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(ale be as sped, fc as passible - use additional sheet if necessur�'I I <br />•f �� c � o V05 eUc {fie. C). lC�. V` <br />6 -se. o"4 <br />42P <br />k6ki <br />b U i on 4 q, <br />b -� L t-g2.. LKA <br />G fA rn r.w-h(A.-4 c : jnq,�K, <br />What Is your view 2E Pe role of this Co n/ ask Force? <br />44C ro 1,4,9 c> <br />A&- �M[ i LO SJ2!aAS--1- <br />/J r-4�L Lt m t �e!pr.. -ce <br />v Co �. i iLi - V QJ 0 A4��C4 UA I 1 0 L) I P6 V <br />t2�2= -L L <br />Other Comments; (Include ar , rther information you would like the City Council to consider or <br />that youftel is relevant to the appointment you are seeking. You may also attach other materials you <br />would like the Council to consider. <br />�u)o <br />L <br />m-42,. Lu cy, a 2L&L2,3 LeJ�W& t <br />Temessen Wang - Some or all the inforn ation that you are asked to provide is classified by State lava as either private <br />or confidential. Pt ivate data is information that gencirally paanot be given to the public but can be given to the sub jest of <br />the data. Confidential data is information that geinemlly cannot be given to either the public or the subject of the data. <br />The City of Roseville is collecting the informaation to determine 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 serve <br />on a Citizen Advisory Commission. <br />Other persons or entities authorized by law to receive this information are City Council members, staff, residents of <br />Roseville and interested others. <br />I im d: <br />g TMs aWlicafion is public infonmafiom <br />I will be invited to an intmMew by the City Conned dW may be audio or video wed. <br />This Wpficafion may be dismzsed at a pubfic meeting. <br />S--- Alnt <br />Ununi.%ion WpHadim&c Rev 07T30M <br />-� Z-2/-0"3 <br />EWe of Application <br />z <br />