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• ffR�g� <br />Please state your reasons for wanting to serve on the CommissionlCommittee/Task Force: <br />(Please be as specific aspossible - use additional sheet if necessary) <br />�'� t�� � � �: �� � <br />What is vour view of the role of this Commission/Committee/Task Force? <br />�w ` `-� � � � � �r,� � �+� ti . �� <br />f t <br />_�r ���'_ . . . — --� -- — -. .. --- <br />� <br />Other Comments: (Include anyfurther informcdion you woasld like the City Council to consider or <br />thaiyouf eel is relevant to the appointmentyou are seeking. You may also attach other materialsyou <br />would like the Council to consider.) <br />Tennessen Warning - Some or all the informationthat you are asked to provide is classified by State law as eitherprivate <br />or confidential. Private data is information that generally cannot be given to the public but can be given to the subject of <br />the data. Confidential data is information that generally cannot be given to either the public ar the subject of the data. <br />The City of Roseville is collecting the informationto determine qualifications to serve on a Citizen Advisory Commission. <br />You are not legally required to provide this information. However, if you do not supply the information, you may not <br />serve on a Citizen Advisory Commission. <br />Other persons or entities authorized by law to receive this information are City Council members, staff, residents of <br />Roseville and interested others. <br />I understand: <br />This application is public information. <br />I will be invited to an interviewby the City Council that may be audio or video taped. <br />'�hi� appG�ca � n3 �� discussed at a public meeting. <br />�{-��°�z <br />/ Signatureo App icant Date o pp icat�on <br />Commissionapplication.doc Rev 05/23/02 <br />