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Whatis your view of the role o.fthe Conarr��anit� ��i�ir,-i i•i�; �It�t��r�_ Committee? �� - . � r� . . - .� - �t � - r� �.4'}� _ i�. i� � . .� (J�;_ � ,'•� , � ��— � r+ r . � ,M1 � � . , • �� + •f � . . • _ � x . . „ . I • � • Other Co�arrte�tts: (Includea�ry further:�;+�.+��r��r;��,�Y�rr would like the Cit}� Council to consider or _ � � _„-t f�: �a •' �: lS � �'Iti '.'�!�1; t0 � �:' �.'� l� 4 •a�2i ��2•'� i1 �:i��i „n�v�.�- cr�s•�ti:".r Yn�4 ri� � • n% �� . �rtrir' f' � t%?vY T"t?i _'�'=f'�c �n7� _ would like r��r• Coul��cil to consider.) Tenn.essea Warning - Some or all the infolxxlatiq�l that you are asked to provide is classified by State law as either pa'ivate or confidential. Private data is information that generally cannpt be given to the public but can be given to the subject o�th� data. Confidential data is information that generally cannot be given to either the public ar thesubject of t�te data. The City of Roseville is collecting the uZfozmafion to deterr�irae qualifications to serve on a Citizen Advisory Cox�z�issioz�. You are not legally required to provide this attformatzon. However, if you do not supply the inforn�atio��; you may not serve on a Citizen Advisory Commission. Other persons or entities authorized by law to receive this ulfa�nafiaa� are City Council members, staff, residents of Roseville and interested others. I understand that all information provided u� Il•�:� application, except any telephone 11ua��ers, fax 3aulrsbe�- ancf ax�ail address, in�y be distributed by the City to thc public including, but not limited to, 6ei��g posted on the City of Roseville we�siie. I agree to waive any and all claims under ;.7K �![i�nesota Go�ez-��1�e111 Data Practices Act, or any otk�ei- applicable state and federal law, that in any way related to Il:�� dissc��izaation to ;l,v public of infonnation coirfaza�ed u� this application that would be classified as private undex such laws. I utld�rs��zld that I inay contact the responsible authority for tl�e City of Roseville if I have any questions regarding #�ze public or private ::,�! :i� � of il�e z�afo��ataa�� provided. I understand that the City will not publish my phone or fax tlumbers o.r ezl�aii address without my authorization aa�d do hereby allow the City to publish (check all t��at apply). �}�L,�_;� i; � I•t u;� z�umbez° _�work telephone nut��be� �hnn�e email address work email address f� • I f - - ' '��•�('r • • ' �.� �rJr _: - �� _ •_ � � : - — ;�i��7�� of flppl'aca�7t dal e of rk ��i�l jL;ii i;:i; �,�pt�.7lr.0 _ C�' ��! I•�