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Please state your reasons for wanting to serve on the Commission/Committee/Task Force: (Please be,a's s1�� as possible - use additional sheet if necessary) What is our view of the role of this Commission/Committee/Task-Force? < < , v-� v ' r S Y ` ` `�/.(�: ,^ � r v �. e�` _ � o ` ` ► � Y'.� 0 : � _ � � S � � c ,� � ' �r r ".o S , , � � ,L , , - /�-t � Other Comments: (Include any further information you would like the City Council to consid r o� � that you feel is relevant to the appointment you are seeking. You may also attach other materials you would like the Council to consider. , u r` �.�, c� r.S � lv V r- `r/ 1 `�... ° er , orn �, �, � � �, i . � � - °-�►� ((,c t' � � l' i" % Gt '�_ �� S' ,, / , :p ' , .._ _ �{ � /'l, �� ' ` �t 1/ �/ ' /` V � ' �•� ! �1 �r r � : � � .o �. , ,- �e /Q 7�.e Tennessen Warning = Some orall the information that you are asked to provide is classifie by State law as eith private ,/ or confidential. Private data is information thaf generally cannot be given to the public but can be given to the subject of ��'�"'� the data. Confidential data is informarion that generally cannot be given to either the public or the subject of the data. �`��j,t3 The City of Roseville is collecting the information to determine qiialifications to serve on a Citizen z�dvisory Commission. �o»��R-�si You are not legally required to provide this information. Howevec, if you do not supply the information, you may not �S f�'►� serve on a Citizen Advisory Commission. ��Q� � Other persons or entities authorized by law to receive this information are City Council members, staff, residents of ��'�- Roseville and interested others. [�� ��t1/`CJl/Jc�-tc �r- tlt�,�-- I understand: ��'�.� � � . This application is public information. . I will be invited to aninterview by the City Council that may be audio or video taped. . This a plication ma be discussed at a public meeting. _ �� �� ature of Applicant _ e of A pl�cation Commission app�ication.doc Rev 07/30/02