Laserfiche WebLink
ii' <br />��� f . .�_._._...��.�._.f <br />NnNw.ci.roseville.mr.us <br />CiC,I ar Roseville . 2660 Civic Center Drive. Roseville MN 55113 <br />Phcne: 651 .�t9o.2206 . Fax: 651.490.2276 <br />Application for Citizen Advisory Commission <br />Plec�se ehec/t commission applvvingf�r: <br />�t Ethics Commission <br />❑ Grass Lakes Water Management Organization <br />�I Human Rights Commission <br />� Park and Recreation Commission <br />❑ Planning Commission <br />❑ Police Civil Service Commission ',` (� <br />it� Community Committee/Task Force(name).��1 eh� cti Wt�s I�-L�. U G �� m <br />� �.. Student ° No <br />`�Iame:_ �_�___ � Q _� P (` SO Y� _�_^__ Applicant ❑ �'es, Grade <br />Address:�_ l.�' � S� CZ`rJ r.5 S�__� �_ <br />` t Roseville <br />City/State/Zip: �S �-v ►I' f'_, ) S � � Resident �� Years <br />Telephone: (Home) �� � ��� � � ��J _ (�Vork) �O�J � � I � � 3�v l ____ <br />En�a;t: �� S �-� �r so � � 'int�t'n • C,o c� �ss: �n � i � � `6 � �03 <br />Work Experience: S>� cA c_h e.r� <br />Education: S e.e, �n,� �,��� <br />Civic and Volunteer Activities: (Past and <br />- ��,sF J �II <br />s�. oG s �, e�� <br />�� m rs.�=��� �a.�Ct��s_-�t�-� �, ���.� - � o r`r4. 5-�- ar G�u�� �^ <br />d� c-��s����1 �-l�t�do�� <br />�ac�ei`�w�S r`\���CiS <br />���i��� <br />