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3 <br />r <br />Tenne$sen warning -- Some or all the mi formation that you are asked to provide is classified by State taw 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 Roseville is collecting the information to detcrmine qualifications to sears on a Citizen Advisory Com.mi& sioa. <br />You are not legally required to provide this information. However, if you do not supply the information. you may not serge <br />on a Citizen Advisory Commission. <br />Other pens or entities authorized by law to receive this information arc City Council members, stn ff, residents o f <br />Roseville and interested other. <br />I understand: <br />e This a liter t is public infonwhom <br />e I wwM be invited to an interview by the City Council dW �y be audio or video tom. <br />i � leati n d��d at public . <br />f i #. .+ 0 <br />VV r f <br />of Applica-ut of fir.4W= <br />Cam. ,Mon appficatiorLdw Rev 07/30M <br />