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���.��� <br />www.cti.msevil le.mn.us <br />City of RoSCVillc . 2660 Civic Center Drive . Rosevilie MN 55 1 13 <br />Phone: 651.490.2206 . Fax: 651.490.2276 <br />Application for Citizen Adviso <br />P�BRSe check commission applying for: <br />o Ethics Commission <br />o Grass Lakes Water Management O <br />o Human Rights Commission <br />o Park and Recreation Commission <br />0 Planning Commission <br />0 Police Civil Service Commission <br />� Community Task Force (name� <br />. �� C " � <br />� � <br />�o.�r�r�t5 S`. ��� <br />l Student �Io <br />Nam� �_�b�_CC � �a.� l�� f(� Applicant o Yes, Grade <br />Address: �ll �] �a-�L('('� <br />Roseville <br />Resident � Years <br />Telephone: (Home) �J 5 f �i � U� � g 5`� ( W o r k 1 (o I��%� '�S�i � <br />Email: �"� r� e�'�2 �O (� YI'���'���'l� _�l� � Fax: <br />�r <br />�� <br />r.aucanon: <br />�' <br />