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Please state your reasons for vu�r�rr� to serve on the Commission/Committee/"Task Force: <br />(Please be as spec�c aspossible - use additional sheet if necessaty) <br />� <br />�.��� <br />� �����r +�� �t �� �r ����'� �+ � r � �� �r�- ��� r�� <br />Vri'h�� i� ��ur �v �t� m1e ��this ��mmieaioml��mm�ttea�.`ask F�r�� <br />� �����= ��� ��� ��� � �. � ���5 �r�� �� f_ ��r� _ <br />_._ _ r�'�rt ���� � �,���, �� �'r-� ������ <br />��...'��±� ���r n .�� �� ���v� r �'� � ��� � r <br />Other Comments: (Includeanyfurther infarmationyou would kke the City Councilto consid� or <br />thatyoufeel is relevant to the appaintmentyou are seeking. You may also attach �her materialsyou <br />would 1i1� the Council to consider.� <br />Tennessen Warning - Some or all the information that you are asked to provide is classified by State ]aa as either private <br />or confidential. Private data is information that generally cannotbe 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 or the subject of the data. <br />The City of Roseville is collectingthe information to determine qualifications to serve on a Citizen Advisory Commission. <br />Yau 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 v�71 be�ited to an interviewby t�r� City Council that may be audio or video taped. <br />+ Thi� �p�tp��i�ri rr,�,y,�e �i�cu�s��k�$ pt,�l�c rr� . '�Q <br />� �� � �� <br />�i wr� uf }4ppfir�rrt L� �f Agpsli,�w�n <br />