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2011_0314_packet
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2011_0314_packet
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2/15/2012 1:34:33 PM
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12/19/2011 3:44:57 PM
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PL—PCS—KySylycz,yn <br />From : support@civicplus.com <br />Sent: Monday, February 28, 2011 4:20 Pm <br />TO: Carol yn Curti ; M�argare�t Cirri scol 1 <br />Subject: online Form Submittal: Com�m�ission Application—PL—PCS—KySylycz,yn <br />The following form was subm�itted via your websito: Commission Application <br />Please check com�m�ission applying for: Planning Commission,Police civil Service <br />Commi ssi on <br />If tithe r, please list name : <br />This application is for:: New Term <br />If this is a student application, please list your grade : <br />Name :: 3ohn KySylycz,yn <br />Address:: 3,083, Victoria Street <br />City, State, Zip: Roseville, MIN 55113 <br />Phone Num�be�r:: 65148413,84 <br />Em�ail address:: j ehn ftsel uti ensl l e . eery <br />HOW many years have you lived in Roseville ?: 20 <br />work Experience (especially as it relates to the Com�m�issien /Beard for which <br />you are applying): will discuss during inte�rvieau <br />Education:: will discuss during interview <br />civic and Volunteer Activities (Past and Present):: will discuss during <br />i ntervi ear <br />Please state your reasons for wanting to serve on the Commission/Board:: will <br />discuss during interview <br />what is your view of the role of this Commission/ Board?: will discuss during <br />i ntervi ear <br />Any further inform�ation you would like the city council to consider or that <br />you feel is relevant to the appointm�e�nt or re�appointm�e�nt you are se�e�king.: <br />will discuss during interview <br />I understand that inform�ation p nevi deed in this application ray be distributed <br />by the city to the public including, but not lim�iteed to, being posted on the <br />City of Roseville we�bsite . I agnee to waive any and all claims under the <br />Minnesota Gove rnm�e�nt Data Practices Act, or any tithe r applicable state and <br />federal law, that in any way related to the dissem�ination to the public of <br />inform�ation contained in this application that would be classified as private <br />under such laws. I understand that I ray contact the responsible authority for <br />the City of Roseville if I have any que�stions re�garding the public or private <br />nature of the inform�ation provided.: Yes <br />occasionally city staff gets requests from the media or from the public for <br />ways to contact Commission members . The Commission roster is periodi cal y made <br />available. Please indicate which inform�ation the city ray release to someone <br />who requests it or that may be included on the Commission roster. Under MIN <br />statute §12.601. subd. 3,(b), e�ithe r a telephone or e�le�ctronic m�ail address (or <br />both) where you can be reached rust be made available to the public. Please <br />indicate at least one phone number or one em�ail address to be available to the <br />Page 1 <br />
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