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imseyffir"MMU <br />City of Roseville ■ 2660 Civic Center Drive ■ Roseville MN 55 113 <br />Phone: 65 1.490.2206 9 Fax: 65 1.490.2276 <br />K A, -[I-Yre Vx;4 -Lw.,k T-I I ELL fag mTo Ij <br />MIS 11w,14 <br />1:1 Public Works and Transportation Commission <br />N' Community Committee/Task Force(name).m <br />.......... <br />Telephone.- (Home) <br />(Work)— <br />Emaffi- Fax: <br />Work Expenence: C L k V,\" <br />L -1 1(7v (A <br />Yl I-) a n1l, <br />L <br />t +L <br />f-cf <br />C tCIL H I <br />tducation - :( - t, <br />C-kc V e-- V",rx <br />-CiviLc and Volunteer Activities: (Past and Presen# <br />o at- CL <br />J <br />Please state your reasons for wanting to serve on the Commission/Committee/Task Force: <br />