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�hat is yvu�r view a� the ro�e of th�s Commission/��m�x�ittee/Tas1� Porce? <br />'.---�'c� ,f�. �. J�.... �1-- �' �+7'e�... )._ -.-�-� w ��' 4..� 5� c�v- -F-�n C � � -i-' S <br />e� �.�. f�:� �.� �',11-e. . �7 � �.. c�, .� � 1 --�� ' �e.. �,-, �...,��- e� -�-�e. ✓ �e �s <br />.�z. '�. � 1 f' 6.I2.,.� � 1n10.,"1'2..v �c. <br />Y1C. $'�'-a ,r ,c, � Y � ._ <br />O�her Comments: (Include any furt7ae� infoY�natiofa you tvauld like tlze City CounciZ to consicle�' or <br />thatyou f�el is relevant to the c�ppaintr�xentyou aNe seelcing. Yau �aiay alsa attnc7a otlzer tslc�te�rals you <br />wauld like the Council to consider.} <br />J e,.. <br />� -k ,_ � �- �L..s �e. �', l.�� <br />:�� ,..�......� -� �.i �..�... Q. r u v� ` . ` � � <br />r� r� "� i S ' <br />'I'ennessen Warning - Same or all the inforznatic,n that you az-� asked to provide is ciassifaed by Siate law as eitl�er pzivate or <br />confic�entia�. ��zt�ate c�ata is ai3format2oti that ge�zCrally cannoi be give�i to t�ae �t�blic but can �e �iven To i�ae subject of t3�e data. <br />Con�dential data is ar�farmatio�z �at generally ca�anot be given to either the public or the subject of tl�e data. <br />'I'�e City of Roseville is col]ecting the infoimaiioix to detez�nnane quaIifications to serve on a Citizez� Ad�visory Co��anvssion. <br />You aze nat legally requt�ed to p�°avide this infarrnation. Hav�rever, if you do nat supply the i�ifoxniatzaza, yau may a�ot serve on <br />a Czti�ezz Advisory Cominissiaaz. <br />4ther p�rsons ar entities autl�arized by law to receive Cl�is i��%rmatio�i are Czty Council mexz�bezs, staf� residents of �oseoille <br />and uiterested othe��s. <br />I un.dexstax7d that a11 ir�fi'onnation provided in tlaais app�ication, exc��t my telepholle t7u�nbers, fax nu�n�er aa�d <br />email addz-ess, �nay be e�is�t�uted by tlze City to the �ublic i�c�uc3.ir�g, but not limited ta, beuag postec� an tlae <br />City of Rose�ville websile. I a,�ree to waiv� any a��d all ciaixns �der t�ze Min�eso�a Go�ernx�ae��i Data <br />�'rac�ices Act, or any o���er applacable siate and �'ederaJ law, tk�at in a��y way related to �a.e disser�axai�on to the <br />public o�' ia��`oz�aatioz� co�ztained a.ra t��is applicaiion t�ai: wou�d be classzfiect as pr�vate �de� suck� laws. � <br />txi�derstand that I z�z�ay contact the zesponsil�Ie author�iiy fbr the Cxty of Rc�sevil�e ii I l�ave ax�y ques�ioi�z� <br />regard�zzg i�e public or private nature ofthe info�za�atio�a provided. <br />i understand �Iaa� tl�e City vvili not pubtzsh �ny �i�or�e or :Fax z�uzn�ae�•s or en�ai� addr�ss wit�iout ��y auil�nz-zzat�o�z <br />aa�d do Y�ereby a11ow ihe City ta publisl� (cheel� a1111�at apply). <br />� ��ame fielepl�oz�e n�be�' <br />vva�°�C telep�one nui�ber <br />�l�oine ez�ai� addres� <br />waxk e�r�:ail adcl�ess <br />I /��zonC,�,. <br />_� <br />Date af Applxcatzan <br />Appliant�o�a 0505Z3 <br />