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H�+� �a� our uiew �f th� role �f Shi� ��mrn�si�o c�$��ed �iac�e �rour firat term? <br />-- —�'�-r . � . . <br />� }e ,� ��� ,.��� .�-h �� . -- ��l.�f <br />•�{+� F •� � F f f R • 1 � <br />• �y�] <br />Other Comments: {Inclucle anir ftrrther iiifor��:utio�i �a�c ivoicl�! like the City Counci! to consider or <br />that you feel is relevmu to re- uppointment. You may also attach other materials you woidcl liJ� the <br />C�ouncr! to ca�rsirler.) <br />� <br />"1'ennessen Warning - Some or all the information that you are asked to provide is classified by State law as either private or <br />cc�ntidential. Arivate data is information that generally cannot be given to the public but can be given to the subject of thc data. <br />C'onfidentiaE data is information that generally cannot be given to either the public or the subject of the data. <br />�f 1�:• City of Roseville is collecting the information to determine qualifications to serve on a Citizen Advisory Commission. <br />You are not legally required to provide this information. I�o�vever, if you do not supply the information, you may not se[�r on <br />a Citizen Advisory Commission. <br />Other persons or entities authorized by law to receive this information are City Council members, staff, residents of Roseville <br />and interested others. <br />1 understand that all information provided in this application, except my telephone numbers, fax number and <br />email address, may be distributed by the City to the public including, but not limited to, being posted on the <br />City of Roseville website. I agree to waive any and all claims under the Minnesota Government Data <br />Practices Act, or any other applicable state and federal law, that in any way related to the dissemination to the <br />public of information contained in this application that would be classified as private under such laws. I <br />understand that I may contact the responsible authority for the City of Roseville if I have any questions <br />regarding the public or private nature of the information provided. <br />I understand that the City will not publish my phone or fax numbers or email address without my authorization <br />and do hereby allow the City to publish (check all that apply). <br />/home telephone number <br />✓ work telephone number <br />�email address <br />-�� <br />, <br />. �� <br />�� <br />- c-�� �-� <br />-- � e��tu€e of �4p�l�can� <br />Rre�.awacni.l�ni�rd .. <br />�� -� f�� <br />ie o�pplication <br />*; f <br />� <br />