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�.►�► � � <br />wwuv.ci. roseville. 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 />0 Planning Commission <br />0 Police Civil Service Commission <br />p.l Community Committee/Task Force(name) Resi'c�enfi a� e Y IPcCYC1i nq Q��so� <br />Student ,dl�lo C "''��e e <br />Name: �� Y t100 � Applicant o Yes, Grade <br />Address: ���� �. QG[�Gt SS D�U �V O' <br />�/,�/ Roseville <br />City/State/Zip: /QOS�Vi��P, /�//V ,�Si�3-a��i Resident Years <br />Telephone: (Flome) � S� - �$�,3 -� %�� (Work) <br />Email: Q ean� i u,I.JOO��Q n'1Si'� . COC!'1 Fax: �/S /-'�8'� -D�D %� <br />Education: %� A - <br />Civic and Volunteer Activities: (Past and Present) <br />�r.cr�en��u On -�"%�P P_kPcu_�iv� ,�'�OQ►� D� 7� P_ �.Ct�e <br />!�I/ '� I "��� .� . .I �i . .. • - -. �� r�i�r <br />Ir • � • _•. i' � • � •�( s� �it_' � <br />• I � I • / • � <br />