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W�aat is your view of tlae role of the Community Visioniu� Steerin� Cn.�imittee? <br />� <br />Other Comments: (Include m y further itzfol�razc�tio�i you would like the City Council to consider or <br />that you, feel is relevant to the appoiiztraze�zt you are seeking. You ���� also attach otfzer laiaterial.� you <br />,,�,,o�:?d �: �.�• the �.,:���r� r� ta.r�:,r,.� �;;.�,.,_ <br />Tennessen Warning - Some or all the information that you are asked to provide is classified by State law as either private or <br />confidential. Private data is infon7lation that generally cazaa�ot be given to the public but can be given to the subject of the data. <br />Confidential data is information that generally ca�uot be given to either the public or tl�e subject of the data. <br />The City of Roseville is collecting the information to deternune qualificatioi�s to serve oiz a Citizen Advisory Coinnussion. <br />You are not legally required to provide t1�i� information. However, if you do not supply the infr�zmation, you n3ay not serve on <br />a Citizen Advisory Comn�ission� <br />Ot3i.er persons or eutities authorized by law to receive this information are City Council me��bexs, staff, residents of Roseville <br />and interested others. <br />I understand that a11 iilfa�znaiaoza pi-ovided in tlus application, exceptrr�.,� felep%o��e i�u1��l�ers, fax �tauz�ber ai�d <br />ez�az�. address, i�ay be distributed by �1 iw City to the public including, but not li�ni��c� to, being posted on �1�e <br />City of Roseville website. I agree to waive any and a11 clai���s under the Minnesota Govenln�ent Data <br />Practices Act, or any otl�ez- applicable state and federallaw,ll�at �:� �. any way related to I] iv disse�r�ination to the <br />public of izlfoin�atio�� co��ltau7ed in t�a�is application that would be classified as pi-ivate undel- such 1aws. �I <br />understand that I r�ay contact the responsible autJloz�ity for the City aI`Ro�eville if I have any questions <br />regarding the public or �z-�vate nature of the ii i i�.�i i i;��.� i t�•i i provided. <br />I uzadez-stazad that tlie Cify will not publish m:• phone or fax iautl�bers or ��nail addzess wztl�outi rny � it� I �r��ri��;k�Fn <br />and do hereby a11ow the City to publish (check a11 that apply). <br />�home telephone i�u�n�ei ___:�'i I� l�: I�z I-onc iaua�ll�er <br />— ���� f , �� <br />F <br />�� � <br />'�•���{','f �� �� - ��---- <br />5 <br />Yti�7.iill?t' I`I ��1+71_LrLil� <br />r <br />'��lk�rc;=�'�:�'1 �Y� — <br />—�11ome eznail add�ess,,, ,�,���t���l, eznail address <br />� <br />��}�fM1 <br />4 LF-.. .. . �'� <br />���?Lt �4�}F}�14alIDR <br />