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Please state your reasons for wanting to serve on the ommission/Com Tithe "ask Force: <br />What is your view ofthe roke o#'this Commission /CoMmitteerTask Force? <br />IF VI(AW. Y-C(AO thP, ITYVIDY) M-il� <br />I <br />Other Comments: (Incluide any f irrrther+ inforniatioti you would like the CitY Cowicil to consider or <br />that you f eel r,� relevant to the appoint nrerrt yore ar-e see ng. You ni 1; a s� Etta h o her materials you <br />would like the Council to cmisider.) <br />Tennessen warning - Some or all the inform ion that you are asked to provide is classified by Mate laver as either private <br />or confidential. Private data is infonwtion that generally cannot be given to the public but can he given to the subject of <br />the data. Confidential data is information that generally cannot he given to either the public or the subject of the data. <br />The City of Roseville is collecting the infon ation to detetnine qualifications to serve on a Citizen Advisory Commission. <br />You are not legally required to provide this mifoniiation. However, if you do not supply the information, you may not <br />serve on a Citizen Advisory Commission, <br />Other persons or entities authorized by law to receive this information are City Co unc i 1 members, staff, residents of <br />Roseville and interested others. <br />I understand: <br />This application is public information. <br />I will be invited to an interview by the City CoLmcil that may he audio or video taped. <br />This application may be discussed at a public rrteetitig. <br />M r . <br />f <br />Signature a App li <br />can(i <br />Date of Application <br />Commission applicat on.doc Rev 07130/02 <br />