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� <br /> Attendance: Are you aware of the importance of regular meeting attendance including <br /> the time commitment involved in preparing for meetings and do you feel you have the <br /> time available to be an active participant?�Yes No <br /> 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;��ide details on a separate piece of paper. - � <br /> C�� �� 7_0 • ?c� <br /> Applicant Signatu 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: cit hy all�c�nequotlakes-mn.gov <br /> Website: www.pequotlakes-mn. o�v <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:Wdministration\City Clerk�Boards and Commissions�Application Process and Forms�FormsWpplication Form for Boards and Commissioas.dce <br /> Page 3 <br />