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dissemination to the public of information contained in this application that would be classified as private under such <br />laws. I understand that I may contact the responsible authority for the City of Roseville if I have any questions regarding <br />the public or private nature of the information provided.: Yes <br />Occasionally City staff gets requests from the media or from the public for ways to contact Commission members. The <br />Commission roster is periodicaly made available. Please indicate which information the City may release to someone <br />who requests it or that may be included on the Commission roster. Under MN Statute §13.601. subd. 3(b), either a <br />telephone or electronic mail address (or both) where you can be reached must be made available to the public. Please <br />indicate at least one phone number or one email address to be available to the public, and fill in the corresponding <br />information in the below.: Home Phone Number,Preferred Email Address <br />Home Phone : <br />Work Phone : <br />Cell Phone: <br />Preferred Email Address: <br />I have read and understand the statements on this form, and I hereby swear or affirm that the statements on this form <br />are true. : Yes <br />Additional Information: <br />Form submitted on: 12/30/2013 10:32:30 PM <br />