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Please state your view of the role of the City Council: Other Comments: (Include any further information you would like the City Council to consider or that you feel is relevant to the appointment you are seeking. You may also attach other materials you would like the Council to consider.) Tennessen Warning - Some or all the information that you are asked to provide is classified by State law as either private or confidential. Private data is information that generally camlot be given to the public but can be given to the subject of the data. Confidential data is information that generally camlot be given to either the public or the subject of the data. The City of Roseville is collecting the infoIll1ation to detemline qualifications to serve on the City Council. You are not legally required to provide this information. Other persons or entities authorized by law to receive this information are City Council members, staff, residents of Roseville and interested others. I understand that all infom1ation provided in this application, except my telephone numbers, fax number and email address, maybe distributed by the City to the public including, but not limited to, being posted on the City ofRoseville website. I agree to waive any and all claims under the Milmesota Govemment Data Practices Act, or any other applicable state and federal law, that in any way related to the dissemination to the public of infom1ation contained in tIlls application that would be classified as private under such laws. I understand that I may contact the responsible authority for the City of Roseville in have any questions regarding the public or private nahlre of the infoTI11ation provided. I understand that the City will not publish my phone or fax numbers or email address without my authorization and do hereby allow the City to publish (check all that apply). _home telephone number _work telephone number email address Signahlre of Applicant Date of Application Applica/ion 0401010