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Feb 28 11 04:25p D N�elson <br />Rosevifle. MN - Official Website <br />M-1 <br />651-631-9453 P'l or000� <br />Page 1 of 2 <br />Home 1, Contact Us I Print Fr-;j'e:ndjy I Ern Pit This Page I Accessibility <br />111111�� I I..","Iolllllop"ollilill�mllul. <br />Ramsey County <br />State of Mirnesota <br />Roseville issues Fortir—T. <br />Translate This Page <br />You am hare: Home > Forms <br />am=,$ <br />Application for Citizen Commissiontl3oard <br />jvlease check com�rrission Etnics Commission <br />mpplyft 1W <br />Planning CorrNnission <br />Lj Grass Lake Water <br />Pailicle Civil Semice, <br />M�a�na�gem�nt Organizat on <br />Common <br />Housing and Redm1opment <br />L7 Public Works, Environrnoii <br />Authuri1ty <br />and Transportation <br />Hurnon Rig�his Commis&()n <br />Parks and Recreation <br />El Cmer <br />Convnission <br />other, please list narne <br />his application is for,-.* NI ew Tem S-Ndata 'Teri i <br />11 <br />ReawaA ntment <br />If this is a Student appli(mbor, <br />Please list your grade <br />Under state stakde, Commissioners rya s. addresses and eiiher a phone number or an electronic <br />address where, y ul can t)e Mached are "Ic information. All other pemDnal Irrforrnallon is priwiate data and <br />cainnot be, rea�sed to the �mri iesIs COMMir gives, Permission fbi 1he City to rdme it. <br />Inir relating to, a st representaffrve, Is, pdvate date and vAll not be released, <br />Name:" David Nelson <br />Address*.- <br />PO Box 130247 <br />City, State, ZiW Roseville, it 13 <br />Phone Number: <br />T-1birk E;Kperlence (espetialty as a relates to Board for, which, you are eppVmg) <br />t1AA <br />�;&m,AJI ft—So 60 00AP �Pha G"AA#e#^J <br />mom 11 <br />P'16*ft <br />Education: <br />Civic and Volunteer Muvities, (Past aI d ent ): <br />.AJAAOD <br />Please state your reasons fbr wwanting to, serve on the Cmmission/Boewd: <br />hft, .-I //www. cimo, frose)dlle . com/form s . ast)x;)f1d---231 P7 1,/24/2011 <br />