2007_0326_packet - Laserfiche WebLink

Home

What is your view of the r�� of a��b�� f the �a�a�x�� #a Redevelopment �u�h� �rit�•? _ , ' _ , f�+� �'��}.�.��+� 4�. �S-r?} � �;. ��_,.�.�_ .�'r; tTr f �j,'-}G �_.�#. f. f} �.�`-�' �.•'. r.'�f.f. �1 �� h' a. ��Y r } . f l �� fr a{'rT ."'y L�•�f � J '. %7 S� i ��.' i� L.' � � � �� 'Ai � � Other Comments: (Include any fu�ther information you would like the City Council to consider or that you feel �s relevant to the appointment you are seeking. You may also attach other materials you would like the Council to consider.) � �� - T"° _��.---�'�-��_�'4�_y �` �L-�„�'�' ,,��_, � �.�..� r �� �� 5 ��" �- .di f� • � ��iC i' .il ,�-�.� 'i ; f r'�� 7��('_r: � �� �� v . � v �' � � r-�.�.� ��"�� O / � � �4 �-1 � f�' � .._ -��-��--- � �� A ��'_ � -� �-� � ��r��5� r ��__�_? � f _ �--LJ' 1 � � 1� "� `�� Tennessen Warning - Some or all the information that you are aslced to provide is classified by State law as either private or con�dential. Private data is informationthat generally cannot 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 subj ect of the data. The City of Roseville is collecting the information to determine qualifications to serve on a Citizen Ad�isory Commission. You are not legally required to provide this information. However, if you do not supply the infarmatipn, you may not serve on a Citizen Ad�isory Commission. 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, may be distributed by the City to the public including, but not limited to, being posted on the City of Roseville we�site. 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 information 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 Rosevil�e 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 numbers or er�ai� address without my authorization and do hereby allow the City to publish (check ali that apply). home telephone number Work telephone number other telephone number home fax number W o r k fax number �+a� �dd�rss work e�nail address - • .�--� �( tr- � _ �� rf� Y � � � � � _If' �� '� � L� 4 r� �_s i� �\.r t� �� .` .� . _ Signature of Applicant Date of Application I understand that I may be invited to an interview by the City Council that may be audio or videotaped. Signature of Applicant Date of Application