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What is your view of the role of this Co�na�ssz�zalCornnc�iiieelTask Force? v� � �''�•� y•� � • J•— �-k f� Other Comments: (rizclude a�zyfurther i�zforinatio�a you would like t1�e City Council to consider or thnt you feel is relevant to the a�paintr��er7t you c�re seel�i�zg. You r72ay also attacla otlzer ��ateric�ls you would like tlae Council to c��siclet.� �r� ..� { t. � • � � �� _ � . i_�: ' � �_ {_ �*.. �� Tennessen Warning m Son1e or all the i�for�l3a�ionthat you are asked to provide is classified by State law as either private or confidential. Private data is infoin�ation 11=� generally caimot be given to the public but can be given to ;.rt subject of the data. Confidential data is in%�znation that generally cannot be given to either t11e public or tl�e subject of the data. The Ciry of Roseville is collecting the ia�farnlatioi� to detei�nii2e qualifications to serve on a Citizen Advisory Con�z�zssio�. You are not legally required to provide this infoimatio�. However, if you do not supply the information, you rnay not serve on a Citizen Advisory Con-�nission. Other pel-sons or entities autlzorized by law to receive this information are Ciry Council niei�lbers, staff, residents of Roseville and interested others. I understand that all i.za�onnafio�l provided � this application, except rl'�' telephone numbers, fax ntun�er and e�nail address, inay be distributed by =,� City to -lyv public including, but 11ot Iii�ted to, beiu-�g posted o� the City of Roseville website_ I agree to waive aiay :�i :.l all claims lu�der the Minnesota Gove��nent Data Practices Act, or aily ot77er applicable state and federal law, that i� any way i-elated to the disse�ninatioil to the public of info�llzation coiltanzed i;� =hi� application that would be classified a s private u�der such laws. I tiu�dersiai�d that I may coi�tact the responsible authority for the City of Roseville if I have any questions regarding the public or private iri!�._r� of the ii�ol�nation provided. I understand t��at il�e City u�il� ��at publish m;Y pl�oz�e or fax numbers or e�71ai1 addiess without �ny� autl�oi�zatior7 and do hereby allow �l�e City to publish (check all that apply). l�orne telephone n�unher —work telephone ��umbe�- home e�1-�ail address work�ail address �f 4��' G� — 51��;ir. r�t'.t��J�� s�n# 4}arc ,if ;'��p� i t�,'ic�i � .;�4:rr�.,r:,�r c��s�s