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� <br />r <br />� <br />Te�arsaes wrr� - tia�t �r �ll �t in�'vrtrm.r�o �►�p �rou �r� �d � psvxulc iF �1�64d �y 5�r Vw es ci1�Cr priva� <br />or confidential. Private data is informationthat generally cannotbe given to the public but can be given to the subject of <br />the c�. Coi�fidential cl�ta is infotmation that generally c�nac� be given to either the public �the subject of 1he data. <br />Ple�se state your reasons forw�nd�g � serveo� the Co�od��mml�� R� <br />(Please be as speciftc �possible - use additional sheet if necessary) <br />Other Comments: (Includeany further informatio�: you would like the Cily C�.u'�i1to consider or <br />thaty oufeel is releva�at to the appointment you are seeking. Yai may also attach other materials you <br />The City of Roseville is collectingthe information to determine qualificationsto serve on a Citizen Advisory Commission. <br />You are not legally required to provide this information, Haw�s, if you do not supply the inforroation, you may not serve <br />on a Citizen Advisory Commission. <br />Otherpersons �entities authorizedby lawto receivethis informationare City Council m�mbers, sraff', �ic�-�tsof <br />Roseville and interested others. <br />i„� <br />. This application is public infanation. <br />. I will be invited to an interview by the City Council that maybe audio or video ta�d. <br />* '�hi� �li � �� b� ��pubii� mieetin� <br />���_� �x <br />Ap�lir,.aQrt Date afApplication <br />t�mm� <br />�� <br />