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. � � �-� ` �i J=-` � � <br />� www:ct.roseville.mri.us �� � � � � "���� <br />City of Roseville . 2660 Civic Center DriV� • RoseviUe MN 55 113 <br />-`Phone: 651.490.2206. Fax: 65 1.490.2276 <br />� r, <br />Application for CYtizen A�lvisory �ommission <br />P l e as e ch e ck comrr�ission applying for.• �" ` <br />o Grass Lakes Water Management Organizati0n '" <br />�,, Human Rights Commission' <br />o Park and Recreation Commission <br />o PlanningCommission <br />o Police Civil Service Commission <br />o Public Works and Transportatioa Commission <br />o Community Committee/Task:�For.ce(name) <br />Student �No <br />Name: �'�/�, r Q.,r� v n�;�,`( Ap,plicant o Yes, Grade ! <br />Address:����,,c�,r r� � �t/2 + ., . <br />• Roseville <br />City/State/Zip: D � Resident--,���Years <br />IJ � <br />Telephone: (Home) —' (Work� /1,� �Z� ��� �Y '��� L� �� <br />� <br />Email: Fax: ' <br />Civic and Volunteer <br />� <br />� <br />