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���-- . ��� � . 4, ;� _ <br />. ���� <br />` .:� <br />w4vw. ci. roseville. mn. us <br />City ofi Roseville o 2660 Civic Center Drive • Roseville MN 55113 <br />Phone: 65'1.792.7001 o Fax: 651.792.703� <br />1 � '.� • �' " : ! � � • � � �: : � � f. <br />Please check commission reapplying for: <br />❑ Ethics Commission <br />❑ Human Rights Commission <br />Park and Recreation Commission <br />� Planning Commission <br />❑ Police Civil Service Commission <br />❑ Public Works, Environmental and Transportation Commission <br />Name: ��%� fJ�,� (� , ����%� � <br />� _ <br />City/State/Zip:�'�. L�s7- ��,� .�' L� /� �U f lL� •f/iv <br />., <br />Education Ex <br />� �,,� � . . _ _ - <br />Civic and Voiunteer Activities: <br />i i i ' � ar �.r <br />.� rl � t f' �_ � 1 �c <br />w � - <br />-- --... - - --- '�— . _ • _ i / � <br />-- . _ _ _ _ <br />+� / � . i i <br />G i � �• L <br />PIease s#ate your reasons for wanting to coutinue to serve on the Commission: <br />(Be as specific as possible - use additional sheet if necessary) <br />.J <br />,� ��� ,�-%�%�� -ri' �",�_��� <br />� <br />