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Declaration of Pecuniary Interest Form

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Applicant signature/certification:


Declaration type of Pecuniary Interest

I herein declare a potential Pecuniary Interest on the above noted Council/Committee agenda item

* For an “indirect Pecuniary Interest” see Section 2 of the Municipal Conflict of Interest Act.

* For a “deemed” direct or indirect Pecuniary Interest see Section 3 of the Municipal Conflict of Interest Act.

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