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2002_0617_packet
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2002_0617_packet
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«�� <br />� ' �a �, Y, <br />�r��4�b� �.,f;� � , .. � � . , <br />��� <br />www.ci.roseville.mn.us <br />City of ROS@Vllle • 2660 Civic CSr1t� Drive . ROSevil{e MN 55113 <br />Phone: 651.490.2206 • Fax: 651.4902276 <br />Application for Citizen Advisory Commission <br />Please check commission applying.for: <br />�Ethics Commission <br />Grass Lakes Water Management Organization <br />❑ Human Rights Commission <br />❑ Park and Recreation Commission <br />�] Planning Commission <br />Cl Police Civil Service Commission <br />C.� Community Committee/Task Foree(rran:e) . <br />� Student � No <br />�Va�me:__ f-� ✓►n..�„ .� �'t �w �,-__._..._..._____.._.�.........,.._Applicant ❑ Y e s, G r a d e <br />Addresf?? � S�+'1 fJr`��G�9�- ��- . <br />/� � I l Y�'a ti 5 S//R3 Roseville � <br />City/State/Zip:. °��� �� e s i d e n t 3 Years <br />Telephone: (Home) � � S � � � 3 � �- � I S � _ (Work) i � � °� � 3 3 % "' � y/ O _ <br />Email� �,'�, ���� r � a I� G�.J • Co�� Fax• lo �� 3�3 % S/S/ <br />-- •�--- <br />Work Experience: ,.._..._..�3�_._.L�`��.�r�__ �cX�`r �1w c/,___._._...._ ...,......._.., --....w..., �....�..._,,..,.,.__w.. <br />,�Education'_._. W.�.�.._..._�...,---l-t" C Ct � � /�c_.i7�f• cltn �I .. _ ._..... __.,..�_.., .... .. .......,�._ ....... .......� <br />Civic and Volunteer Activities: (Fast and Present) .�.� t�s u ��_ �_�� E� <br />
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