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��.i�� � �.i�i� <br />�vw�-.ci.roseville.mn.us <br />City of Roseville . 2660 Civic Center Drive . Roseville MN SS 113 <br />Phone: 651.4902206 . Fax: 6S 1.4902276 <br />Application for Citizen Advisory Commission <br />Please check commission applying for. <br />Ethics Commission <br />Grass Lakes Water Management Organization <br />Human Rights Commission <br />Park and Recreation Commission <br />1/Planning Commission <br />Police Civil Service Commission <br />Community Task Force (name) <br />Name• � 1�2� �3�i�lf41J <br />Address: � � � � <br />w ,c.s� <br />City/State/Zip: �S2Ui �� �"t N S�l l� <br />Roseville <br />Resident Years <br />Telephone: (Home): �� � ��'��� � (Work): ��3�rv�t� <br />Email: f'1�brt,�C�rv�a�.�l�1�r�o�.S, Gprn Fax: �P S�/��- ?.-�o �3 <br />Work Experience: S,u,, �1 �! Sru-•?�t� <br />Education• <br />Civic and Volunteer Activities: (Past and <br />