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Please state your reasons for wanting to serve on the Commission/Committeelfask Force: <br />(Please ber�specifi'c aspossible - use additionalsheet f necessary) <br />�- � - �------ -- - �--�.. .. -- — --- � - - � --� --- - - - � . <br />� ---.._ .. _.._ <br />•- - •-- ---- • ry -- - - -- - --• - <br />��t ia �r �i�'� �� 1� r�lE ofilhi� ��mm" �P�1€ Fpree? <br />- . - . . r .. .__ . . .._. _. <br />. . .. .—_ ..—..--•-- - . . . . ��... _ .. . ..-- -� - ------------- <br />� <br />� <br />___..._' _'___ '_'T __... _. .: _.�._ <br />� .. . . . ���'�� � . . <br />�.� � ��..�� � .a��� � � <br />� <br />�.. <br />� --__ _air a z T <br />Other Comments: (Includeaity fi�rther i� forntationyou would like the City Counczlto consideror <br />thcrt,yattfeel is relevant to the app�ntnzent you are seeking. Yo:� may also attach other materials you <br />x�ould like the Counc�llto co�rsider.) , -- - - -__. - . - - • -- - . ___ <br />'fennessen Warning - Some or all the information that you are asked to provide is classifiedby State law as eitherprivate <br />or confidential. Private data is informationthat generally cannot bc given to the public but can be given to the subjectof <br />the data. Con�dential data is informationthatgenerally cannotbc given to eitherthe public or the subjectof the data. <br />The City of Roseville is collecting the information to determine qualifications to servc 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 scrve <br />on a Citizen Advisory Commission. <br />Other persons or entities authorized by law to receive this information are City Council members. stafE, residents of <br />Roseville and interested others. <br />I understand: <br />; This application is public information. <br />•[ wil I --��d to an interview by the City Cqiuncil that may be audio or video taped. <br />+ epFlir� ma}� �c ' trsscd � a p+ubi' .m�tio& , <br />_--- � � � r� - -• -- • - � � � � � <br />,� �i��rrr� �f A�l���r Date ofApplication <br />. <br />