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r - - 01-J.: 20 UKHN I THORN 1 UN 612 332 3831 P. 02/03 <br /># - 11 V <br />P%46a- <br />www-ci-rosev1Ir,.rnn&r, <br />Cizv of Rosewille ■ 2660 Civic Center Dfive 9 Roseville MN 55113 <br />Phone: 651.490.2206 # Fax' 65 1.490 -1276 <br />Application for Citizen Advihory Commission <br />Pease check commission applying for; <br />U brass Likes Water Management Organization <br />❑ Human Rights Commission <br />❑ Park and Recreation Commission <br />Planning Comnu`ssion <br />El Police civil Service Commission <br />❑ Public Works and Transportation Commission <br />❑ Community Committee/Task Force(name) <br />Student No <br />w `� r <br />Name • Applicant ID Yes, Grade <br />/91/p"!12 <br />��se� <br />CitylStateiZip: �rill <br />1 <br />Telephone: (Horne) <br />Errs ail: I - DOT-04VI 6/;z - <br />�f� w <br />Work Experience: pLMyrX4'/ ma � <br />C QLrkn�V <br />6ruK:q� <br />IC r <br />4 <br />r <br />Education; De ', Y ys 1 tom esiL%± u2z <br />or <br />" s <br />Civic and Volunteer Activities: (Past and Present) <br />"MMM I'm <br />Please state your reasons for wanting to serve on the Commission/Committee/Task Force: <br />