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ROSEVILLE <br /> CW of Ras"We Cj*CWwr DrWe*Rowdk,MN UP 00-M <br /> Appl@ Ication For Citizen Advisory Commissions <br /> Can— b gon AaaplyWc ter: <br /> ❑ <br /> Human Rights cam on - m= year aena <br /> ❑ Padrs and Repm4don CammisdMM - three year Germ <br /> ❑ pilluft C� mmisda° ' four Yeu term <br /> ❑ Felice Crivilservice tluoe yeu term 000r, <br /> Community Task Fm= (Name) &n °'� i/17�19 <br /> too <br /> Nam <br /> Addntss /[' � -� � <br /> Tekphone (H) (W) Z,21--A <br /> R of Roseville Years. <br /> Work woe. <br /> Edtr=fi0M: <br /> Civic aid Valuuteer Acdrida(pest and presort): <br /> (aver) <br />