <br /> �1/l� � GJ.� <br /> c'� � �� ��� �� ` _f��1;C�' �� I�� �'�C'�1'�•� <br /> Conflict of Interest is defined as the participation in an�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 intere t 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 /> � �n�.l �, ��' ��"����� <br /> Applic t 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 Administrator <br /> 4638 Main Street <br /> Pequot Lakes,MN 56472 <br /> E-mail: nmalecha(��pec�uotlakes-mn.gov <br /> Website: www.pequotlakes-mn.�ov <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 /> Notes: <br /> C:\Users\cityhall�AppData�I.ocalUvlicrosoft\WindowsUNe[Cache\Content.0utlook\CPZCH3RJWpplication Form for Boards and Commissions.doc <br /> Page 3 <br />