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Phone: 651.49 1206 a Fia: 65 1.490 -2276 <br />Application for Citizen Advisory Commission <br />Please check commission applyi gfor: <br />Q Grass Lakes Water Management Organization <br />urea n Rights Commission <br />0 Park and Recreation. Commission <br />C] Planning Commission <br />❑ Police iv"[ Service Commission <br />Public Works and Transportation Commission <br />❑ Community Committee/Task Force(na <br />Student I�o <br />Name: Applicant ❑ Yes, Grade <br />tJ � 1 l Roseville <br />CitylSta6iJZip: �,�`��U -� Resident � Years <br />Telephone: Jor2l. {Horne) AA } <j ('0 4`7 •"��v <br />Fax: ��. •��CY- �!� <br />Education: <br />Civic and Volunteer Activities: (Past andPresent, <br />Please state your reasons for wanting to serve on the Omm i on/Committe&Task Force: <br />