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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 1 i i t e d to, being posted on the <br />City of Roseville webszte. I agree to waive any and all clai�ns under the Minnesota Government l�ata <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 T may contact the responsible authority for the City of Roseville if I have any questions <br />regarding the public or private nature of the informationprovided. <br />I understand that the City v�'IL not publish my phone or fax numbers or emai� address without my authorization <br />and do hereby allow the City to publish (check all that apply). <br />X ho�e telephone number X work telephone number X other telephone number <br />X home fax number ��work fax number <br />X home ezac�ail address _��WOrk err�ail address <br />�; , � <br />� r. .. r <br />r r J'� � � - <br />� �.�`r' L l,i� � }�4�i]�Efl� <br />' � �' r <br />�lppdication 061 d29 <br />����� <br />] l�q� �{'.'�']1�1�] ' L�It <br />