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City of Roseville * 2660 Civic Center Drive ■ Roseville MI 55113 <br />Phone: 65 1.490.2206 ■ Fax: 65 1.490.2276 <br />Application for Citizen Advisory Commission <br />Please check commission applyingfor: <br />❑ Grasp Lakes Water Management Organization <br />❑ Human Rights Commission <br />Ij Park and Recreation Commission <br />❑ Planning Commission <br />❑ Police Civil Service Commission <br />❑ Public Works and Transportation Commission <br />❑ Community CommitteelTask Force(name) <br />_ Student o <br />Name:-' I � `o � w� '� � � ►�J�� i { �.� _ Applicant ❑ Yes, Grade <br />Address: - V V'Y) V. i <br />r Rosee <br />1 <br />ity1State1 ip; ��,'C6- r i ti 1 t <br />- — - _ _ - - -- f � - _. - Resident Years <br />Telephone: (Herne)- --f,i. ��' �' 7 `)-7)':. � =_ (- 6 _— - (Work) <br />Email: <br />Fax: <br />Work E erience: - II IV frx-, - <br />��' l ��� � � +'� ^ 1 1'• r fL - r 1� ■� •� � �' � �' _ �•• � � � j�� � r� 1��� �r �� f - <br />f <br />� � iii � �'1 } L �x��l�.��' � �l�''� � �i f �'� � � • �`��� �l •� �� L i�� <br />1.n <br />4), <br />bCV I - <br />ar___ <br />J <br />\i-cci f, <br />1 Lrr <br />■ <br />} ` 1 <br />�leai7on +4{ 5L 1 ' 'J`�- <br />civic and Volunteer Activities: (Past and Present) <br />V-t IL <br />Please state your reasons for wanting to serve on the ComnflssionlCommitteeffask Force: <br />