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Please state your reasoin,s for wanfingi tol se�rv,e on, the Commbsion/Committeeff ask Foirc <br />(Mease i7e asi specipc as possiblel - use additional sheet ifnecessary) <br />VIA, CI% LL L&PLI L& C IA <br />GP, e�l vi CL <br />��MM* <br />15 <br />C�R <br />th, <br />.l <br />WS <br />What is your, view, of the, role of this Comtnl*ssl /'Colmmittee/Task Force? <br />IWPR <br />A*# <br />If kA LA 11+1 <br />C 0 <br />Jr <br />Other Comments: (Include any1anther information you would like the City Council to consider or <br />that yotifeel is ' red evant to the appoi , n t, tmen your are seeking- You may also attach other materials you <br />lVould like, the Cowtcil to consider.) <br />Tennessen 'Warning - ome or all the infon-nation 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 gen,erall,y cannot be given to either the public or the subject of the data. <br />The City of'Rios,e'ville is, collecting, the information to d,etern-Line qualificatiom to serve on a Citizen Advisory Commission. <br />You are, not legally required to provide this information. However, if you, do not supply the infonnation, you may not <br />serv�iel, on a Citizen Advisory Clornrnission. <br />Other persons or entities authorized by law to receive this information are City Council members, staff, residents of <br />Roseville 'an,d interested others. <br />VaIgnaturei of Applicant <br />Date of Application- <br />Com�ssion appficafiondoc Rev 07/301012 <br />