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�� � �� APR 1 4 � <br />.� � � � <br />�� :_ res�_��ill�s � .�� <br />City of Roseville • 2660 Civic Center Drive • Roseville MN 55113 <br />Phone: 651.792.7001 • Fax: 651.792.7020 <br />Application for Citizen Advisory Commission <br />Please check con�mis:sion upptving f'o�•: <br />❑ Grass Lakes Water Management Organization <br />0 Human Rignts Commission <br />�Sl Park and Recreation Commission <br />7 Planning Commission <br />C� Police Civil Service Commission <br />❑ Public Worl�s and Transportation Commission <br />� Community Committee/Task Force (name) <br />� � <br />Name• ���•��--�������r -- --- <br />�� <br />�'iR}���,ta�c,��p: ,r+��r=r r�; �� . ���� �� �� � _ <br />Work Experience: <br />�;�� ���,s.r���.. r=���;r_-x���� �rr�� <br />Education: c � <br />Civic and Volunteer Activities: (Past andPresent) <br />.�� �� <br />Please state your reasons for wanting to serve on the Commission/CommitteeCI'ask Force: <br />(Be us specific ac pnssible - use additional sheet i.f nec�ssut�%) <br />