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u <br />r, ,f FEB -, -, 6 2M3 <br />"IY <br />City of Roseville a 2660 Civic Center Drive o Roseville MN 55113 <br />Phone: 651.490.2216 9 Fax: 65 1.490.2276 <br />Application for Citizen Advisory Commission <br />Please check canrmission applying for: <br />o Grass Lakes Water Management Organization <br />• Human Rights Commission <br />• Farb and Recreation Commission <br />Vf Planning Commission <br />o Police Civil Service Commission <br />o Public Works and Transportation Commission <br />o n m m n nity Committee/Task Fn rce(nante) <br />Student a No <br />Name:-(A I APPlicaat 0 Yep Grade <br />Address• Zgtg CaJL**cer <br />Roseville <br />ISI/3 <br />itatcli <br />Resident Years <br />Telephone: (Hume) (Workj <br />Email:. rewt; orr, <br />Fax:- <br />Education: <br />Civic and Volunteer Activities: (Past and Nesent) <br />