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Please state your reasons for wanting to scare on the Co mmission/Comadfle ask Force: <br />(Please be as specific as possible -arse additional sheet if accessary) <br />What is your view of the role of this Omrnission /Cummittee/Task Force? <br />Other Comments: (Incluele anyfin•ther it f rnration _vote would like the Citv Council to consider or <br />that ozifeel is r elevarrt to tote appoiiitrnentt you are seeking. You ni l{ also atfach other inater ials ou <br />would like the Council to consider.) <br />...,11-Jennessen Warning - Some or all the information that you are asked to provide is classified by State law as either private <br />or confidential. Pn'vate data is infornmtion 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 Roseville is collecting the information to determine qualifications to serve on a Citizen Advisory Commission. <br />You are not legally required to provide this information. However, if you do not supply the information, you nuy not <br />serve on a Citizen Advisory Coffmiission. <br />Other persons or entities authorized by law to receive this i n formation are City Council members, staff, residents of <br />Roseville and interested others. <br />I understand: <br />This applxeation is public infonnation. <br />I will he invited to an interview by the City Council that may be audio or video taped. <br />This a pliestion may be discussed at a public meeting. . <br />LVA- MAM F7�o& <br />Date of Apphcafion <br />Commission apprication.doc Rev ()7!30102 <br />