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�j�`lL r Jl1.J�� <br />�v�v�ti�.ci.roseville.inn.us <br />City of Roseville . 2660 Civic Center Drive . Roseville MN 55 113 <br />Phone: 6S 1.490.2206 . Fax: 6S 1.490.2276 <br />�t�OU 1 2002 <br />Application for Citizen Advisory Commission <br />Please check commission applying for: <br />o Grass Lakes Water Management Organization <br />� Human Rights Commission <br />o Park and Recreation Commission <br />0 Planning Commission <br />0 Police Civil Service Commission <br />o Public Works and Transportation Commission <br />o Community Committee/Task Fot'Ce(name) <br />f•� �, � Student �o <br />� � <br />Name. �\•� �� c� i: �' t%� r- �- ;�.n �� r� Applicant o Yes, Grade <br />Address: _� % %�'`l� �� ���� k'.5' �c� i� �� <br />r '? �r_,,. Roseville <br />City/State/Zip: �� L" S E' i" i��t� �; %�%� J�) % 3 Resident c-' �� Years <br />Telephone: (Home) lr."..�% " �� �/S ` �j`�/ 3 �' (Work) i'�%'��,�� <br />l�; � <br />Email: ���'!� f'�"� �� %� �'-�' ��t �� � � � Cc�i�� Fax: <br />Work <br />�� <br />,�•- � � t � i�'. <br />y'✓ 7�✓� �1.� % <br />'i� <br />i� <br />'z f�� �� <br />.S �° � <br />� .S�%'i�'l �� <br />Education: r> �, •• �-�. i��:,�,;.� r'/ nr'� ' �,��� rr' c7 J f. Gr'�v ✓_�'_ 9 <br />Civic and Volunteer Activities: (Past and <br />iL! <br />C; <br />� �, .� t C. <br />�._ <br />� <br />�,.,,z�, r-�-f s= <br />%L.' ��!"i'��F/t' /��/�"C /�/� T (C:' i/t+c`c. _ �A;j�j ' <br />.J /�•Lf G� �.j�' h'/ /Y1 C �i' <br />/�i/ %i,''N C�hr/�.!�%T �� �,� L�ff G�..1 �c�<;';Vc"/G ` / r:'r::�,�, i'�•l i�j/�'/F %'. <br />