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Please state vour view of the role of the Citv Council: Other Commerrts: (Includeany further infor�nationyou would like the City Council to consider � thatyoufeel is relevant to the appoi�t�nentyou are seeking. You may also attach other materialsyou would like the Council to consider: ) r�� -� ��--��' � � .� Tennessen W arning - Some or all the information that you are asked to provide is classified by State law as either private or confidential. Private data is information that generally cannot be given to the public but can be given to the subject of the data. Confidential data is information that generally cannot be given to either the public ar the subject of the data. The City of Roseville is collecting the information to detetinixie qua.lifications to serve on the City Council. You are not legally requiredto provide this information. Otherpersons or entities authorized by law to receive this information are City Council members, staff, residents of Roseville and interested others. I understand that a11 information provided in this application,except my telephone numbers, faxnumber and email address,may be distributedby the City to the public including,but not limited �,being posted on the City of Roseville website, I agree to waive any and a11 claims under the Minnesota Government Data Practices Act, ar any other applicable state and federallaw, that in any way related to the dissemination to the public of information contained in t�s application that would be classified as private under such ]a�s.1 understand that 1 may contact the responsible authority for the City of Roseville if 1 ha�e any questions regarding the public or private nature of the information provided. I understand that the City �i71 not publish my phone or faY numbers or email address without my authorization and do hereby allow the City to publish (check �Il that apply). �ome telephone number work telephone number � �rnejL �� Signature of Applicant AppNcarion 040101a � �� 3 Date of Application