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ROSEVILLE <br />Application For Citizen Advisory Commissions <br />A;Vg ftr: <br />i <br />dIMC YeJr <br />0 Ht� Cmirnisdm -�� tm <br />�S - ft ft <br />Flamdna minim m four yea <br />police ay.0 Servici irniftim - dun y0sr #gym <br />m TMk F (Name) <br />Name <br />,0�f f. <br />Address n wo o � �, le Z�kd Rep. SOY <br />Telepfi=e (H) fZ71- 37 33 (yV} a� 338 — G 74/ 3 <br />Residcnt of Roseville � years. <br />Work Expwimm <br />..fir, :_ it Gda. �ra� /"� L�trso., _ it 6 � � � ��� � �'►� � �+ /i9/ <br />{ <br />al <br />y <br />f w /29Z <br />QL <br />P,5E , /979 <br />Civic and Volunteer Actinides (p" and present): <br />�Od C AfoSea�� Ario� ddb 3 <br />&e&a. Zoo, Aar-. so)r-nda/ azva <br />SP-C C f04 // / z ?-Q? - . <br />P-^ d <br />(aver) <br />