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Attachment B <br />Full Name:WƚŷƓ 9źĭŷĻƓƌğǒĬ <br />Last Name: 9źĭŷĻƓƌğǒĬ <br />First Name: WƚŷƓ <br />Company: CźƓğƓĭĻ <br />Home Address: <br />wƚƭĻǝźƌƌĻ ab ЎЎЊЊЌ <br />Home: <br />E-mail: <br />E-mail Display As: WƚŷƓ 9źĭŷĻƓƌğǒĬ <br />This application is for Roseville residents interested in volunteering with a City of <br />Roseville Advisory 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 <br />John <br />Last Name <br />Eichenlaub <br />Address 1 <br />Address 2 <br />Field not completed. <br />City <br />Roseville <br />State <br />MN <br />Zip Code <br />55113 <br />Home or Cell Phone <br />Number <br />Email Address <br />How many years have <br />6 <br />you been a Roseville <br />resident? <br />Commissions <br />Finance <br /> <br />