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2006_0109_Packet
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2006_0109_Packet
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How has your view of the role of this Commission changed since your first term? <br />-'�1. . f��i- r'7� 1 •``• ..•�:_,r'. •_r� , .;• �'�:�. ' �'. �}1 ''r� �i i f}k.._'�� ;,��, r T- <br />�f4" . i.I� �� �,������+F1r�iri_ / ��' �SF� L 4/ I'f�� T ���.r� �• � ��'�Y�.TTL�� �I <br />� �"'r <br />r <br />.� �ti�_ t�'�• �k : �� � - �� ri.� ��� r' ,� �t � �! _. � '? � � . ����•��_a� i ��,3,� r Lr �' 1 , <br />� � C�,.S+-�" �� <br />������� �n <br />r-c� 4,��—�,.: ��Q.�_ ,�..� t.tr � <br />� f •� <br />i . �L��_s�r � �.. • � ti' �.�.;.��;�. <br />r�� r � r ;�•r:��l;ik • — <br />. L. . _ . � <br />{' Jf ����•�� �� ��f�^��� �� ����' � , <br />��;� �� �_�°'� � �� �r #? �,r/� J <br />Other Comments: (Irzclucle any fu��tlier : r�{ �� ,�; �; �r �r,�� you would li%e ;:�� City Council to consider or <br />that you feel is releva�zt to ��e- c�ppoitzt�nezit. You may also attacla othe�� r�zateYials you would like �; r; � <br />CounciZ to co»sicler, a <br />.1 �{� . r� � . - � - _r-�... <br />Lv '�- L � �. f-..i' . L i— � 1 � ~� ti ,r i f: i �r �..�-� r rf� ' ' � {+ �r {�'� �� } �f� <br />.�. <br />�t �'�rd �r� � l`�{ � �.� � � � � �� ���' �.r ��7. �-�+r'`"� ������ �°''� <br />,� �� . <br />L��"� i t� � ��`� . ���:7.� �5�' � ���� � .`� �,�; �r�� <br />� �>� L`i� � � <br />� ti 4 4�� - -�-,t� ti � �1 '' +� r� �� � �-�r �' <br />� �. al� �.��f d�r�'.�� ���,��� �� ��� C�r. ��� � � �-� � -�-�_ <br />_ �� �. <br />�,�� v � ��.t ��� � r �� � r�� �,�rr�f��-� �'r,�ri �� �.� � f �'��.. ��' ��f �� � . `�r_.?.... _ �_���. � �� <br />1'�uni:+c+a� u 3ti� a r�i i i��; •�•iyi i•� • r:r �i Ij ih� Snfni�nai:�7n -17;i- �rrr.i ir' ,:kk °� I I� � �••n r��l.` ti i� •: �.i�kl � ti tl }•'r �"�i:t• ..i �1 .i5 : i��'it t_: Ix'� IL ��' <br />confidential. Private data is informatio� that generally cannot be given to the public but can be given to the subject of the data. <br />Confidenrial data is informarion that generally cannot be given to either the public or the subject of �:�t• data. <br />The City of Roseville is collecting the infoimation to detern�ine qualifications to serve on a Citizen Advisory Connnission. <br />You are not legally required to provide tlus infornlation. However, if you do not supply the information, you m;i;r not serve on <br />a Cirizen Advisory Conlnussion. <br />Other persons or enrities authorized by law to receive tivs infom�atio� are City Council members, staff, residents of Roseville <br />and interested others. <br />I�ua.derstand that all ulf'oi�nation provided in t1�is application, except my telephone ntunbers, fax number and <br />eznail address, i11ay be distributed by the City to the public including, but ��.ot limited to, being posted on the <br />City of Roseville website. I agree to waive any and all clalliis under the Miiuiesota Govenunent Data <br />Practices Act, or any other applicable state and federal law, that in any way related to the disseminationto the <br />public of �nfo�aaaatzon contained i� � I I i ir� application that would be classified as private under such iaws. I <br />understand that I may contact tlle responsible authol�ty for the City of Roseville if I have any questions <br />regarding the public or private nature of the infoi7nation provided. <br />I understand that the City will not publish lny phone or fax numbers or em az� address without my atirtlao�-izatioz� <br />and do hereby allow tlle City to publish (check all that apply). <br />��'-'n�n� telephone nulnber <br />� work telephone z�unaber <br />• .�n��nt email address <br />,...�vork email address <br />. � �. � � �.. <br />�/ / i �• �i ' �f_•�4'•t. s <br />Signature of �����fli��;_n�--- <br />Reappoi ;;: sra; Applicntio�z 0412 <br />,� <br />� � � ����� � <br />Date of Application <br />
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