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What is _your view of the role of this Commissio r/Conim i ttee ask Force? • - - -. -- ./It wa - I -) ) ". Z'1' , L, r f ■ � ffff �yp j + .Iv 1z Other C omme n is : (Include ar�yfurth ery information you would lace the City Council to consider- or that von{ fee! is relevant to the appointinentyou are seeking You may also attach other materia you would like the Council to consider-.) -ren nesseri Warning - Some or all the in fo muttion that you are asked to provide is classified by State L acv as either private or eon rider t i al . Private data is information that generally cannot be given to the public but can be given to the subject of the data. Confidential data is in tomiation that genera [ly cannot be given to either the public or the subject of the data. nic city o f' Rosevi l le is collecting the in fornzation to determine qua ii f ieations to serge on a Citizen Advisory Commission. You are not legally required to provide this i nfomiation. However, if you do not supply the information, you may not serve on a Citizen Advisory Commission. Other persons or entities authorized by law to receive this i nfonnation are City Council members, staff, residents of Roseville and interested others. I Understand that all information provided in this app itcation, except any telephone numbers, fax number and email address, may be distributed by the City to the public including, but not limited to} being gusted on the City of Roseville websi te. I agree to waive any and all claims under the Minnesota Government Data Practices Actl or any other applicable state and federal law, that in any way related to the dissemination to the public of information contained in this application that would be classified as private under such laws. I understand that I may contact the responsible authority for the City of Roseville if I have any questions regarding the public or private nature of the information provided. I understand that the City will not publish my phone or fax numbers or entail address without any authorization and do hereby allow the City to publish (check all that apply). • `home telephone number work telephone number ernai l address 1 Understand that I may be invited to an interview by the City Council that may be audio or videotaped. r Signature of Applicant f Updated= 05103 I Date ofAppEcation