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2014_0505_CCpacket
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2014_0505_CCpacket
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5/8/2014 9:57:39 AM
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Any further information you would like the City Council to consider or that you feel is relevant to the appointment or <br />reappointment you are seeking.: <br />I understand that information provided in this application may be distributed by the City to the public including, but not <br />limited to, being posted on the City of Roseville website. I agree to waive any and all claims under the Minnesota <br />Government Data Practices Act, or any other applicable state and federal law, that in any way related to the <br />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 periodically 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.: Cell Phone Number <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: 4/24/2014 4:33:27 PM <br />
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