Laserfiche WebLink
What is your view of the role of the Community Visioning �ra�,�i iii�; Committee? <br />Other Co�nnie�ts: (.�rrclude .; r�.�. .?� rrrr� �� �� i��for�7zc�tio�z you ���ould like the Cit�.� �, r.�; ���, ;�r' lo consider e� <br />,� <br />i� �i 'y'o� feel B �:'i�r ::,:.�r tp t1�v: .•+�: ;����.�� r�i .�.'!li'e •�••r -.�r��� •��r .7!r ��.� CZ��50 iii::i,:lr � �i��:•�'77F(,TtE1-uCZISY'Gu <br />would like tl�e i'vur�cil to considerJ <br />Tennessen Warning - Some or all t1�1e ulf�rmalion that you are asked to provide is classified by State law as either private or <br />�o�ide�txal, Private data is iziformatipn that generally ca��lot be given to the public but can be given to the subject of tlie data. <br />Confadez�tiai data is infoin�at�ar� tI3at �ex�era�ly cannot be given to either tlae public or :�. = subject of fl�e data. <br />T7: � City of Roseville is collecting the informaiiox� to detert�ule qualifications to serve on a Citizen Advisory Ct�1�7n-iissio�a, <br />You are not legally requi��d to provide :...i uifarmation. However, if you do ilot supply the information, you may not serve on <br />a Citizen Advisol-y Cozl�tlussioi�. <br />Other persons or entities authorized by law to receive :'.. i- iiiforination are Ciry Cot���cil n2en�l�e��s, staff, residents of Roseville <br />and interested others. <br />I understand that all iilfoz���ation provided I I��lus application, except m-,- telephone nu�zbers, fax I11��� �� and <br />ez�ai� address, inay b e�Iisf��l�lrt�d by the City to the public iuckudll7g, but not li��ited to, l�ei��g posted o�� '1 �_ <br />City of Roseville website, I agree to waive ai�y and all clauns uz�der the Mil�eSO�a Government Data <br />Practices Act, or any o�l�er applicable state a��t� �ederal law, that i: . any way related lo the disse��u�at�qa� to the <br />public of �i['oi�aa�.�io�1 contained ��i tl�is application-':;�� would be classified as ��1-ivate under suclllaws. I <br />�.uade�staiid that I zt� ay contact tl�e responsible aut��oi�iy for �1 i. City of Roseville if I have any questions <br />regarding the public or private ii:,'.0 v of the ii��o�-matioi�provided. <br />I understand that the City will not publish �r';.' phoi�e or fax z�u177bers or eilZ�il address without Tr�.; autl�oi�2aiio�� <br />�,�:.1 do llerel?y allow the City to publislz (cl�ecic all that apply). <br />hoz�� e telephone i-� ; i��: � vi worl� telephone i;� �:. i� ��� �i �11ome e�a�ail address _�tiuorl� e:a�-� a�l address <br />I� •x x�• • �i � . ..' 4� •f, �:_ ., LJ�. �Y�± 'M1 i ��M1 � • � � . • . _ . �J L <br />- ---°- — �l�tl]]1s�t1f5�7�}�1C��5[----•----------•-- <br />l5ppllrghnn_ CV_�11 ]Ofi <br />, � <br />. � . <br />� ; i __: � , L : . •.. <br />� f�st� �f }�uE:Jit�ti� <br />