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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 />�/ f G St.. ..Lc.l S G<.�'� c� C�. <br />�Vhat is your view of the role of this Commission/Committee/Task Force? <br />�l e�.x .�e.�. .,�=f�.�.�-�..,c- r,� c.�.v c� � <br />Other Comments: (Include arcyfurther information <br />that you feel is relevant to the appointment you are <br />would like the Council to consider.) <br />you would like the City Council to consider or <br />seeking. You may also attach other materials you <br />�1-e � .� ..�c..� �' c�`� c•�a� . <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 />• This application may be discussed at a public meeting. <br />.� �1�_ <br />Signature of Applicant <br />/-�5- �oa2- <br />Date of Application <br />