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How has your view of the role of this Commission changed since your first term? <br />Other Comments: (Include ��� � f rrr���� ir fo„narior� yoir would like the CCi1� Council to consicl�r or <br />tJrat � feel is relevant to re- appoi»tn�e�:t. You may also attach other materials you would like the <br />Co�uici! to co�rsider.) <br />. . . - �- - - � - -�- �- --- -- -. : - �-�- <br />Tennessen Warning - Some or all the information that you are asked to provide is classified by State law as either pn4•ate or <br />confidential. Private data is inforniation that generally cannot be given to the public but can bc given to thc subject ot� thc clata <br />t'ontidential data is infarmation that generally cannot be given to either the public or the subject of the data. <br />"I'he Ciry of Roseville is collecting the information to determine qualifications to sen�e on a Citizen Advisory Commission. <br />You are not legally required to provide this information. However, if you do not supply the infornlation, you �}� not sen•e 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 />I 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 �vebsite. 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 informatian 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 />�emai� �i3r�S5 <br />� -----� <br />-- . . � <br />7[llf� Q� <br />�+ptipa�++�wr�� .�vpVaenr�n �+; ? <br />� <br />�3G��41 -- -- - - — - <br />� ������ <br />Date of Application <br />' *�*J <br />� <br />