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How has your view of the role of this Commission changed since your first term? <br />—TaLe - QhW <br />lie — - !� NO <br />W ay - <br />Other Comments: (Include anyfurther informationyou would like the City Council to consider or <br />that you feel is relevant to re- appointment You may also attach other materials you would like the <br />Council to consider) _ <br />i M940_ _ , <br />MbW . -?!I -- <br />Z'MuessAn WN rlalng - &ome aQ *Ir Ek tr r r) Lhu Ytm am aid 10 provide is elms fied by State l.w as eWbrr paiva c W <br />confidential. Private data is informationthat generally cannot be 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 informationto 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 informationprovided in this application, except my telephone numbers, fax number and <br />email address, may be distributedby 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 0 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 that 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 vwork telephone number _other telephone number <br />_home fax number work fax number <br />home email address work email address <br />-i-ob <br />of Applicant <br />29&aR�WUAppfictalion 061129 <br />Date of Application <br />