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Marie Siliciano.txt Any further information you would like the city council to consider or that you feel is relevant to the appointm�e�nt or re�appointm�e�nt you are se�e�king.: I understand that information provideed in this application may be distributed by the city to the public including, but not lim�iteed to, being posted on the City of Roseville we�bsite . I ayree to waive any and all c aims under the Minnesota Governm�ent Data Practices Act, or any oche r applicable state and federal law, that in any way related to the dissem�ination to the public of information contained in this application that would be classified as private under such laws. I understand that I may contact the responsible authority for the city of Roseville if I have any que�stions regarding the public or private nature of the information provided.: Yes occasionally city staff gets requests from the media or from the public for ways to contact Comr m�issiern members . The Commission roster is periodi cal y made available. Please indicate which information the city may release to someone who requests it or that may be included on the commission roster. Under MAN Statute §12.601. subd. 3,(b), e�ithe�r a telephone or e�le�ctronic mail address (or both) where you can be reached must be made available to the public. Please indicate at least one phone number or one email address to be available to the public, and fill in the corresponding information in the below.: Pre�fe�rre�d Em�ail Address Home Phone : work Phone : cell Phone: Preferred Em�ail Address: I have read and understand the statements on this form, and I hereby swear or affirm that the statements on thi s form are true. : Yes @ � I,