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� , � �i �r�.+ �leas� st�t� y�ur r�asoo� ��r,,r�ptir�� to s�r�� n th� �'�mm�sxi�nfC'�mmi�itf�{F'�s?c �or�: �f ��c� �� ,r .s�T��r_ a.� �xssi�a�e - use ud�t��a,�err� s��e1 �ri��ssr�� ��r_ o .� �� '�i��r'#� � �� _ � �.� � �� �� ;�� ►�es�_��` �?�� t ��;�' ��._.#�. _ ��r � i � � �� ` � � v� � + �� o� ;� � � � .�� `� � � �5 �r� � � �� .�� _.. � �� l�`�� _ � ��_ �� - �'►�'�at i� }�our ��w af th� r�le �� hi� ��rrtimis��mrnittee�'a�� F4r�e� .� . — ---- — �— �,��'� If� 7�i� �o,.vti,�, i5��.r'� �,�� ,n � �r��f�'1��i --� �_ � {�� a � �� . �� . �� +-� _.�� �r £-�D � I �� .�� ' If dM1 i �1 � H � `�' f�, _�� r��~��...�� r~�� _ ��. Other Comments: (Includeanyfurther information you would like the City Council to consider or thatyoufeel is relevant to the appointmentyou are seeking. You may also atiach other mate�•ials yozr would like the Council to consider. ) Tennessen Warning - Some or all the information that you are asked to provide is classified by State law as eitherprivate or confidential. Private data is information that generally cannot be given to the public but can be given to the subject of the data. Confidential data is information that generally cannot be given to either the public ar the subj ect of the data. The City of Roseville is collecting the information to determine qualifications to serve on a Citi�eri Advisory Commission. You are not legally required to provide this information. However, if you do not supply the information, you may not serve on a Citizen Advisory Commission. Other persons or entities authorized by law to receive this information are City Council members, staff, residents of Roseville and interested others. I understand: • This application is public information. • I will be invited to an interviewby the City Council that may be audio or video taped. • This application may be discussed at a public meeting. ��.� . �ip7�tur� of�� ani D te o Application.... ._ Commissionapplication_doc Rev05/23/02