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2004_0419_Packet
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2004_0419_Packet
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What is vour view of the role of this Commisseon/Committee/Task Force? <br />� l� � � #.+� �� � 1C s?� �,�� � fti� � i �r r.r. r+� � � �' , a �k � 4� �A..-3 e� �u' , � 1'�� M <br />Other Comments: (Includeany further infornzation you would like the City Council to consider or <br />that you feel is relevant to the appointnzent you are seeking. You may also attach other materials you <br />would like the Council to consider.� <br />�1 � h�/� <br />J � ti . Y . '� ' F' _ �?� �'• r s c -�' � V�L �� {%� <br />#• <br />ti .� �"� �-�1 d�' �' ��'� —� �' � � � L� <br />. �. r ., - . . --T� 1 _ r _ . .,. s , � d _ �� . 1 <br />� <br />�L � ` _ {� . r . + � - I . � ,rl <br />r <br />r r . <br />- 7 ' {- � Q � � _L�� wr� �' r <br />��Cq�CF�71 �A r1fi�Y� -�1LC �i 8ll [h� in�orrnaLism laa! vuu sre uaked hrF �pvi i� rla�xi Fed M�}• 4 t��v ax e�thr� �va[� or <br />confidential. Private data is information that generally cannot be given to the public but can �S gi4�cn to the subjectof 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 information, ynn may not serve 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 website. 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 information 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 />wark telephone number <br />�email address <br />'�� _��-�� <br />Si�[� of Aprpli�an� <br />�•� <br />�� <br />i�a� af A�ppJeca�io� <br />L� <br />
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