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SEP. 7.2007 10:5DA~ <br />N0, 6~E7 P. 3 <br />What is our view of the role of this Commissiort/Cammttteetrastc t'orce <br />7~i~- Comvn;`7Ce.~ ehar~~- is `~ ensun6 ~Fiay' 7`Ap- ~ro~os~a <br />GhAV1At5 '}^o RaS~v'i ~~e.'9 Co~pr~hQ y15iL~ Plan, 'f,"~ The hec.~5_ <br />__ o'F ° .~ Ga uni prdtn ( `~ii5 Cavr~yn;T7$c rn s-~ 6~. <br />Able to umaRr57Qn~ and ref7s~~' -~ CpYnvnuni'h~,'s needs bask <br />+u Cr~+t s-l-a-~F consNltavt~ts q„a council _m~vrt6$VS. <br />Dther Comments: (Include any further information ~rou ,vould like the City Council to consider or <br />that yott feel is relevant to the appointnteett you are seeking. Pau may also attach other nvat2rials yPu <br />The City of Roseville is collecting the inf^rmafion to determine qualifications to serve on a Citisen Advisory Commission. <br />You are not legally required to provide this information. However, ifyov do noc supply the information, you may vat serve on <br />a Citizen Advisory Commission. <br />Other persons or entities authorized by law to receive this information are City Council members, staff, residents o£Rnseville <br />and interested others. <br />I understand that all information provided in this application, except my telephone numbers, fax number and <br />email address, maybe distributed by the City to the public including, but not limited to, being posted on the <br />City ofRoseville website. I agree to waive any and all cleans under the Minnesota Govezztment Data <br />Practices Act, or any other applicable state and federal law, that in any way related to the dissemin¢tion to the <br />public of information contained in this application that would be classified as private under such laws. I <br />tmderstand that I may contact the responsible authority for the City of Roseville if I have any questions <br />regarding the public or priv¢te nahue ofthe information provided. <br />I understand that the City will not publish my phone or fax numbers or email address without my authorization <br />and do hereby allow the City to publish (check all that apply). <br />iihome telephone number work telephone number -other telephone ntunber <br />-home fax number work Fax number <br />~/hotne email address -work email address <br />I~e~~-- a~ .a~.~->s.al..~w~ 9~-U~ <br />Signature of Applican Date of Application <br />A„rurouon nonzv <br />Tennessen Warning • Soma or al3 the infotmatlon that you are asked to provide is classified 6y State law as either private or <br />confidential. Private data is information that generally canna[ be given to the public but can be given to the subject of tho data <br />Confidential data is information that generally cannot be given to either the public Or the subject of the data. <br />