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- ---__.....--- - - - - - �--- - \+�hat is tour view oi'tlje role of this Cu��zii�siur�rL`am.mi�caff'�sirl��r�� � �� . � ,{,�_�r�� •�� f��,•x� ��rr� �:�_•�`�; ,� �rrr�. � x.�,� t� -- -- A— � Other Comments: (Include a�ny firrtlxer� infornzatiort you x�oirlc� like the City Coirtacil to consider or that �.�,,i, ��t�� is relevant to the a��pointr72ent �� are seeking. Yott r�cty also attach other n�ater�ialr yozr wottld like the Cotrncil to ca�zsideY.) '�'ennessen Warning - Some or all the infonnarion that you are aslced to provide is classified by State law as either private or confidenrial. Private data is €nfo�natiart that �ene�allv cannot be eiven to the pub] ic but can be �iven to the subiect of the data Confidenrial data is informarion that generally cannotbe given to either the public or the s�bject of the data 'T'�ae City of Roseville is collecting the information to det'ezn�ine qualifications to serve on a Citizen Advisory Commission. You are not legally required to provide this information. !-{owever, if you do not supply the isiformatian, you may not serve on a Citizen Advisory Cainmissie�n. Other persons or enriries authorized by law to receive tE�is informarion are City Council members, staff, residents of Roseville and interested others. I understand that all infonnation provided in this application, except my telephone numbers, fax number and crxSail address, may be distributed by the City to the public including, but not limited to, being posted on the ,. „,�ity of Rc�sevilte website.. ];�e� t� waive.any and 3'�:�' aim� under the M�nnesota {�0.5�.�;�rim�n i Data, .„_. . Practices Act, ar any other applicable state and federal law, that in any way relai�d i�� the dissemination to the �� public of information contained in this application that ��o�id be classified as private under such laws. I �� understand that I may contact the responsible authority for the City of Roseville if I have any questions regarding the public or private nature of the information provided. I understand that the City will not publish n�y phone or fax numbers or email address without my authorization and do hereby allow �he City to;�t�:�l��li (checic all i��a� apply) '-%honle telephone tiutnb�r �� work telephone number �'home email address � v��_k em 7 � � :ici:l�s � , �� l�� f �t�—'--^� �� :�?�-.li!:fC a}7 :�'-�°Il• a ��.•�r • : f ry:fi�tiutin� �- -� '- �� : _ ._ L�a��, ��r ,5.��I�.:,�i�.��