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�..►� <br />www.ci. roseville.mn.us <br />City of Roseville . 2660 Civic Center Drive . Roseville MN 55113 <br />Phone: 651.490.2206 . Fax: 651.490.2276 <br />Application for Citizen Advisory Commission <br />Please check commission applying for. <br />o Ethics Commission <br />o Grass Lakes Water Management Organization <br />o Human Rights Commission <br />o Park and Recreation Commission <br />0 Planning Commission <br />0 Police Civil Service Commission , <br />� Community Committee/Task Force(name) � � { � �'�1tia.-� ��5-�- � � <br />���y -K� Q�- <br />I Student �(No - <br />Name: �d� � t�, ��V'�' a �'� Applicant o Yes, Grade <br />Address: �'---� � � Q ��1 k.J-� � � ,��. <br />Rosevilte 3 r� .� �. �; <br />City/State/Zip: � ° � � � � � I e , � �1 �-`� � ! � Resident Years <br />Telephone: (Home)�St -' � 1 � " ° � � % (Work) <br />Email: �v- �ci �,�''S C 1 � , . L+ � � Fax: <br />Education: <br />� � ��� ��-«-e-9 �= � �,.�p � n ��1 �+; ��-� .5�� e�c� <br />Civic and Volunteer Activities: <br />/J � S fi � r�n. � 1f <br />� l� �i— y � � <br />� <br />.�. � <br />�'ast and Present) <br />� � � .� v-. > �. <br />�� � a �w+. <br />�"! 7�t K �. aJ't K. i �r �S �° `�,.�' S3� � �, � <br />�a�,,.�; 3S,`o <br />