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(Please be as specific as passible -use additional sheet rf riecessmy) <br />PLeLl� SQL dtLoch m t -*,55 <br />What is your view of the role of this Commission/ ommitt Task Force? <br />Other Comments: (Inchide a nyfi lhei• infoi7nation you would like the Citv ( oirn it to consider or <br />that WOW is relevant to the appointment you are seekin . Yoir may also attach other mateplals.vou <br />quid like the Council to cotaider .) <br />a n L LIK) <br />Tennessen Warning - Some or all the information that you are asked to provide is classified by State law 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 Rosevilic is collecting the information to determine qualifications to serwc on a Citizen Advisory Commission. <br />You are not legally required to providc this information. However. if you do not supply the information, you may not serve <br />on a Citizen Advisory Comm ission. <br />Other persons or entities authorized by law to receive this information are City Council members, staff, residents of <br />Roseville and interested others - <br />1 understand: <br />This application is public in#'ormation. <br />I will be invited to an interview by the City Council dig n- ay be audio or video tad_ <br />is lieati o i my. discussed at a blue m tin . <br />r - F <br />fr <br />r <br />ignau= of Applicant Ida a of l p ication <br />t~mmimion appUcAmdoc Rev 0713GM <br />