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V� `NOV_15-2001 14:23 HENNEPIN CO CIVIL 612 348 8299 P.03i09 <br />Ple�se stsite your reasons for wanting to serve oa the CotmmissioulCommitteelTaek Force: <br />/Ptnneo 1►, ec .cnvr.ific ets ne.ss[ble - 71St a�ltiOtiUl SftCC't if116C�uary) <br />� yoar vicw o� the role oi thia Commissiaa/Committe�f!'aalc Force? _ <br />i.s is .Q 1���I[G1[.T tJ S?lr�d.% � S�' t.1lw� .�f! �t/"+ <br />y'�/�ezf r�di�/�iJ'�, �,, �T G�r e.r ��ti+ �. ��fc.,�+�- �/��r�`I <br />Other Comments: (IMclude nrry firr�her mfar a o� n y�u wo�r7x t�te �'�Cr�r+� to c�+s��r ar <br />that you feells relevm�et co rhe appointrnentyou crre se�kfng. You ma}a also pnach other m�erials you <br />would like !he Countil b consld�n) _ �� <br />�. — - - — — <br />Tc�nessen WArt�ing - Some Or dl1 the iefarm2►tion that you at'e asked to prOVide is classi6ed by Stnte law es either private <br />pr wnfidential. Pri�ate data is in�orntation thAt generally caanot be given to the public but can be given to the subject of <br />�he ddta. Confiden[io1 daTa iS filfarmliion tttAt gcnerally caMot be given to either �he pt,blie or the subjeet of the data_ <br />The Giry of Rosevi!!e is collecting the i�farmacion to detarmint quali�icAtior� ro serve on s Citizen Advisory Comml9�ian. <br />You arc ndt ie�aliy required to provide this infarmation. However, if yon dv nat supply the inforrae�ion, you may not <br />serve on a Citiun Advuory Comrniseion, <br />Other petsons or er�titits au�horized by law co rcceivc this informatian ace City Council members, staff, residen�s of <br />Roseville and interestat othrr6. <br />I undezstand: <br />� ihis applica�on is public infomzarion. <br />• T will be invit�cl to an interview by the City Council that may be audio or video tape�. <br />• This applieation may be discnssed at a public meeting. <br />of Applicam <br />Cotrunissia� eppficatlon.doo Ttov IO�OS�DI <br />- ��a ! <br />DaUe oiAppiicarian <br />TaiAL P,03 <br />