Laserfiche WebLink
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 ,X,No <br />If yes, provide details on a separate piece of paper. <br />Applicant Sion::.; <br />/01-�8- <br />Date <br />Questions may be directed to the City Administration Office at 218-568-5222. <br />Return Completed Application to. <br />771N Applicant b: <br />Coin, Action, <br />City of Pequot bakes <br />City Administrator <br />4638 Main Street <br />Pequot Lakes, MN 56472 <br />E-mail: citvhall(@peRuotlakes-mn.gov <br />website: www.peMuotlakcs-ran.t,Oy <br />Otti►!CE USE ONLY <br />Ntw Applhxat Appbing for Reappointment <br />Not Appointed <br />Appointed to: <br />Date Appointed: <br />Term Expires: <br />eoP=w=AAffbesko P# wd hmelaeeNAM60kke Fan for BousY ud ca.:.b�aloe <br />Page 3 <br />