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� 13uubdi nt ou G �rom: support@ci�icplus.com Sent: Saturday, January 09, 2010 9:54 AM io: Carolyn Curti; IVlargaret �riscoll Sub�ect: Onitne Farm Submittal: Commission Applicatian The following form was submitted via yaur website: Commission Application Please check commission applying for; Grass Lake Wa�er Management Organization If other, plaase list name: Name:: Jeff Bo1dt Iadclress:: 1900 Lexington Ave N. #9 City, State, Zip; Rosevi�le, MT� 55113 Work Experience: 5tate of Mialnesota 1992 -- present Education:: HS Diploma - St.Paul; Mn. Col�ege credits - St.Pau� Col�ege, Century College. Civic and Volunteer Activities {Past and Present):: City of Roseville HRA 20fl2-20p3 3M PGA Golf tournament volunteer 2002 - 2008 WCHA Men's Hockey tourn�ment hospitality commi�tee member 2044 -2009. State of Minneso�a vo�unteer: Health/rnlellness committee memb�r; purchasing contracts team member for printing/copier contracts and state conference policy developm�nt. Please state your reasons �or warlting tio serve on t�ie Commission/Cammi�tee/Tas}t Force:: Be an involved' community merr�er and strong interest �.n parks and water area� of RaseviZle anc3 surrouding areas. Learn more in this area and help wzth any knowledge and skills that I mavb� able �o affer. What is your vzew of the role of this Cornmission/ Caminittee/T�sk Force?: S�orrrt water management within this area and city of Raseville; how it affects �he environment and prop�rties. An}r further information you would like the City Cour�cil to consider or that you feel i� relevant to �he appointment you are seeking.: I understand that alI information provid:ed in this application, eXCept my telephone number, fax number and email address, may be distributed by the C'ity ta the public includa�ng, but not limited to, be.inc� posted on the City of Rosevill� website, I agree to waive any and a11 claims under the Minnesota Govern�nent Data Fractices Act, or any other ap]�iicable state anc3 fedEral latN, that in any way related to tYie dissemination to the public of a.nformatzon contain�d in this application that woulc� be classified as private under such laws. I understand tha� T may contact the resppnsible authority for the City o£ Roseville if i I-r.ave aray questians regarding the public or private nature of the znformaCion provided.: Yes 3 understand that the CiGy will not publi5h my phone or fax numbers or email address without my authorization and do hereby allow the City to publish (check alT that apply}.: Home t�lephone number,Work telephone numbez,H.ome email address,Wo�'k email address Daytime Pl�one: 651-259-3677 (w) Ever.ing Phone: 651-484-3813 (h) Ce�l Phone: Home Phone (if ditf�rent}: 1