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� <br />810EfJ i E:*iPbIAL CC3i•l;Mt3[�I17Y A'r�PLICATIOiV (Page 2) <br />�AR�T Ili --- $ASiC DAT'1 {Plaase Type or Print} <br />i�a�+e of Community �oseville <br />-�y�� � C�ty <br />{City, County, Town,-Tribe, Viliage, etc_) <br />County R���' <br />Date o'f t;�is Applicatidn 1(1-?d-7Q <br />Population �g.258 State MinriesQfia�� <br />County Seat S� • �aLi� <br />Ac�dress 270i North Lexington _ Zip �5��3 <br />O�ficial Name of Speciai Bicsntennial Group Roseville Bicentennial Executive eOIriiR1��e� <br />Local 8icentennial Chairperson S._._ Fcl Rri�sYman�, 4b4 T�r�Ye1I.,�8s1. -6t1.3�. ��.r�,.... ..._ <br />Retty �VolfangJ.e, 837 Heinel Drive Z;p 483--5582 <br />^ ;Maiiing Addressl ^ {Phone) <br />CHi�� EL�CTED �QCA� O�FiClA�: A• Gale Linebar�er __ A4ayar� <br />(Name1 iTtln) <br />27QT Narth Lexington Aveiva.� z�P 55113 484-3371 <br />. (Mailing Addressl ^ ^ . (Phonel <br />U_S. S�NATOfiS A1�4D� CONGR ESSIQiVAL R EPR�S�lVTA7iVEjS) ...,— <br />Senator Walter A4ondale , Senator F�xbert. Hiu�rphxey � - <br />� Congressm�n Joseph K�.rth Congressio�al District{s) ' 4th ____ <br />PAR`f lV--{�O�i ARBA US� �i�)Ll') Date Receivad Rzgion - R.O. initiais <br />Data nf Analysis R eturned (See Check List) <br />Date �ieceived Back — —_— Re-/analysis (Date) . <br />Recomm�nded for Approval (Da►�} �ate of Appro�a{ . <br />Notif�cation o# Designation iDatesj: M.C. R.O <br />Presen#aiion C�remony Date <br />f irst Notice RECeived (bate} <br />Sy Whom <br />Stats Commu�ity <br />Fina� Report Receivsd (Date) <br />Check List: ( 7) State Approval; (2} �isi of Ulembers; (3; Program Content; (4} Lasting Rsm;nder; <br />(5j Signatures; (6} Other: See Rsmarlcs , <br />i3 E �lIA R �<5: <br />� <br />