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Phone: 651 .490. 06 * Fax: 651.4901276 <br />Application for Citizen Advisory Commission <br />Please check commISSIO Flyfn or* <br />Q Grass Lakes Water Management Organization <br />Iuma n Rights Commission <br />0 Park and Recreation Commission <br />1:1 Planning omission <br />Police Civil Service Commission <br />D Public Works and Transportation Commission <br />1:1 Community Committee/Task <br />Student 'u <br />Name: Applicant C3 Yes, Grade <br />Address: <br />Roseville <br />- <br />city/statei ip: Ov5ewt LL Resident 4A Years <br />Telephone: (Home) l�'J � � �-1�� � • �" 1�7 <br />(Work) �'"�/� • <br />�`�J <br />•'Ye'S� <br />Email: `,�+IIYVIlyt�1Z� ���.T�JI <br />Fax: � ���. <br />0-11g <br />Education: <br />Civic and Volunteer Activities (Past andPresent) VLjL <br />Please state your reasons for wanting to serve on the Corn rnissionfCornmitt !'raslk Force: <br />