Laserfiche WebLink
_._ .. _. .__... ---�- ---- <br />!!ow �a� y0ur vicw of the roic of this �mm:�on chan ed sincc yuur first tcrm7 _�__ _` <br />� %��: L.._.7T . �!.f '��_. � jfr�C�t!rC� c=�ix1�� ��t-�tm.r 1i� z� ��_�. � C.. <br />� ��._i� C�t�.��� C:r W I ',�' �, <f a. _. �'_�.�'/�f �.SL.° � y LL -�. ��.`-:L�..''� � ' >_ T <br />. _�� � � r � � -� cl �7,+a1-� t� r �:1 .��_ �i ) �' �� <br />ti � Lt •i �� ._�3 t��E_e,_' � � � . �' - * �-�: -�--� -- <br />� r. � 1,r��_.L'.� �'l�r. .� /l�;i � _�1 !'t�.,., (v� �� ��, J fr �-� ivr .t� <br />..�. � _�-� .�. �? � _� � � <br />-- � .�._�_ �'� /� � � r � �.�_ . . . . <br />Othcr (:omments: (L�clucle uny �irrlher inJvrntu�iu» y��r� w��u/c111ke fhc:� t'll)� C U1ll1Cll Irl Cf�1l,\'lCICr �,r . <br />lhut ,ynr� f��r ,.,� ��r����l� r�> r�- «i�r�►i.►r��'n1. Yc>u muy (�I,�'rl ufFUCh olher nttllertul,ti� y��tt �vr>t�/d ltke 1hc' <br />( 'r��utc�il fu cc»t,��rclrr.J ---- --- - -.. . . <br />~-�' j,.� �vst� �� i � ('r � t°o.�,��- <br />.� �v�7c��.. � l !G� L-�z> �. <�r- _ � .�. _. � � : <br />, <br />_... U.1_c_� �'c �!:� � �� F1= r� �' _ � � � a� s ����'� � �? �� �� <�-'lLlrku n�s� <br />�, �„'1 r . / i n �r� �� . ���r.:.2� �' �� �-`�-a . " i �—r a �� ` <br />_ .�. ��. � �! ' <br />--- f1� G_ �U_���i�, �'r,�.�r 75 t'(�rnn?��S1aM _s��:)�! _,� l��a�rt�� . 1-/�=_r:;_ %ik- _.__ <br />-- - �(�D� .�.{,�;,t� +� � f► .��'�t �7� S, �' _ �._�� � ' Cf�u S �1� l��i . <br />�_F � '�ci�i�..LSL..:� J , rI y _ �� � <br />4l 1 C'� � y l»���rc •? C;� � I� Hu �'� ��'� ��� J�, ' s� <br />T'eni�essert Warniug - Some c�r all the information thttt yau arc esked to provide is classified hy State law as either private ar <br />ectnficfe��lial. I'rivatc data is inR�rmHliou that gCperal[y Cennnl be g'svcn to Ihe pt�bliC hul aan he given tci thc suhjeCt of the data <br />('onfidenuel data 'ss infurmation that generelly carivat bc Kiven tu citE�er tl�c public ur thc subject a�!'th� da�a <br />'I'he ('ity of Rc�s�viElc iy cnficCltng the infi�nnAtion tc� delertnine yu�lilicxliona to scrve on a f'itizen Advisory C�c�tnmissiort. <br />You are csot 1e+�all,y required to pruvide this informelion. !-luwever, i!' you dc� nol supp4Y tl�e inl'cmnntiun, ynu �nay nai sc:-ve u�s <br />a Ciiizcn Advisorv Commission. <br />(�ther perscros or entities eu�ht�rized by lnw lu receivc this inliarmnt'ron are C'icy c'uuncil mcmbc:rs, stail�, r�s�dcnls u!'fi{�scvill� <br />and interested other� <br />I understanc� that alk inlorrnation providre� in this t�pplication, vxcep� my� teleph�ne; nwntx;rti, [ax numhcr anci <br />em�til address, may be distributed by the City to the puhite includin�, bu! r�ot [imited ta, being posted on thc <br />�'itv c�t�ltc�suvillc w4Y�site, 1 ubrec ta waiv4 any and all elpims undcr thc Minncsc�t� f�c�vernment nata <br />Practices Act, or any other upplicable stat� and fedcral Ia�-, that in any w�y related ra the dissemination to thi <br />�i�t�lic af'informatic�n conta�ned in thi� appiication that would k� ciassified as private undcr such laws. f <br />unc�ersiand thal I may c;ontact the res}x>nsibfe ttuthc�rity li�r thc Cily u(�ltc�seville il�l havc �ny qucsticros <br />regardin�; the public or private n�tture of the information provided. <br />[ understand that thc City wi11 r��t publish m�� phone or lax nwnbers �ir ctnail t�cidress withouE my authc�riz�tiun <br />and do hereby aliow thc City t� publish (check all that upply}. <br />�home telephone nusn�icr <br />�_�vurk tcicp}i�ne numhcr <br />�[ome ern�,il address <br />��vork e - d . <br />'� % .� - � .� � c-� �% <br />S�gna re uf ppiicant ~ Uate c�f' A}�plication <br />I Z�'(t��JrciI�NllfflR . I f,�,lic rrU�ni UV l 1+0 <br />