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� � ��� "t 1 «'"� <br />��►- <br />www.ci. roseviile. 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 />o Planning Commission <br />o Police Civil Service Commission <br />o Community Committee/Task Foree(nume) Re„c(rN{r,¢/ �qsfr ,a,crf �cu.,�K i�l�,s,.�-y <br />�� Student o No ��'�� �e <br />N a m e: � o NS��vice %/'� •� ri a/ Applicant o Yes, Grade <br />Address: c.7oaS- ��_�c i/-1 y fo,c) �f UC <br />v <br />Roseville i <br />City/State/Zip: �0,,5�, �i� /% /%�/(% S5%/ 3 R e s i d e n t �/� Y e a r s <br />Telephone: (Home) �S / - �/� 7 � o (o �j (Work) <br />Email: <br />Fax: <br />i � <br />1 .. � : l . . . <br />�• . � . �r .: L - . . ,. , e.. , . , . <br />• • � �as�. : �. ... , - <br />Education: <br />/3S G�'ia�,i�ur� (��� it �� iFrc �s � c Sc_ � e�-�c� J Clti � v. �� i(1i��,��„C' ���� �a f�,� <br />�n �; , , , - :. � , . <br />Civic and Volunteer Activities: (Past and Present) <br />_� c `i�'l r 1U r,�- � cF��� <br />