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<br />e <br /> <br />e <br /> <br />CITY OF LA PORTE <br /> <br />APPLICATION FOR CITY BOARDS / COMMISSIONS <br /> <br />NOTE: <br /> <br />As an applicant for a City Board or Conunission, your name, address and phone <br />number will be available to the press and the public. All other information will remain <br />confidential. You will be contacted before any action is taken on your appointment. <br />Incumbents whose terms expire are automatically considered for reappointment, upon <br />request. A member who is absent for more than 25 % of called meetings, for other than <br />medical reasons, will be subject to removal by City Council. Final decisions on <br />appointment and reappointment of members of Boards and Conunissions rests with the <br />City Council. APPLICANT MUST BE A CITIZEN OF THE UNITED STATES; A <br />RESIDENT OF THE CITY OF LA PORTE; AND A QUALIFIED VOTER IN <br />THE CITY OF LA PORTE. MEMBERS OF THE PLANNING AND ZONING <br />COMMISSION MUST ALSO BE RESIDENTS OF ONE OF THE CITY <br />COUNCIL DISTRICTS FROM WHICH THEY ARE APPOINTED. <br /> <br />Please type or orint clearlv <br /> <br />DATE: <br /> <br />Name: <br /> <br />Last <br /> <br />First <br /> <br />MI <br /> <br />Phone (H) <br />(W) <br /> <br />Address: <br /> <br />City: <br /> <br />State/Zip Code: <br /> <br />Are you a registered voter in the La Porte City limits?: Y <br /> <br />or <br /> <br />N <br /> <br />Did you vote in the last City election?: <br /> <br />Y <br /> <br />or <br /> <br />N <br /> <br />Please indicate your preference bv number. 1-2-3. etc. <br /> <br />ADVISORY BOARDS AND COMMISSIONS <br /> <br />Airport Advisory Board <br />Fire Code Review ~ommittee <br /> <br />DECISION MAKING BOARDS AND COMMISSIONS <br /> <br />Planning and Zoning Commission <br />Zoning Board of Adjustment <br />Civil Service Commission <br /> <br />SEP ARA TE LEGAL ENTITIES <br /> <br />La Porte Area Water Authority <br /> <br />I the undersigned am interested in serving on one of the above Boards / Commissions <br />as indicated. <br /> <br />Signature of Applicant <br /> <br />Date <br /> <br />Revised April 1999 <br />