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Please state your reasons for granting to serve on the o ssion/CommltteetTask Force: <br />(Please be as specific as passible - use additional sheet i f necessary) <br />rNlflu0lUNUFY/aP <br />i <br />11111YIVY/4MIIIIWffli <br />rcrrRrrRrrRrrmiouww <br />What is your view of the role of this Commission/Committee/Task Force? <br />Other Comments: (Include arr trther in orniation you would like the Ci1Y Council to consider- or- <br />that Yozifeel is relevant to the appoi gtr ent yore are seeking. You tnay also attach other- rrrater-rals y u <br />vtfould like the Council t6 consider.) <br />Tennessen Warning - Some or all the information that you are asked to provide is c lassif ed 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 cannot be given to either the public or the subject of the data. <br />The City of Roseville is collecting the inforrnation 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 inforn}atxon, you may not <br />serve on a Citizen Advisory Commission. <br />Other persons or entities authorized by law to receive this infornnation are City Council members, staff., residents of <br />Roseville and interested others _ <br />I understand: <br />This application is public information. <br />I will be invited to an inteMew by the City Council that maybe audio or videotaped. <br />This application may he discussed at a public m.eetirtg. <br />Signature of Applicant <br />Commission apphca, on.doc Rev 07/30102 <br />Date of Application <br />