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I am currently involved in a research/outreach project called Designing the Future: <br />Community Strategies. This project works with small Minnesota Communities on <br />planning and development projects. We are completing the pilot study for this project <br />by May and hope to take it statewide by fall 2007. I am learning about the social and <br />economic challenges involved in fostering ongoing development within communities. <br />myself a <br />homeowner and parent with concerns about the physical and social environment of our <br />community. Secondly, my role would be to apply some of my design planning abilities <br />and experiences to issues in Roseville. <br />Tennessen Warning - Some or all the information that you are asked to provide is classified by State law as either private or <br />confidential. Private data is information that generally cannot he given to the public but can be given to the subject of the data. <br />Confidential data is information that generally cannot be given to either the public or the subject of the data. <br />The City of Roseville is collecting the information to determine qualifications to serve on a Citizen Advisory Commission. <br />You are not Legally required to provide this information. However, if you do not supply the information, you may not 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 of Roseville <br />and interested others. <br />I understand that all information provided in this application, except my telephone numbers, fax number and <br />email address, may be distributed by the City to the public including, but not limited to, being posted on the <br />City of Roseville website. I agree to waive any and all claims under the Minnesota Government Data <br />Practices Act; or any other applicable state and federal law, that in any way related to the dissemination to the <br />public of information contained in this application that would be classified as private under such laws. I <br />understand d-EL I may contact the responsible authority for the City of Roseville if I have any questions <br />regarding the public or private nature of the 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 />home telephone number work telephone number mother telephone number <br />home fax number w o r k fax number <br />home email address Vwork email address <br />4P&XWL MJJV <br />