Laserfiche WebLink
� �� � � <br />www.ci.roseviife.mn. us <br />City of Roseville •2660 Civic Center Drive . Roseville MN 55113 <br />Phone: 651.490.22Q6 • 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)�?���.�c��,,�`f �(,��r� -�' /�( � <br />�-- � <br />� / Student �Io <br />Name:�_ � l�!/M� S Applicant o Yes, Grade <br />Address: � �j �' �c,,-�-� �� ,�� /Z <br />__ __ Roseville ��7- �z �� �- P�� <br />City/State/Zip: �cc�;`�� Resident z� + Years <br />Telephone: (Home) � j� - ��� �% � (Work) �-- Sc �-,- �----• <br />Email: <br />Fax: <br />`��ork Experience: �„ ��_��1� w,�� le!f/� G _ _ <br />Education° ��-�� -� / s.s 7.s-�-� _ __.. <br />Civic and Volunteer Activities: (Past and <br />/Yph� � �� uf <br />