|
<br />Please state your reasons for wanting to serve as a member of the newly created Housing &
<br />Redevelopment Authority: (Please be as specific as possible - use additional sheet if necessmy) ---
<br />
<br />11' l-:, VV:'I ~e.rJ I Y'~ cr\oJ ! fQSVSS tkL -T-{ (r..\ ~ C\,Y\~ 11 ,
<br />G\'CdCi'-cX<,(' to \:>e.,,",,~ (r--. CG'<'\-t~lb:V+\Y'c\ ~~~, G\ -r-hl \-1. (( r~,
<br />.....,- \.' -+-', f?0~~J'!\ +1 -..
<br />-L y--::"""'I \'. ( , cVQ.. f f"'-":(' I /) v, I C) '(\,o v ~\l J';J' \ i .,C ; 1. Q. ,; c) F !
<br />(; '~J\ w ( 1 '" e- \ '^ . '! "'CA \1 ~ 0_ \r-J '\ :),1, {' (/,/''/',}.3.__ <:1 CC.l (.ej.d ( //V J b 11-, ,.c> 5
<br />-!... - (\bY\.~ , -r.. . ,..., ,e..,d \,-, -i-h(..J) GO~h'N<J. 'I":'\-O'~ ~cD.J,i
<br />r'
<br />'...,,;
<br />
<br />
<br />
<br />-:' ,', v_ rY\t_.,
<br />Q (', h. '( ,J ~. \ ?. ,', ~'" ..\
<br />(:. ('^-Y',", ; t,u~ d <'", ~ '- \' \;I \
<br />
<br />r,l'v
<br />
<br />
<br />,/
<br />~ r
<br />
<br />n.J,~' 0 .
<br />.
<br />
<br />Other Comments: (Include anyfurther information you would like the City Council to consider or
<br />that you feel is relevant to the appointment you are seeking. You may also attach other materials you
<br />would like the Council to consider.)
<br />
<br />-.:l \-,~\\'t,(\. \}...Q.. (,,1"1 (..o\;\'-"(>Il ScJ.",,\ ~{u0
<br />"-J
<br />~ -~) Cr-'- Cr' I:') r, ~, ,- \ (,: \' ::,1 (J ~
<br />
<br />~" P.i:>"-':' \ \ t.,2. vJ e.-
<br />hOH'-) 1"""1 orf~rI../n;r/Q"; -(Of
<br />
<br />
<br />',,/, , '")
<br />
<br />Tennessen Warning _ Some or all the information that you are asked to provide is classified by State law as either private
<br />or confidential. Private data is information that generally cannot be given to the public but can be given to the subject of
<br />the data. Confidential data is information that generally cannot be given to either the public or the subject of the data.
<br />
<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 information, you may not serve
<br />on a Citizen Advisory Commission.
<br />
<br />
<br />Other persons or entities authorized by law to receive this information are City Council members, staff, residents of
<br />Roseville, and interested others.
<br />
<br />I understand:
<br />. This applicati n is public information.
<br />. I may be inv' ed to an interview by the City Council that may be audio or video taped.
<br />. This app' c ion may be discussed at a public meeting.
<br />
<br />
<br />.-signature of Applicant
<br />/
<br />
<br />d-.(,
<br />Dat
<br />
<br />
<br />ZOOZ-
<br />plication
<br />
|