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What is your view of the role of this C��nr�is�tonlCor�rrziiteel'Task Force? <br />.. - _ ;� �i" ��'��� � �'i�r.� �tir� � �ti _C� �I��. _����... ��.r�'�"`�:� � <br />� j I I I M1 �� � <br />�i� � `l � ��.Y—Ti �r 5 ti �t 7� � �L4' 4� I . �.3'•� i' -1fa ���� �! ='!Ct'r . . <br />� t <br />� „ �# �'., ti T, _ ��,� � � ��� -�� . � I 1 ��.� �, L � � � 4•. � l <br />� � <br />� �.�. �1�1. ' ������ �� �`_� �' � — <br />7I �I�, ' � <br />�� � ��ISY -- --- ••— • — - -- - • <br />Other Comments: (riiclude any fu��tlzer ;�,r� �- �� r�, ���:1 �r you would like the City Courzcil to consider or <br />that you feel is relevant to tlze appointment you a��e seelal�g. You rszay also czttacl2 other ��2atey�ic�l�s you <br />would like the Council to co�zside��.) <br />.. .. __ �� �• � �, i•�. ��� �� �'`�.tCti�� � �5 ��c� ��--�'. � 'i.�� ��', � � <br />�f <br />�. �"• � � t.����1':l.x�y� �'�l_._� �1"��t..�Y�C'.Cl <br />i r ti l �� <br />Tennessen Warning -�L,r w or all tI�e inforn�aiioi� that you are asked to provide is classified by State law as either private or <br />confic�i�1. Private data is iai�nrmation that eenerallv caz�t�ot be �ivei� to the uublic but can be give� to the subiect of the data <br />Confidential data is iufoiznation that generally ca�iot be given to either tl�e public or the subject of the data <br />The Ciry of Roseville is collecting the ,.ti:�l r ii� ;I� ; to detei�nine qualifica#io�s to serve or� a Citizen Advisory Con�n�issio�. <br />You are not legally required to provide tlus iiiformatioz�. However, if you do i7ot supply i�•t information, you may not se�ve on <br />a Citizen Advisory Convnission. <br />Other persons or entities authorized by law to receive tlus information are Ciry Council members, staff, residei�is of Roseville <br />and interested others. <br />I understand that aI1 ��flnnatioil provided i�� tlus application, except my telephone ���3be2�, fax �u�7��r aild <br />enzail add� ess, inay b e distributed by the City to tlae public including, but not lunited to, being posted on the <br />City of Roseville website. I agree to waive any and all claims under the Minnesota Gove��.�neut Data <br />Practices Act, or any other applicable state and federal law, that iz� any way related to the dissemination to tlle <br />public of i��o����atioi� contained 1� tl�is application illat would be classified as private under such laws. I <br />understand d2at I�a��y contact the responsible authority for the City of �osevilIe if I have any questions <br />regarding the public or private nature of tlie iilfoi�natidil provided. <br />I understand that the City will ilot publish my phone or fax i7u177bers or einai� address without my au�lloi`�zatior� <br />an� do hereby allow t17e City to publish (check all t�at apply). <br />l�ome telephone ntun�er <br />worktelephone number <br />ho�ne ei��ail address <br />��� "' ��:Llrv � ' <br />.. t��k �ar.;:�� �. , ti <br />_ _ L __ �' __ • <br />Si�r,arur�. s� App]E��,n� <br />���� �a��� <br />— —_��f� <br />- F <br />— I�:�'t r�f t l� <br />� <br />