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Now has your view of the role of this Commission changed since your first term? <br />i u' . � k_.�� -� 4`� ��_��'� � ,--t . �'s .• -r� '�:�5 - { �_:� _ <br />-- � � � k �� �. � 1� � t ��_ �'r*�. .�� � . .� r-�i —. � �'F� � . _. <br />,,,�1, ��, -� r� � ti �.�. ��=�--�� ;�� ' � t ��'�' � � S -� ���� ���ti �i <br />�'�� ��y -� ��� . ...'.._���� ti'��-.��1 + .•� � �� � �� �—�_�'_s��— <br />�--.��` �� . <br />Other Comments: (bzclude any further F��p� rrrr�.�r �r,�� you would lilze � r� ;• City Council to consider o° <br />that you feel is ��eleva�t to re- appointinent. You ��+r�y also attacl� other r��r��r��s you would : rr::� the <br />Council to consider.) <br />Tennessen Warning - Some or all the information that you are asked to provide is classified by State law as either private or <br />conf'idential. Private data is iufornlation that generally cannot be given to the public but can be given to the subject of the data. <br />Confidenrial data is information ;:i� I generally cannot be given to either the public or tl�e subject of the data. <br />The City of Roseville is collecting the information to detennine qualifications to serve ou a Citizen Advisory Con�issioil. <br />You are not legally requi�ed to provide this information. However, if you do not supply the in%rmation, you n�ay not serve on <br />a Cirizen Advisory Commission. <br />Other persons or enrities authorized by law to receive this infozn�ation are City Council members, staff, residents of Roseville <br />and interested others. <br />I understand that all infoi�aation provided u1 this application, except my telephone mm�bers, fax number and <br />e�nail addsess, may be distributed by ll �� City to �l ; Y public including, but not limited to, being posted on the <br />City of Roseville website. I agsee to waive any and all claims uilder ll i� Miiulesota Governnleilt Data <br />Practices Act, or any other applicable state and federal law, that i�l any way related to �l i Y disseminationto �l i� <br />public of uifo�-naation containedin tl�is applicationtlaat would be classified as�z-ivate under ::;ti�l i laws. 1 <br />understand tlaat I may contact the responsible authority for tla.e City of Roseville if I have any questions <br />regarding the public or private nature of Ll i v iufoillzation provided. <br />I understand that �I; �: City will not publish my phone or fax numbers or email addsess without i��y aLrtlaaz-ization <br />and do hereby allow Il �� City to publish (check all tl�at apply). <br />home telephone number <br />work telephone number <br />home einazl address <br />work email addsess <br />�� � �- � - � . r � �. <br />Si ��tUre cfC .�'4 S I«.�St � Date of Application <br />]P <br />��,����,�,��r r�•,�•ra� <br />