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Please state your reasons for wan#wg to serve on the CommissionlCommitteelTask Force: (Please be as specific as possible - use additional sheet rf 'necessary) . - I A 0o I-e ti ,11,.r ,p r`r`r ll r What is your view of the role of this Commission/Committee/Task Force? /)W f f Other Comments; (Include anyfurther information you would like the City Council to consider or that.voufeel is relevant to the appointment you are seeking. You niay also attach other real _ errals you would like the Council t6 consider.) r Cy .�a Tennessen Warning - Some or all the inforznation that you are asked to provide is classified by State lava 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. `lice City of Roseville is collecting the informbon to deterine qualifications to serve on a. Citizen Advisory Corer .ission. You are not legally required to provide this information. However, if you do not supply the information, you may not serve on a Citizen Advisory Commission. 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. • Y will he invited to an interview by the City Council that may be audio or video taped. • This application may be discussed at a public meeting. IU Signature ppl+ ant Commission application.dac Rev 07 {30/02 Date ofAppfication C\