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i �� <br />City of Roseville . 2660 Civic Center Drive . Roseville MN 55113 <br />www.ci. roseville. mn. us . 651/490-2206 <br />Application for Citizen Advisory Commission <br />Please check commission applyingfor: <br />�1 Ethics Commission <br />❑ Grass Lakes Water Management Organization <br />�l Human Rights Commission <br />cl Park and Recreation Commission <br />cl Planning Commission <br />cl Police Civil Service Commission <br />❑ Community Task Force name) <br />Name: /�u/A R v �% �i4 C'/V � � <br />Address• ���%c�' /°� �-1 ��( �-1N �y : <br />City/State/Zip: /2c� s � v ic. � � /��11 S S�! � - E !a / <br />Telephone: (Home) �as�y ��c° -6Z� (� (Work) � �"i2 - <br />Email• G`��� u�� K y e S Fax• <br />Work Ezperience: <br />s 9� — Iz �'o f�-t r il%z ��P S�,s'1«s <br />�2r�oug ;�zKZ9cw.r�- �Cs <br />/ Z�� d — / x�� y %�N��ia.• <br />� 5 � � � � � r L G � � ✓�j t �t f l` Y t •.-c� (il e`� (/lJt $ C.4't�a,S"v� - <br />/ t�a ( e (�' ,/�, ���j / j 1 / <br />VCr7�CiCXf `ev�i�cCr�f �A LYCV`t• l-GYA✓Zc'C �7W S� ��L4tt[liC[���c�+. �.-S'4.�0'Yi.t)/ <br />M S ��U�INPc S �2Kk(�� STr��Ch <br />Civic and Volunteer Activities: (Past and Present) <br />[fFrfA 2.� ��a[.�lle� /Y <br />�! D�ucq,�er' �- z� )� �, ,'� <br />��l[ K't�� e` V Kl�rt'.� z]`- <br />���G � u..�.� <br />� �K-t � /F c � Sf G <br />) � �.l �nnzr,� � y W � ��-c <br />�e �2ktov �Pec�`Ey✓ <br />�7c-r�t J 2 y �CJ [n t r�' � D CfS 0 S��' <br />< � <br />Gu f F �l <br />�v.Stl2r, SY ctf (� t <br />