Laserfiche WebLink
� � �� � � � � <br />v�rww.ci.rosev�.mn.us <br />C�y of Rosevie . 2660 Civic Ceriter Drive • RoseWle MN 55113 <br />Phone: 651.430.2206 • Fax: 651.490.2276 <br />Application for Citizen Advisory Commission <br />Plvaca �)�arlr rnmmiccinn annlvina fnr• <br />� ,. ....... .......... ..............,..,,. t't, ✓..� .,.. . <br />a Ethics Commission <br />❑ Grass Lakes Water 1Vianagement Organization <br />[� Human Ri�htc ('.nmmi.ccinn <br />— ------- --a--- ------------ <br />❑ Park and Recreation Commission <br />� Planning Commission <br />❑ Police Civil Service Commission <br />❑ Community Committee/Task Force(name) <br />Student C� No <br />Name: `'`�y ��`�- Applicant ❑ Yes, Grade <br />Address. `�6y l��oy��-� v��✓E <br />Roseville <br />City/StatelZip: �s�i�t.�; /�+1/ 33ii3 Resident 'z�" Years <br />Telephone: (Home) 6S� � �85` �3�� (Work) 6Si- 605�- /oa,2 <br />Work Experience: <br />!�, s�tr�Gn <br />���_� � <br />G'�i�r �iu�P �� <br />Fax: <br />�ip� � �{urn.�,z� � <br />�n�; �c� ��!� <br />�o-✓ �'�a� �r • �� r <br />�'10�t�r/� Gx fli �h2 �'�uifian� v v � <br />Education: <br />`iw i <br />ZG <br />Civic and Volunteer Activities: <br />vY � <br />and <br />1�b1/11/ // �� /� /I//NN/</.fT . <br />�w... i-rri i.�.....K-y.w <br />G�i�l�Gi'�i� � ��f. �diN�� <br />L� � � <br />� <br />,1�� : � r,�' -�i� �i�i�ca - �ra� �1� ��ie� fy �'�� ��.;-� �, Sf .,/�vs� <br />4i �i� �� ��� . �� �tl��a� ��r� ,�?�i���- ��CGi 1����1/�e , <br />��� A i u i / �/iIA� A/f //A/! /Z/���1� /%/�7A/i -fli�/7 <br />y iv.... iur �- ivviw.-V .�. .� r�... <br />