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arm <br />Applicant Or3anization R%W 'i <br />CERTIFICATION: We certify, that the iniormation contained in thrisl application is true and correct to the best <br />of our k,n�ow led g,e. <br />9a. Authorizing --7"% <br />493 VW I /I <br />Off locia I S4teviiie Yo--rol;h Ac t i nq C t %ta7- a <br />typed name title sign . ature <br />9b.Fiical Agent <br />(it' appiHicabile), <br />typed nla,me title, signature date <br />9 c P ro i e,c <br />i -o <br />, � � Director Risk c hu 1t enior i Va a Ora , <br />W <br />typed name title Signature da re <br />4 A <br />The orl'8111"i plus twol copiesi of the application, plus one ciopy of the IRS letter or the contract with the <br />fisicall agent and the agent's IRS Metter must be submitted to the Council by the deadline date. All three <br />submitted, copies or" the application must be signed. <br />1O.What is your organizations m,ission statement? <br />0 <br />OW Wi C <br />The Rosiev"iLe Parks and Recreation Department is a functi*on o,L L, <br />of Roseville, organi.-red for the benief i*t of all citizens of RosevUle to <br />'recreational <br />plain, develop, priomote, and supervise a varl4ety of <br />andi facilities o�f sufficient quantity and quality to meet cornnniuniltv <br />d <br />our%ces <br />Pir.a.ferenice an,,d n,eleds and to preserve and enhance the. nat-ural res Cz <br />4 <br />tae communitV. <br />we <br />11 <br />I <br />li � I � i � � � + # I ��� III f I <br />� � i - � <br />it uI 1P, <br />M <br />11 <br />