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(Please be as spec�c as possible - use additional sheet if necessaty) <br />� C <br />��hat is your view of the role of this Commission/Committee/Task Force? <br />Other Comments: (Include any further ittformat�on y� would j�%¢ the City Council to consider or <br />that you feel is relevant to the appointnient you ureseeking You may also attach other materials you <br />would like the Council to consider.) : �, <br />� <br />Tennessen Warning • Some or all the information that you are asked to provide is classified by State law as either private <br />or confidential. Private data is information that generally cannot be 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 collecting the information to determine, qualifications to serve on a Citizen Advisory Commission. <br />You are not legally required to provide this information. HoweVet`,�i�'�y0u do not supply the information, you may not serve <br />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 will be invited to an interview by the City Council that may be audio or video taped. <br />• Thi application may be ' cussed at a public meeting. <br />-. <br />�� u� OZ_ <br />Si of Appl t� � Date of Application <br />Coaunissi auplication.doc Rev 07/3 <br />