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� f.�AR 1� �� <br />ww�n�, �i, r�71 a, rr�, y� <br />City of Roseville f 2660 Civic Center Drive • Rvsevitle MN 55113 <br />Phone: 651.4902206 • F�,x: fi51.490.2276 <br />Application for Citizen Advisory Commission <br />Please check commission applyin�'or: <br />❑ Ethics Commission <br />❑ Grass Lakes W ater Management Organization <br />❑ Human Rights Commission <br />❑ Park and Recreation Commission <br />y� Planning Commission <br />❑ Police Civil Service Commission <br />❑ CommunityCommitteelTask Force(narne) <br />Student ❑ No <br />Name:� �t +� !�� ���� �— Applicant ❑ Yes, Grade <br />ILdd <br />� ��� <br />�i��#e��p: s�� y. � �� + ,�� , �, ,_� ��� ��id�n� �� `� ��ars <br />'7'�phnne: (HOmc] �� �' � '����� �'� �� ,�� �'�`��k� �.� �- ��� � ��'�Y � <br />4�ms�: � �'r � ��. �*-� G4 �r'Flrf �'c*��� H�z3� ��� ��'� ? � �� - �� � '� �� <br />Work Experience: � - <br />_ . — . -- — -- -- -- .-� -�---- . .. - - <br />d' <br />- � --- - � � � �` . . <br />-- -- -- •-- ----• -•- •- - - •• - ----• - � -�—•• - - -- <br />_N_�uc���n� _ ..-- �-- _---�� - - -- � - --- -- � -� — --._ -- --� <br />Civic and Volunteer Activities: (Pastand <br />. <br />