Laserfiche WebLink
rnast expe�ienced candidate due ta zny yeazs of wozk�ng foi° t�e Minriesota Senate, having served iz� <br />elected office as Mayor, and runnin� z�y awn oIitical coi�suiting business. <br />What is your view of the role o�'t�is Corn�nissionlCorr��ittee/Tas� Force? <br />Having been on� c�f three rn�znbers ta ereate the P�b�ic Warks Cor�tinissifln, I created the rale this <br />eommission takes in our city. <br />Ha�iilg served as Ivlayor of tk�is ci�y, wor�ing with rhe Plannir�g Ca�issinn for 4 years, I have a�nod <br />�understanding o�the statutory obiigations arid advisary roles the com�ission t�akes in aur city. <br />C�ther �omrnents: {1ncCude any fzrrther information you �ti�quld like the City Ca2.Gnci1 fa carrsider• or� <br />that yr�u feel is relevant ta the appoir2tment yau are seeking, Yoz� may also crtlach atl�ef-1��alerials you <br />w�uld like the Council to consirz"ef�.i <br />Tennessen �arning - Some or ai� the informatinn ti�at you are asl<eci ta provide is classifed by State law as either private or <br />cc�n�dential. Private data is infnrmaCian that generally cannot be given to the pub[ic l�ut can be �iven ta the subject of the data. <br />Cpnfidential data is in%smation that generally canr,ot be ;iven to either the public nr the subject ofthe data. <br />'�'he City of Roseville is collectin� the information t€� determine qual'€ficat€ons to serve on a Citizen Advisary Cc�mrnission. <br />Xou are nc�t iegally required to prnvide tl�is inforrt�ation. Haw�ver, if you do nat snpply [he informatio��, you may not serve on <br />a Citizen Advisory Cornmission. <br />Other persons or entities auChorized by law to �-eceive this informatiofi are City Cauncil meinbers, staff, residenls of R�se�ille <br />anc4 interested others. <br />I unde�stand that a11 i�'arr,nafi€�n �rnvided in this appli�atian, except my �elephor�e n�ambers, fax nuz�ber a��d <br />ernaz( address, rnay be distrib�ated Uy the City to the public 'rncludi�g, but r�at lirnited to, beia�g pQS#ed o�7 the <br />City afRoseville website. 1 agree to waive any and all claizns tiinder �e Minnesofa Gov��ent Data <br />Practices Act, or aray other applicable s�ate and fedcral law, that In any v;�ay related to fhe disser�inaiion to t�e <br />public of ir�forniation contained in this application that would be classified as private under such laws. I <br />uz�derstand that � rnay contact th� respansibfe antl�ori�y for the Ciiy of RoseviJIe i�' I have any c�uestions <br />zegazding th� public ar p��ate nature of the info�-�naiian provided. <br />� u�dersfiand t�7at the City wil( nat p�.blish ��ny phone ar f�c n.uznbers or email address witlaout a�xxy aut�orizaCion <br />and dn hereby allow t�ae Cicy to publish (cl�ec�C aIl that apP�Y)� <br />ho�rze telephone nurxzber _wark �elephc�ne numl�er _pther telep�aone nurnber <br />�ame fax nurz�ber �vork fax �un�bez <br />home ernazl addxess �waz�C ernail adda•ess <br />� � <br />� ' �' -� � f��;, i <br />,�;.: �: -�--�ll 1/16/a7 <br />' Signature�nf�plicant � Date o�Appiieation <br />.�Fp�lrcnlipn U611 ?9 <br />