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2009_0921_Packet
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2009_0921_Packet
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1/9/2012 3:13:41 PM
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10/13/2009 9:30:05 AM
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What is your view of the role of a member of the Housin� & Redevelopment Authoritv? A <br />��� ���i��� <br />�i�ii�il'���',��ei��l,�if3�ii���..� . i y�f <br />r <br />` <br />� ��' � <br />Other Comments: (Include any further information you wauld like the City Council to consideY or <br />that you feel is relevant to the appointment you ar'e seeking. You may also attach other materials you <br />�would like the Council to consider. ) .. <br />CD- f 9 �-�' <br />0 <br />Tennessen Warning - Some or all the information that you are asked to provide is classified by State law as either private <br />or confidential. Private data is information that generally cannot be given to the public but can be given to the subject of <br />the data. Confidential dat2 is information that generally cannot be given to either the public ar the subject of the data. <br />The City of Roseville is collecting the information to determine qualificatians to serve on a Citizen Advisory Commission. <br />You are not legally required to provide this information. However, if you do nat supply the information, you may not serve <br />on a Citizen Advisory Commission. <br />Other persons or entities authorized by law to receive this information. are City Council members, staff, residents of <br />Roseville, and interested others. <br />I understand that all inforrnation pravided in this application; except my telephone numbers, fax number <br />and email address, may he distributed by the City to the public including, but not Iimited to, being posted <br />on the City of 17oseville website. I agree t� waive any and all c�aims under the Minnesota Government <br />Data Practices Acf, or any other applicable state and federai law, that in any way related to the <br />dissernination to �he public of information containerl in this application that wou�d be classified as private <br />under such laws. I understand that I may contact the responsible authority for the City aiRoseville if I <br />have any ques�ions regarding the public or private nature of the information provided. <br />I understand that the City will not publ'ish iny phane or fax numbers ar email address without my <br />authorization and do hereby allaw the City to publish (check all �hat apply}. <br />� home telephone number <br />4home fax number <br />�home email address <br />_work telepkone number <br />_work fax number <br />work email address <br />other telephone number <br />I understand that I may be invited to an interview by the City Council that may be audio or video�aped. <br />�� � <br />Signature of Applicant <br />Updated: 03.08 <br />�%,�l�� <br />Date of Application <br />
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