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2004_0419_Packet
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2004_0419_Packet
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What is your view of the role of this CnmmissioniCammitteelTask Force? <br />— f � � , � � ,. „ <br />vinrr �.umriYe�rs: �tncri�ue uny jurtner �r��� yuu woultl ltkP the C,'it}� Council to consideror <br />r�r�r �r�vr,�r�a�� is relevartt ro the �p�+rM�r�i�r�� vou �'�' seeking. You nrrzv also allach other materials �ot� <br />ti����� ��� like the Guunc•il �c+ eonside�.) <br />C� � � <br />'l�ennessen Warning - Some or all the infi�mlation that you are asked to pmvide i s classified by Statc law as cithcr private or <br />confidential. Private data is infonnatiutt that generally cannot be given to the public but can be given to thC subject uf the data. <br />C'anfidenti�l d�ta is informatiofii that generally cannot he giveu to either thc public or the subject of ;f�fi data. <br />1�4�I, ��h� � i� i��. ��� � 4y�:i.i t�I �� � 4�� ti�.ti u ti i�r� =�• I11i411IA'.I Lil' I li IyU1.44T� ���'VU'u� noa �tippi3 i n� h� �'t},-r.,.�L�dn; �I ���y nql �eYrt Gis <br />�� 4:-tia�� •�dv�sar�� Co��,rn.ssion. <br />Other persons or cntitics authorized by law to receive this inforntatiqn arc City Council members, staff, re�idcnts of Rc�seville <br />and interested others. <br />I undcrstand that all information provided in this application, except my telephonc numbcrs, fax numbcr and <br />cmail address, may be distnbutcd by the City to �I h� public including, but not limited to, being posted on Rh� <br />City of Roscville website. I agree to waive any ;�n� all claims under thc Minnesota Govcriuncnt Data <br />Practices Act, or any othcr applicable s�te and federal law, that in any way related to the dissemination to thc <br />public of information contained in this application tl�at would be classified as privatc wtder such laws. 1 <br />understand that t may contact the responsibic authority for the City of Roscville if I have any qucstions <br />re�arr_ling thc public or pri�r�te n�tttre of tho information �rouidDd. <br />I understand that thc City will not publish my phone or fax numbers or cmail address withaut my authorization <br />and do hereby allow the City to publish (chcck all that apply). <br />Jiome telephone nwnbcr <br />work telephonc number <br />cmail address <br />Signature of Applicant <br />.�• ;�:,•..-.;,�+ r131017 <br />. r <br />� �� �� � <br />� �i41� (�. A��FrIi4�n�n <br />
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