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(Please be as specific as possible -use additionsl sheet ijnecessary) <br />„ YJ�JJPyiYH ,... , , J, P4' v, �JWNNNNII' �1MIMMI�/ IDLlYY19YlYllNIWWYN' W1YN' W1YN' W1YlYlYN`// �/ �11llAllBiiiiiiidllllllllllllllllllllllllllllllllllllllllllllllllllllllllYl9 IIIOIIIIOIIIIOIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIdlfdf/ ml�IldlfdfR l�(�(�(�(�(�(�(' /rt�111111NR( /III ldilllNdld11�101111111111111 <br />What is your view of the role of tbh Coy missionlCom itt it Fns? <br />r <br />Otb er Comments: (Include an vfunher information you would like the City Council to consider or <br />that yozr eel is relevant to the appointment you are seeking. You may also attach outer materials you <br />would litre the Council to consider.) <br />1 I� <br />um��r��l�ml�uouuuuuuuuuummmmmmmmuuuuuuuuuumumlmimwdididididididrertrmmmmmomomomrmmmmmmmmi�rvmmirrrt�i�oouuuuuuuuuuummimwdididimluuuuuuuuuuuuuuuuuuuuuuuudididididididir�a .. „��� ..., .....ud�lm�um�mol m�lm�lm�lmmmmmmmmmomomomomirnrrtrrRrrmrrtrrr�r�r�r�r�r�r�rrtn�lmim�imlmlmumomomomorv�mw <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 cumot 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 may not serve <br />on a Citizen Advisory Commission. <br />Other persons or entities authorized by taw to receive this information are City Council members, staff, residents of <br />Roseville and interested others. <br />I understand: <br />* This application is public information. <br />* I wjil be invited to an interview by the City CouncH that may be audio or video taped- <br />* This applicafion may be discussed at a public meeting. <br />f1YtiC 'Z <br />Signature of Applicant <br />Cami-sman apply.&= Rry 07/3CV02 <br />3 -3 -G3 <br />Date of Application <br />