2003_0407_packet - Laserfiche WebLink

Home

Please state your reasons for wanting to serve on the Commission/Committee/Task Force (Please be as specific as possible - use additional sheet if necessary) beG 1��k Q CA t C" LAA A4fAAA-01 4:) n n f 1-�.d 4-6 -e-AJ d) f * r a . E C06 rA-LA" k- iUTA What is vour view of the role of this Cammi1%4-;in n/( nmmittPPrr cIr Rnreip? Other Comments; (hiclutle anyfurther information you would like the City Council to consider or that yoti eel is releila t to the appointment ixou are seeking. You nzgv also attac h other materials you ivoidd like the Council to consider.) ec- jr e� c baDM+ "tt, e-S 0 L�o ail I Ink- JA e� -OA) or� Le le C e J0 il 6 LJL C n JA-4 u L. Tertnessen warning - Some or all the Monnation that you are asked to provide is classified by State later as either private or confidential. Private data is information that generally cannot be given to the public but can be given to the subject of the data. Confidential data is information that generally cannot be given to either the public or the subject of the data. The City of Roseville is collecting the information to determine qualifications to serve on a Citizen Advisory CoM fission. You are not legally required to provide this infor-rnation. However, if you do not supply the inform ion, you may not serve on a Citizen Advisory Corrumssicn. Other persons or entities authorized by law to receive this information are City Council members, staff, residents of Roseville and interested others. I understand: This application is public information. will be invited to an interview by the City Council that may be audio or video taped. This application ay be discuss t a pubk meeting. I T � -� Signature of ,applicant Ca ion application.doc Rev 07130/02 z � D e of kpplication