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What is vour view of the role of this Commission/Committee/Task Force? <br />�, <br />I � ?.� ti. � +� �F7 i a t r 1.V •� r��J b L � �i}.�� J� r'��J� J� � �ti�' �� �• �- �i •r1 � ii��� <br />}��,�`�+� ,� �,rp�� ��.�'r �� 1��' f��-��� ��4�:�r-.�-,�� �.��� ��.• <br />��� �.,�5 I f �T� � � � i� k4 �.3� '— ��,r���� �� ���.� �'1� �r, '.�.+��'�'� <br />�,.�. .�`�..�� ���=��--f -� fr�1' � �or�� !� +i'�� � � �f�f��.`�'�'!� �.���' J �{� <br />�X�,�� �,1'���� �' � �}� .�j }.J � 1 � � z.� i �}� l �,� �?r' � � }�` r�4�f <br />�u ;���l�f � �S�r` �J � �_ r_� .�. ����`�.��_r=��.. - -• - •- <br />�[I��r �.`r�m rn�� f�: �T1a������ �r�ry� fW�Y�r�r irrf pr��rs�r�n }�eaa� x��lt�tf f�k� ��� �'� � �� �'r}�ar��i� �� �n�rsi����� �a�� <br />t�rr�d k�r�it�{��i r's r��:�ur��rP tra t��� r�fa�a�r��?r�r���t �,�r�u r�r��� s�:��ir�g. �`:�ia ��rrr.,� r��.sr� c��1r�r��1 nf��cr� r�ir�d��a-i�i�s �+��:r <br />+���u�r't� ���i� f�r� Council to consider.) <br />--�� _. '��_._ r '�' r• _� � � .+� x � � �' �r � r.{ � r �,� �� � �. .� �r �� i � ��r� � <br />��' .� �d1� ���� � �� �, .� t ��� � � ���-` �� r r�' �-�r: �-� .�,�� � _ <br />—w ..��,1�. ���*t�-��- -�.��=�-,�'�+i ��'� !�r �.- ��.�.�' ��€ ,-� ��hrt �.�f S r � L1 �lr�.� '� <br />�'�� ��a r�I �� ;�r� i d� 1 ��'. ,c��r� � � a� rt �� �- � i�,# �.�r• �_ � r��,���� ��.,�-- ��.-.� <br />I'tr�o�ess�ir Warning - Some or all the infornlation that you are asked to provide is classified by State law as either private or <br />confidential. Private data is information that generally cannot be given to the public but can be given to the subject of the data. <br />Confidential data is information that generally cannot be given to either the public or the subject of the data <br />The 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. However, if you do not supply the inforn�ation�ou m:�;� not serve on <br />a Citizen Advisory Conunission. <br />Other persons or entities authorized by law to receive this infornlation 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 nuniber and <br />email address, may be distributed by tlle City to Ih� 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 Govemnent Data <br />Practices Act, ar any other applicable state and federal law, that in any way related to the dissemination to the <br />public of infornlation contained in 1hi� 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 infoiniation provided. <br />I understand that the City will not publish *rl �� phone or fax numbers or email address without my authorization <br />and do hereby allow the City to publish (check all that apply). <br />�ome telephone number <br />��. ��:�� work telephone number <br />��m� einail address <br />�{� JJn � �f r1� �I / <br />J � ��"_•�_ _ �•���_ �F F4T.T� L � � �i.� L �� � �' <br />� �ignahire of Applicant D� of Application <br />4}��d: �+�p 3 <br />