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ROSEVILLE <br /> CIO Of •mm a*cudwWw's MN SSID s, M <br /> Application For CifizenAdvieso R-�F <br /> COMMISSIOU& <br /> ConmihW(m Applying For: <br /> f S <br /> CS Sion - dute year term <br /> El . <br /> Inman Iht + i om . thm year term <br /> } <br /> P&&j Remade Commbdm - three yeu term <br /> Pimning Q=mbsim - four yeu term <br /> fthm Civil Service Cmmusion - ihm yet term <br /> m unity Task Foje e <br /> Nm e, q19m11w1qkmAmd�PEM5E <br /> Address cRi 17 E 15T, <br /> Telephone _ 9384 L-10 <br /> Jem of Roseville yeas. <br /> Work r <br /> Civic and Volunteer Activities Q�ad and premt),, <br /> (over) <br />