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Please state your view of the role of the City Council: Other Comments: (Includeany further informationyou would like the City Council to consider or thcrtyoufeel is relevant to the appoi»tmentyou ure seeking. Youniay also attach other materials,i rair would like the Council to consider.)_ �.� � A Tennessen Warning • Some or all the informationthatyou are asked to provide is classified by State law � eitherprivate or confidential. Private data is informaYionthat generally cannot be given to the public but can be given to the subject o f tfie data. Confidential data is informaYion that generally cannot be given to either the public ar the subj ect of the data The City of Roseville is collecting the informaYionto deterniine qua.lifications to serve on the City Council. You are not legally required to provide this information. Other persons or entities authorized by law to receive this information are City Council members. sta ff, residents af Rosev t I!e and interested others. I understand that all information provided 'm this applicarion, except my telephone numbers, fax number and email address, may be distributedby the City to the public including, but not limited to, being posted on the City of Roseville website, I agree to waive any and all claims under the Minnesota Government Data Pracrices Act, or any other applicable state and federal law, that in any way related to the disseminarion to the public of information contained in this applicarionthat would 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 quesrions regardingthe public orprivate nature ofthe informationprovided. I understand that the City will not publish my phone or fax numbers or email address without my authorizarion and do hereby allow the City to publish (check all tl�at apply). lfome telephone number rk tel��ne nuxn�ex rtn��L addr�ex� 1 � � Z -� �}-- �ign�tv�c ppLic�nt Date of Application .�c�s5 uat-„ �wn r w., y