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2003_0407_packet
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2003_0407_packet
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10/21/2011 1:08:05 PM
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Please state your reasons for wanting to serve on the Commission/Committee/Task Force: <br />What is our view oft the ro of this Commission/Committee/Task Force? <br />Ed <br />IF V)ay. YMITYVI ��) AVNI (1,11 <br />i <br />Other Comments: (Include ar yfurther in arrriation you would like the City Council to consider or <br />that you feel is relevant to the appointinent you are seeking. You inay also attach other- materials you <br />would like the Council to consider.) <br />Tennessen Warning 4 Some or all the information that you are asked to provide is classified. by State law as either private <br />or confidential. private data is information that generally cannot be given to the public but can be given to the subJect of <br />the data. Confidential data is information that generally cannot be given to either the public or the subject of the data. <br />The City of koscville is collecting the information to deterrnine qualifications to serve on a Citizen Advisory Commission. <br />You are not legally required to provide this information_ However, if ` you do not supply the information, you may not <br />serve on a Citizen Advisory Commission. <br />Other persons or entities authorized by lain to receive this informtion are City Council members, staff, residents of <br />Roseville and interested others. <br />I understand: <br />This application is public information. <br />I will be invited to an interview by the pity Council that may be audio or video taped. <br />This application may be di cussed at a public meeting. <br />�� d I n <br />r <br />Signature o Apptican � Date of Application <br />Commission applicadon.duc leer 07130/02 <br />
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