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MAR-03-2003 MON 01 ', 41 PH FAX NO, P{ 02103 <br />wKIj V JLJJAI:j� <br />wxyw 6.0swVille_Inn.tLS <br />City of Roseville • 2660 Civic Center Drive u Rmuvilic mN 55113 <br />Phone: 651 .4$0.22 a Fax: 651 .4190.2276 <br />Application for Ci en Advisory C <br />Please ch rorr rs,irr applr' fir: <br />c) Grass Lakes Water Management Organization <br />Human lights Commissiw <br />o Park and Recreation Cornrnission <br />o Planning Commission <br />o Police Civil Service Commission <br />o Public Work and Transportation Commission <br />o Coo m u n i t-Y `o ni m itt ee 'ask Fore e(r rairr e) <br />Applicant �-t�Io <br />N�R�c:_ t { � � ( V _ D YES G'rade <br />Address: � �—� <br />- - - - Roseville ..� <br />Sy <br />Resident Years <br />Telephone! (Home) F 69 <br />30/ <br />x � L <br />Einnra +� r '.- •- Fax; <br />Work Experience: <br />AIJl -■ Vr F <br />1 k Ovs4Lat <br />Education: <br />Sivic and Volunteer Activities; (Pas( aiid prms��� <br />C k�L Vw e\^ VV) ls'� <br />C. <br />