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ROSEVILLE <br /> Cw O(MMVW6 MW 0*CenUr IMwe RawYH14 MN SS113 a 490,2200 <br /> Application For Citizen Advisory Commissions <br /> Commis�oe Applying Fnr: <br /> ❑ F�thics Commission - ttuet year term <br /> ❑ H an Rights on - three year term <br /> ❑ and Recreation Commission - twee year Lean <br /> Planning Ca�missian four year term -....� <br /> ❑ Police Civil Service Ca�nrmissi� - thus year term <br /> ❑ Cammuurity Task Force (Name) <br /> Name <br /> Address � �Cl <br /> Tcleptmne (H) � � 6�� (w) <br /> .dent of Roseville ' years. <br /> Work Experience: fA <br /> C:�-41"Ok <br /> Education: <br /> 14/V I <br /> M A.. /�q <br /> k, (f' o ILI <br /> Civic and Volunteer Activities(pmt and WNW): <br /> L2� <br /> Tic--4 -yco„Aj <br /> AL <br />