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2006_0424_Packet
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2006_0424_Packet
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5/12/2014 9:17:21 AM
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�'6'$��t y� your view o f th e�¢a�� of the �'�a��s��� �is����� �� ����� �-�riil �i� I � 44't? <br />The s�e�i�� �o�tni���� should set the agenda for the v�si�n��� I��€��e�� and identify the <br />most irzx}�or�ri� areas for ��li�����'ati��z and review by the sub-g�'��ps. The steering <br />��rr�.����e will have partial responsibility �c�r keeping � i 7 r focus in i��e su�-��oup� ti�i ��� <br />delivering an actionable consensus th�� clearly indicates the goals �; �� �1 milestones along <br />the path to completing the vision. <br />���[,'T' CO1T11Tlellt5: �12CZ21G18•'1!�• j i i�'i r��'!' Z72fOY19?GIt1072 y021 W02llGl i i r�i�� i f2ir r���� �02IYlC7l t0 COYISlGlBY (J7" <br />�{r��� you feel is relevantio ��� crp�oi�2t���c3t�t��nu are seeki�zg. You �ray also ;�r; rrt� �r other �a�crt�f•a�Ts you <br />��vould ; r a-� the Council to co�zsid�t� ) <br />See Attached Resume <br />Tennesscn Warning - Some or all the infonnalio�i that you me asked to provide is ctassifi�d by Stat� �aw as either private or <br />cozrF de�ktial� Private data is information that generally cannot be give�i to the public but can be given'. � the st�Uj eet of ihe data. <br />Confidential data is infonnatiot� that generally c���ot be given to either the public or the subject of the data. <br />The City of Rosevil�e is cr �'.•r� i• i_ 1�t information to deterpniue qualifications to sea�ve on a Citi�z.e�a Advisory Commission. <br />�«.: ... � � _ . .-..-- = - � r..... • � �--- :r----- - <br />`� t t� e�-� 4� . . _ • •.. _._.. �•ntir5r� �� ,y•y5i�i=i•.� ...'..ewcl•�n�'r.ne7e—i : �tuTL�fl iiv4am�4�7vTt <br />{!� .[zvl _ _7,_r Yi.��� . u t{}ti����.�.L ��I�� ui����iu••.ii�•i, i i , � ti�,�:� i• � �7�-_ }, <br />a Citizen Advisoiy Commission. <br />Other persons or entities authorizedby law to receive t�1is i�'p��atioq are City Council members, staff, residents of Rasevtlle <br />and interested others. <br />I understand that all ��f`oz�natiar� provided i� this application, except my telephone nunib�rs, fax nu��bex and <br />emai� address, ir�ay be distributed by the City to the public including, but not limited to, being posted on the <br />City of Roseville webszte. I agee to waive ariy and all claims under the Mi���esota �ojFern�ent Data <br />Practices Act, or any other applicable state and federal law, that in aary way relatedto the disse�.afi[on to �.e <br />public of info�-z�atio� contaiued in this applicationthat would be classified as private u��de� such laws. I <br />Ymciexstaud that I may contactthe responsible autho��ty for the City of �osevi�Ze if I have any questions <br />regardi�� the public or private nature of �ll�. in�oz�at�oi� provided. <br />I understandthat the City will not publish my phone or fax numbers or emai� address without my aut�to�-i�atio�a <br />and do hereby allow the City to publish (�heck all that apply). <br />� l�ome telephone number w o r k telephone number .x_l,� �� �.� email address work �mai.1 address <br />Signature of Applicant Date of Application <br />,tf•;,,�.��i.:,,r�r r_111'" <br />
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