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Develop a long term, effective and useful comprehensive plan. Other Comments: (Include mzy further information you would like the City Council to consider or that you feel is relevmxt to the appoinimerzt you are seeki~~g. You pray also attach other materials you would like the Council to consider.) I will put the time in necessary to be a helpful member of the conunission just as I have done on the Human Rights Commission. Also, I come with an open mind ready to leans without any type of personal agenda expect to learn more about comp. plan issues ui Tennessee Warning -Some or all the information that you are asked to provide is classified by State law as either private or confidential. Private data is information that generally ca~mot be given to the public but can be given to the subject of the data. Confidential data is information that generally cannot be given to either the public or the subject of the data- The City of Roseville is collecting the information to determine qualifications Co serve on a Citizen Advisory Coimnission. You are not legally required to provide this information. However, if you do not supply the information, you may not serve on a Citizen Advisory Cominission_ Other persons or entities authorized by law to receive this information are City Council members, staff, residents of Roseville and interested others. I understand that all information provided in this application, except my telephone numbers, fax number and email address, maybe distributed by the City to the public including, but not limited to, being posted on the City of Roseville website. I agree to waive any and all claims under the Minnesota Government Data Practices Act, or any other applicable state and federal law, that in any way related to the dissemination to the public of uformation contained in this application that would be classified as private under such laws. I understand that I may contact the responsible authority for the City of Roseville if I have any questions regarding the public or private nature of the information provided. I understand that the City will not publish my phone or fax ntunbers or email address without my authorization and do hereby allow the City to publish (check all that apply). -home telephone number -work telephone number X other telephone number -home fax number -work fax number home email address work email address 12o~ert Venters 9-6-07 Signature of Applicant Date of Application Appscanon o6uz9