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Full Name: <br />Last Name: <br />First Name: <br />Company: <br />Home Address: <br />Roseville, MN 55113 <br />Mobile: <br />E-mail: <br />E-mail Display As: <br />Philip Gelbach <br />Gelbach <br />Philip <br />Parks and Rec <br />1239 Willow Lane <br />Non-public data <br />This application is for Roseville residents interested in volunteering with a City of <br />Roseville Advisory Board or Commission. <br />In order to complete this application, you will need a valid email address. All items <br />marked with a star (*) are required fields. <br />Contact Information <br />Under state statute, Commissioner's names, addresses and either a phone number <br />or an electronic address where you can be reached are public information. All other <br />personal information is private data and cannot be released to the public unless the <br />Commissioner gives permission for the City to release it. Information relating to a <br />student representative is private data and will not be released. <br />First Name Philip <br />Last Name Gelbach <br />Address 1 1239 Willow Lane <br />Address 2 Field not completed. <br />City Roseville <br />State M N <br />Zip Code 55113 <br />Home or Cell Phone <br />Number <br />Email Address <br />How many years have 10 <br />you been a Roseville <br />