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I understand that information provided in this application may be distributed by the City to the public including, but not limited <br /> to, being posted on the City of Roseville website. I agree to waive any and all claims under the Minnesota Government Data <br /> Practices Act, or any other applicable state and federal law, that in any way related to the dissemination to the public of <br /> information contained in this application that would be classified as private under such laws. I understand that I may contact the <br /> responsible authority for the City of Roseville if I have any questions regarding the public or private nature of the information <br /> provided.: Yes <br /> Occasionally City staff gets requests from the media or from the public for ways to contact Commission members. The <br /> Commission roster is periodicaly made available. Please indicate which information the City may release to someone who <br /> requests it or that may be included on the Commission roster. Under MN Statute 12.601. subd. 3(b), either a telephone or <br /> electronic mail address (or both) where you can be reached must be made available to the public. Please indicate at least one <br /> phone number or one email address to be available to the public, and fill in the corresponding information in the below.: Cell <br /> Phone Number,Preferred Email Address <br /> Home Phone <br /> Work Phone <br /> Cell Phone: <br /> Preferred Email Address: <br /> I have read and understand the statements on this form, and I hereby swear or affirm that the statements on this form are true. <br /> Yes <br /> 2 <br />