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How has your view of the role of this Commission changed since your first term? <br />� ,� <br />* • + * � � �r � <br />. _ �3�f '�ti �.� ����r� .��.• - ..�_�.��'`��-� ' r��r. ._ �l•-��1._�...�� r� <br />--... � � <br />_. �+� ����1� .����l1�_ �i.:?-. - -- ��� � � r� �� `�� , <br />. ���� �` �! I�.r� � � '� � �� ����? 7 � �� r�.�� <br />���r7 �Lr���_ ���a����t�� �r ' . .i.•�-� �}�� _. ._. <br />. . _�� � � �,� � � ,��+,�... � � ;r�� �� � �� f��.��t��r-� �+��..1� ���� � � +-�-��� <br />� .�� �� �jJ��,.�� —. _.. . <br />�s �r ��J7!]7fC�1 �': �����7�i�'�' FlA F f��� i�i ?J' ��7��i�T�•'lF�i i?-'�7 7�7'w i VlJiiiF� �!Mf' ��]d' ��2�}� �'fJPi13�?i !{J i'i�.4S�'�s fi ��' <br />that you, f'eel is relevant to re- appoinhnent. You razay also attach otlzet- materials you would like the <br />Council to consider.) <br />, ���'� ��'+ �:�����I L�..�_�a-'�������'.�--� � � ��1i� �_ _. � -�-x�.� <br />, '��•� ��..�,� � ���,r �,�� r� �a ..�� � �+ �� � . r�r � -. — <br />�,J � <br />������� . _1�Y�'��1.���1 �� T.��.�.�.-�� �'�!I-Y�f��.'��r'�_� <br />.����. �,�L��� ��.���.�����.��� ?�-- - �-- . . ...- �- — <br />Tennessen Warning - Some or all the iuformauon ik�at you are asked za provide is classified by State law as either private or <br />confidential. Private data is information that generally cannot be given to the public but can be given to the subject of the data. <br />Confidential data is information that generally cannot be given to either the public or tlte subject of the data. <br />The City of Roseville is colIectix�g the irifolznatian to determine qualifications to serve on a Citizen Advisory Conur�r5sioz�. <br />You are not legally required to provide this infornZaiion. However, if you do not supply the information, you may not serve on <br />a Citizen Advisory Commission. <br />Other persons or entities authorized by law to receive this information are Ciry Council mernbers, staff, residents of Rosevi]�e <br />and interested others. <br />I understand that all irkfo�x�atzo� provided in this application, except my telephone numbers, fax number and <br />e��aiI address, inay be distributed by tbe City to the public including, but not �izxazted to, being posted oit the <br />City of Roseville website. I agree to waive any and all claims under the Minnesota Government Data <br />Practices Act, or any other applicable state and federal law, that ul any way related to the dissemination to the <br />public of ir�fornaatizon contained ii�. �ka�s a�'J�JliC�IIOfl U.�aL Vit�lJ LLC Ve CiaJJlfi�d as private �:���.- such lavas. I <br />understand that I may contact the responsible authority for the City of Roseville if I have m y questions <br />regarding the public or private nature of the iz��ozmatio� provided. <br />I understand that the City will not publish my phone or faY nuzn.bcrs or ezz�ai� address without my authorization <br />and do hereby allow the City to publish (check all that apply). <br />�k�ome telephone number <br />work telephone number <br />�me eznaz� address <br />_work �rr_��] adcrc�� ��.� Y�,'�F�' �zl��'��� <br />� <br />� � f� �1� � �, �-��;,1 �'�� _� <br />... ���.r, . �. . .. . ti. : _.. <br />� Signature of Applicant <br />�.s•.��r�i�:A:r:.� Applrcanaiz 0412 <br />{,_ <br />i;-�s� ��,�� ��� <br />� �/,_ �� � a�; <br />-- -- -- �0���:1i7'•:C�al;r�l. <br />