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k*8HYH*E F E 0 4 2003 <br />www.d.rosmitemimus <br />City of Roseville # 2660 Civic Center eve # Seville MN 55113 <br />Phone: 65 1.490.2206 i Fax: 65 1,490.2276 <br />Application for Citizen Advisory Com SS10101 <br />LIF <br />626 <br />VC-1 A-L <br />A A <br />+� <br />am. <br />CMvic and Volunteer Activities: and Present) <br />o 51.0- 11 J (C �) O V tl.a C-4.5 <br />r"-C <br />r <br />p.1IA M <br />C-d <br />eA b t, A r3o -..9 - UP <br />CkIW 5 <br />Z <br />ra, <br />U <br />Student <br />• No <br />Name: �p,rc <br />�f�r <br />�P�f' � c.� � <br />� <br />Applicant <br />o Yes, Grade <br />Address:_ �s <br />Cj <br />C� �� <br />� Z <br />LIF <br />626 <br />VC-1 A-L <br />A A <br />+� <br />am. <br />CMvic and Volunteer Activities: and Present) <br />o 51.0- 11 J (C �) O V tl.a C-4.5 <br />r"-C <br />r <br />p.1IA M <br />C-d <br />eA b t, A r3o -..9 - UP <br />CkIW 5 <br />Z <br />ra, <br />