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N�iU-14-2r�2 9a:65 UofM YRP <br />612 627 6819 P.01i0� <br />�����=�:� <br />Nov 1.4 ��o? <br />www.ci.r,n4eviJ[e.mn.us <br />Ciry of Rosevil1e.2660 Civic Ccnt�r Drive . Rosevillc MN 55113 <br />P3►one: 651.4902206 . Fax 6 S 1.4902276 <br />Application for Citizen Advisory Commission <br />Please check co»r»iission applyingfar: <br />� �rass Lakes Water Management Organization <br />� Hu.m�n Rights Commission <br />Cl Park and Recreation Commission • <br />Cl �'la�nning Commission <br />Cl Police Civil Service Commission <br />QI Public Works and Transportation Commission <br />❑ Com�munity Committee/Task Forc.c(name) <br />-;� r Student �No <br />Name:___ T� �r,`_�- � al �'t % _h i c�Cl,.. Applir�tdt � Yes, Gra.de <br />Addres�s• %7� � 1--�- ��a� �. ����. - <br />�,^ Roseville <br />City/State/�ip: �oS�v+��je, M� ,5 S � j� __ Resident � 1'e�`+/rs <br />' ( I.7 " � �Z � � � �a�- }� O *%v�-i <br />Telepb�oae: (Home} �� 1 -� 6_ �f5 _� � �'f �.. (Work) � � z - a �a - � �=�f' �� �a�2�.- <br />Email: r'� �5 G�'1 i�ai a�!h e.��-►'�l Qi��• GO_�^t. FaX: <br />Work lExperience:�/7 ��b( -T <br />���9 9 ' �'/.20-0/ - F_�rrle�qeKc <br />6/�9qG ~ r�/��99 - �i�-ea�G <br />G�iLi� <br />; �s- - Ll o-,�`/•' <br />��%�.7 <br />r/� : .. /r"x Cr •t/1�' 1 <br />'^p'S - �. �i� �E�z <br />g�.z - �Q�-� ` '- � <br />Cl' L CS� /--i �rp C �r r �V,.,IM/� L I i� � <br />/ � � • a ov :.ti O r � o � ^- CYi.�"✓t- �ci �o "1�,,( , l <br />Ti``i,...a+:.,.,. <br />�1' V <br />t,• i�' ,�/ <br />��'�G _' �r� <br />Please state your reASOns for wanting to serve on the CommissionlComrn�►ttee/Task I'orce: <br />�-l� � << <br />1 /j _ `�� <br />atGC-�h.-T <br />