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Whatis your view of the role of this Commission/Committee/Task Force ? <br />Other Commentse. (Include anyArther information you would like the City Council to consider or <br />that youfeel is relevant to the appointment you are seeking. You may also attach other materials you <br />would like the Council ■ consider) <br />I <br />Tennessen Warning - Some or all the information that you are as-k-ed to provide is classified by State I aw as either private or <br />confidential. Private data is infon-nation that generally cannot be given to the public but can be given to the subject of the data. <br />Confidential data is infon-nation that generally cannot be given to either the public oTthe subject of the data. <br />The City of Roseville is collecting the information to determine qualifications to serve on a Citizen Advisory Commission. <br />You are not legally required to provide this information. However, if you do not supply the infonnation, you may not serve on <br />a Citizen Advisory Conunission. <br />*ther persons or entities authorized by law to receive this information are City Council members, staff, residents of Roseville <br />msd interested others. <br />I understand that the City wffl not publish iny phone or fax numbers or email address without my authorization <br />and do hereby aEow the City to publish (cheek all that apply) - <br />home telephone nwnber work telephone number -other telephone numbur <br />home fax number work fax number <br />home email address work emaii address <br />Signature of Applicant <br />Date of Application <br />