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Please state your reasons for wanting to serve on the Commission/Committee/Task Force: <br />(Please be as specific as possible - use additional sheet if necessary) <br />t'Y)F� e' �f�` -t/�%� S° f� �� �P55ac iGi p�yt <br />i <br />� c'r� r�� �a r � .�- <br />� L l �✓ 1� F 3° c� L S [_` !'O / �. <br />1 � ., 'n �i�f� h� ' � � �a �-,0 <br />, .�-r r'�' " :'s �� i i� /�' � a a � E �t % <br />� � .s %� `1 -� , ��+ �u�ta� /P� e o - s,�a 1 '� � .� <br />�%e . � � �c Z vi' a <br />-� ocr c fL <br />072. Q �/f� / rt o <br />What is our vie f the role of this CommissionlCommitteeiTask Force? <br />� -��� �s c�«�.ss�'�� a � fz �� �► u.� ���.h�KS ch <br />�D.`�t' �: � ��C' �'/T7 �CGt S To �/i ✓t s' /�/ r �%Ct'Y( � ✓F<S � _� �, C%Oc�.4Ct+ / <br />�t__ !��!�—c'---`'2�>��•_�_ Gt��(�_ %c'i'✓Q QS. QCZF-<-CG�.�<�rs /a ��!,�a-1I77u- <br />Other Comments: (Include anyjtr°ther i�tformation yot� would like the City Council to consider or <br />thatyou feel is relevant to the appointmentyou are seel��ng. You may also attaeh other materials you <br />would like the Cocencil to consider. ) <br />Tennessen Warning • Some or all the information that you are asked to provide is classified by State law as either private <br />or confidential. Private data is information that generally cannot be given to the public but can be given to the subject of <br />the data. Confidential data is information that generally cannot be given to either the public or the subject of the data. <br />The City of Roseville is collecting the information to determine qualifications to serve on a Citizen Advisory Commission. <br />You are not legally required to provide this information. However, if you do not supply the information, you may not serve <br />on a Citizen Advisory Commission. <br />Other persons or entities authorized by law to receive this information are City Council members, staff, residents of <br />Roseville and interested others. <br />I understand: <br />• This application is public information. <br />• I will be invited to an interview by the City Council that may be audio or video taped. <br />p This application may be discussed at a public meeting. <br />. � <br />�.._ /; � , <br />6 j r :, �a_. %�'.ILL-,� ?�'_ � ! �.. r � O C`i,�Z.,� <br />Si�at�ir� �of Applicant ,�' Date of Application <br />