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k*,.- L4 Fffh 1! E FEB - 4 20M <br />City of Roseville a 2660 Civic Center Drive a Rasev le MN 55113 <br />Phone; 651-490.2206 -o Fax: 65 1.490.2276 <br />Application for Ci en Advisory Commission <br />Name:. �� y <br />up,(\r � <br />.� <br />Student <br />�PPlicant <br />a No <br />o Yes, Grade <br />Address: 3 gs <br />C <br />r�IDt��a <br />,D r' <br />%-k w <br />(.Jj S <br />12) C V. 0(( . / 'd- TPL rel� <br />Education: <br />C' C( -I A J <br />Civic and Volunteer AC hies: (Pest and Present) <br />Rcw !QQ M r-k -ife it d 1-1h <br />+"1 Z4 M e4 <br />f a j A a 7 <br />�w.,.. <br />C., 2 4 e Crq 5 t��+w fn � f � . <br />I1t . I� "! p ce I /!n✓h cc <br />6 PU a{ A-47( j y{�ICA1 � a..I� t-'l 1I'l lc <br />