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��-92ca <br />��:������ <br />www.ci.roseville.mn.us <br />City of Roseville . 2660 Civic Center Drive . Roseville MN 55113 <br />Phone: 6 51.490.2206 . Fax: 6 5 1.490.2276 <br />Application for Citizen Advisory Commission <br />Please check commission applyingfor: <br />❑ Grass Lakes Water Management Organization <br />❑Human Rights Commission <br />❑ �ark and Recreation Commission <br />r9�Planning Commission <br />❑ Police Civil Service Commission <br />❑ Public Works and Transportation Commission <br />❑ Community Committee/TaskForce(name) <br />� � ! ��,, r , Student �Jll�b <br />Name :� � r� AM �. �� 1C�i�l°.. 1���M1, Applicant ❑ Yes, Grade <br />Address • Z � � `71 i�► � � 1r' ' "4' <br />. l .. Roseville �����3- <br />City/StatelZip:�OStL1+ �1E. ��?:.. .,�J���3 Resident 5 Years <br />Telephone: (Homel ���� �8y � 6 8� (Work) (9 s�• ��� �2 �J' � <br />Email: 1 S�bl <br />Work <br />Education: <br />�4�G ���.! d <br />Civic and Volunteer Activities: (Past and <br />Fag: ras�, a�s. yl/3 <br />Please state your reasons for wanting to serve on the COmmis5i0ri/COmmitteelTask Force: <br />