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Please state your reasons for wanting to serve on the Commission/Committee/Task Force: <br />(Please be as specific aspossible - use additionalsheet f necessary) <br />. �' _ � ��.� ����� r�� � S � � <br />� � � � � � � � �� ��` a''� ' ��+��,�.�` <br />�� � T' �'►�" � V� i � �k � � �T � � � � � #�`'� +� � <br />_ ���' �r� ��� � �� � ���� �� �4l.��{ ��� <br />� 1 ��� � i � � 1 � _. � �� � � o � 1 3--a�� <br />�� � d � ��i � Y� � ir' � � i � �''� .1 '�� '-M � * � � `"� � � . � ' . <br />- ��. �xL� _�—� �._'-'��'�#��1 �*'��'� 4i ��$� �+��� � � ���� <br />;.*- �'+� . �4i � �.� ��� � � +�. � +�' � � Y � � G +� � . *� +��� �S � .� � � <br />�� $- ''� T �. � [+� � � �L � }-'4 ,•-"� � � + � � ; � ��t�� J �� � �' ��y <br />What is your view of the role of this Commission/CommitteelTask Force? <br />-� � � ,ro 1 e � � -}-4 z � .� �a � ; � �� � l�,� �� <br />_'��`� � ���•� ��� � � +� � �+ � �,� � � � + � �', i 9 -I—� � � � l�� � <br />_�'��Y �'+�� 4�+ #} �e�y� �' �� ��. y � � r--* "� � � � +—�� �— <br />1�� •--c � d� � � � � � � � : � � '�' � � � '--� "'k � � � a� i�1 <br />t � � � �� �_ S : ���� i_ � ,� �� �7` yr � +� � � � } � �'��.T` <br />�� 1,+ � +�'-ti ���`� � � � � � � � � � �� _��+-��i � � �4 � '-� + i `-'� <br />1�'' � �. � � ' `� � ,T � � � � � �y� � � 1 � � � �# � `i �� � �]� � � ��� �� �'J <br />�1h�r �o�nrneo�: �rfr��� a�rk �irt�r�r infomationyou would like ��� d'2t}� �:�u���� �v ���.sriier or �� � <br />that youf eel is relevant to the appoiratment you are seeking, You may also attach other materials you� ��� <br />would like the Council to consider.) ���+� <br />� � � � � �D j i C_. �,� (/tS �-- ti, � ��� �f � �_������� � <br />� � �"�1 G-�� r � � � � 'r'L .� ! I �"4 � �'rTr '� �_�'� G%/ � � <br />�� +��_�r1 E 5i a��'��� I��t � ���� G f t'y l h C� tLs �"� 11r2 <br />� `'�'� 1�` I � �� � � � �� '�—�J �� y,,.,} #� a�i �� �"4 * � � � <br />� �ti <br />1.+��1 I t =��-''4 ��' � ��` ���� ���,._y 0 _ �2f y s-�� � �' � <br />�� � rfi i ��'4r� �� ,.�--ti � � �J`� � ..��,,,� �.� z--� �--�•...�� � k � �'� �� <br />-� � �� +-� � �'� `w, � 4 t � ,..� � � � �� � � � � ��� � �'� +�``� +� � F, �J � <br />Tevnes�ea�Y���La� -�ome ckr aLl C}se irtf�rrrrrti�i� ��p �r� a�ke¢ �p pr�ti�r� is Cl�;i�osi by �k�4r iawaa ���r �al� �,f'�� � <br />�r ��nf��ki�L. �riYeit dat� i� infarrnatior� that gtncrallti� c�nn�t �t �sucn t� drt pu�Lic hUS �a,� a� g�,ren i❑ d�e subfe� � ��[ .�. . <br />the data. Confidentialdata is informationthat generally cannotbe given to either the public or the subject of the data. � <br />The City ofRosevilleis collectingthe informationto determine qualificationsto serve on a CitizenAdvisory Commissio� i�� <br />You are not legally required to provide this information. However, if you do not supply the mformation, you may not �" �"`' <br />serve on a CirizenAdvisory Commission. ti�'�S <br />Otherpersons or entiries authorizedby law to receive this information are City Council members, staff, residents of <br />Roseville and interested others. <br />I understand: <br />t This application is public information. <br />t 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 />�� <br />-- � � � � � <br />Si e ofApplicant t� �yf }4pplic�j�r� <br />Corrunission application.doc Rev OS/23/02 <br />