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RIO S VILL 3C I f <br /> CIq of Rosm&•MW Ci*Centw Divea Romer MN 55113,o 490-2200 <br /> Application For Citizen Advisory <br /> Commission Applying For: <br /> ❑ Ethics Commission - thme year term <br /> Human Ruts - Wm - tim year term <br /> Parks and Recreation Com sion - three gear term <br /> plug Commission - four year term <br /> ❑ police Civil SeMce Commission - thm year terms <br /> immunity Task Force (Name) � <br /> Name A A 0,o, K. <br /> Address <br /> logo <br /> Telephwe (H) 6 3 c;L (W) <br /> Resident of RosevMe ye am. <br /> Work Experience: <br /> d: <br /> Education: <br /> Civic and volunteer Activities(pest and Present): <br /> (over) <br />