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PR—Di e�drick City of Roseville we�bsite . I agree to waive any and all claim�s under the Mlinne�sota Government Data Practices Act, or any other applicable state and federal law, that in any way related to the dissem�ination to the public of inform�atiern contained in this application that would be classified as private under such laws. I understand that I ray contact the responsible authority for the City of Roseville if I have any que�stions re�garding the public or private nature of the inform�ation provided.: Yes occasionally city staff gets requests from the media or from the public for ways to contact Commission members . The Commission roste�r is pe�riodi cal y made available. Please indicate which inform�ation the city ray release to someone who requests it or that may be included on the Commission roste�r. Under MIN statute §12.601. subd. 3,(b), e�ithe�r a telephone or e�le�ctronic m�ail address (or both) where you can be reached rust be made available to the public. Please indicate at le�ast one phone number or one e�m�ail address to be available to the public, and fill in the corre�sponding inform�ation in the bet ow.: Home Phone Number Home Phone : 651-488-5262 work Phone : Cell Phone: Preferred Em�ail Address: I have read and uncle rstand the statements on this form , and I he re�by swear or affirm that the statements on this form are true. : Yes Additional Information: Form subm�itted on: 2/26/2011 8:01:57' AM @ � I,