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Please <br />0 <br />0 <br />0 <br />0 <br />0 <br />;. <br />��.� �� , � l..[l.,li.J <br />www.ci.rosevilie. n.us <br />City ofRoseville e 2660 Civic Center Drive . Roscville MN 55113 <br />Phonr: 651.490.2206 • Fax: 651.49U.2276 <br />Application for Citizen Advisory Commission <br />check commission apply_ing for: �� <br />Ethics Commission -- % <br />Grass Lakes Water Management Organizatia J�eC`/ C(( h <br />Human Rights Commission r ,�i� <br />Park and Recreation Commission e��t�c7�5 5 � c'��t <br />Plaaning Commission <br />Police Civil Service Commission <br />Community Task Force (�lajne) --� <br />.� � -- r <br />Student � No � <br />Name: ��` �/7f�� �> t= i�!- ��� '� Applicant O Yes, Grade <br />, � <br />' % <br />Address • ,'' t� ) (�'�-' ��/]` L f' - _� `'" /%� i � � <br />r <br />,�/ � Roseville / <br />City/State/Zip. i�. C �.l �' a , � � �( -F E�'� �`� ��% % Resident � Il � Years <br />/ -, (rf �- �.: ` J�-� �' ✓ " �'.%� �,�.7;' ? � r , f � C1 - ;7_' �,Cl' <br />Tetephone: (Home} �1� i � (Work) <br />Email: r.i' ��t f !�'f'_I �!,J.�-"r�r j�ILI� 'ct �� r � lFax: � _�2 f � i ° rA%1 �� —/?�r` `�' <br />Work E eriencE <br />���-c� .` ll� <br />�� <br />' rl��,�� � .�-. � ��,�� 7� ,'��.�i � �r'C � <br />Educadon: f�� �, J rl�jrf' �'�,., ._- �; v�/ <br />, =-7 <br />Civic and Volunteer Activities: (Past a,ad <br />,,r ._.r .. . . . <br />