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Application for Citizen Commission/B rd <br />Please check commission applying <br />EJ Ethics Commission TPlanning Commi�ssion <br />for* <br />El Grass Lake Water Management Police Civil Service Commission <br />Organization Public Works, Environment and <br />Housing and Redevelopment Transportation Commission <br />Authorky 0 Other <br />El Human Rights Commission <br />Parks and Recreation Commission <br />If other, please list name <br />Thiisi application is foir.-�* <br />M��New'Terrn El Student Term <br />El Reappointment <br />If this is a student appllicationn, please, <br />list, your grade <br />Under to statute, Commissioners names, addresses and either a phone number or an electronic address where o,u <br />can be reached are public information. <br />All other person�al information is private data and cannot be released to the public <br />unless the Commissioner gives permission for the City, to release it. Information relating to a student representative is <br />private data and will not be released. <br />d " 0-01 , . . ............... 1'0 <br />Address:* <br />City, State, Zip <br />Rosevill le, M N 55 113 <br />Phone Number: <br />a 16f <br />Email address: <br />How many years have you lived in <br />Roseville? <br />Work Experience (especially as It relates to the Commis�sioln/Board for which you are app! ing) <br />Y1 <br />0e, Z000er <br />els � t,- 0/ <br />:;Oe ievcl eW--0�1ve <br />Education: <br />/ <br />1*181, <br />