Laserfiche WebLink
� �` � %�� <br />i�� <br />www.ci. raseville. mn. us <br />City of Roseville • 2660 Civic Center Drive • Roseville MN 55113 <br />Phone: 651.434.2206 • Fax: 651.490.2276 <br />Appfication for Citizen Advisory Commission <br />Pleuse check commission applying for: <br />o Ethics Commission <br />o Grass Lakes Water Management Organizafion <br />� Human Rights Commission <br />o Park and Recreahon Commission <br />o Planni�g Commission <br />o Police Civil Service Commission <br />o Community Committee/Task Force(name) <br />Student �No <br />Name: ��s �� �� � J� c,, v� Applicant o Yes, Grade <br />Address: �- �- G � ,Ii �. � � �,�' " e� � ,�`�_ <br />Roseville � � � �-� �� S <br />City/State/Zip: �, a S-� � i�� i. � /��,�t,•=� j�� l� Resident Years <br />Telephone: (Home) � S � — � �` `� — c,�. `� � (Work) �.5�- ' � 3 � — 7 � Z d�" <br />Email• -t" o.._h.c� �2J`.S � l S� �� E'. � Fax• <br />Work Experience: <br />�-�..�-� � �..�.- i c��.- �- �� <br />.�._ <br />� X �� �-es5 �- , � -�- <br />Education: <br />� c�� <br />jQ �v— <br />� �o �m.� <br />1�� -� ,�.s� �� <br />__ � –t–_ � l �–� _C �. ��� � — G ,r� .�.�-f— �-�f�, �.. �, � l p � � <br />�,�.� � -i�-�-� �-- � =A . � -� �'Q t , --�– ; ��t S � � �c c -� . <br />� � t l..- � c <br />c �'-�! <br />��"�� `�1 . s�, <br />Civic and Volunteer Activities: (Past and � <br />--- � �. �. a�--�. c .�, � "�'��'R �- �--+ i,--� � <br />�.� c_.� <br />� �< < <f"� �� [�Ll �_` -� <br />� � � � � � <br />- � � � -e_ � : C ( -� �� � ( t <br />f��i" ��( � �" v`R "� t � S E .S'�.. '�-"{ <br />f 7 �� <br />�,�:`'t� <br />: ��,-�-s C,�. � � <br />�.�--�i.'"�L'�oa._a`i /'C . � ��. <br />�c �r���� � �� <br />t s�:��-► . `��-- `Q� <br />L...'-[. "'`i� sf c �`C � <br />�..e��-- �" � �-- r/e � v �. � G� C. ( e' 1't �d ��a�•.'-i-�.. �% <br />