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� � ��� � � � <br />www.ci.roseviife.mn.us <br />City of Roseville. 2660 Civic Center Drive. Roseville MN 55113 <br />Phone : 651.490.2206 t Fax: 651.490:2276 <br />Application for Citizen Advisory Commission <br />Please checkcammissiat applvingfo�: <br />o Ethics Commission <br />o Grass Lakes Water Management Organization <br />o Human Rights Commission <br />o Park and Recreation Commission <br />o Planning Commission <br />o Police Civil Service Commission <br />�( Public Works and Transportation Commission <br />o Community Committee/Task Force(name) <br />Student �i No <br />Name: ���� ��c� ✓y r� ��1 Applicant o Yes, Grade <br />�� � L,�. �� r� ���r��� r� .�4 �e <br />' Roseville <br />City/State�Zip : _ � ` ��� �5��3 Residen��_Years <br />Tele�h+�n �= (1-���m�} �o �� ' �D ��o ' o� � � ��rk� � � � � � �� �+� �� � <br />F�,���.���� ��� . ��� ��x: <br />�'�ric Fx���i��= � �'�c.lt��� � �r.�,� � �x����`�� �.�`,�. rc� ��i �� <br />��`��. � � � ` _� �r�r�� ��� f���a <br />� ��� ���r� � ����1�� � � �� �'. ���� ���� !'1���.. � � •�����. <br />��� �M�r-i C� ��r�r.�rvi P_ �r,.i � i4d��,-�� �����"i_ <br />��3��. i� 1��� L+�L ����� ���� �. �. ���� .— <br />�`�!'M'! � 1��i � �� 5 y+e��� �a�l � �._�� �� � _ . <br />FYdut�ti�m: _ �. � .__ �t� �+�5��7���o�,�r� � r� r ������� �`��r� <br />. .. . ��?� �i7 �d _�P i -i ,� r �+ � � S .��i� _ . . _.. <br />Civic and Volunteer Activities: (Past and <br />