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RO SEVILLE <br /> OV or -b.Me Q*c~n,;n. R Nnv 55113 490-2200 <br /> I* <br /> Application For Citizen Advisory Commissions <br /> CommiWon Applying For: <br /> ❑ F�#hics Commissiai - flues year term <br /> ❑ Human Rights Commission - dose year term <br /> Parka and Rematim Commission - tbree year term <br /> planning Commissim - four year term <br /> ❑ Police Civil Service three ytar term <br /> ❑ Cammurrity Task Force (Name) <br /> Name \ <br /> Address <br /> mown <br /> I (W) <br /> Telephone (H) <br /> a__.adeni Of Roseville _ �Years- <br /> 4� '' TK <br /> LA Inc. v i r(.. hwC'j. 1a P1 n(�L �`0��rw�" Y i�J�6 1✓.� 4�L. <br /> Education: <br /> QoAUG� DV �.+��SUv* � � ,� &Lwor A _ _ Q}u51n0,`i17 <br /> Civic and Volunteer Activities{pest and present}: <br /> "TrEVAa r,1,c w� <br /> LIM. <br /> (over) <br />