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Please state your t�eesoils for wanting to serve on the Commissiot►/Committee/T'astc Force: <br />(Please be as specific as possible - use additional sheet if necessa►ti) <br />S�-e n.�,t�-� �,1, r� c� <br />�Vhat is your view of the, role of this Commission/Committee/Task Force? <br />....,».. <br />_S-e,e.. S ,��.,�- 1 �-� c%� _. __.�. <br />_ �.. - �/ ____,. <br />Other Comments: (Include any fi�rlhe�- inforntatiart yuu would like the City Council to consider 0� <br />tftat you feel is relevant to the appointment you ut'2 seeking. You may also attaeh other materials you <br />would like the Council to consider.) <br />--_�-.-=�-��--,.. �___ r,...b�-r.��,� � __..._.._._�._---._......__�___._.._...____---__.--....__.._._..__�_._�. <br />"I'ennessen� Warning • Some or all th� 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 bc given to the public but can be given to the subject of <br />tlte data. Confidential data is information that generally cannot be given to either the public or the subject of the data. <br />�I�fte C'icy of Roseville is collecting the information to determine qualifications to sen�e on a Citizen Advisory Commission. <br />You are not legally required to provide this information. t�U�vever, if you do not supply the information, you may not serve <br />on a Citizen Advisory Commission. <br />Other persons or entilies authorized by law to receive this Information are City Council members, staff. resictents of <br />Itose�•iUe and intcrestcd 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 a licarion may be discussed at a public meeting. <br />��w. ��-"'� l �`! �� �_ /�? � � � ..�. <br />Signature of Applicant Date of Application <br />