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<br />e <br /> <br />CITY OF LA PORTE <br /> <br />e <br /> <br />APPLICATION FOR CITY BOARDS I COMMISSIONS <br /> <br />Please Me or Drint clearly <br /> <br />As an applicant for a City Board or Commission, your name, address and phone number may be available <br />to the press and the public. You have the right to request the exclusion of certain information from press <br />and public access. All other information will remain confidential. You will be contacted before any <br />action is taken on your appointment. Incumbents whose terms expire are automatically considered for <br />reappointment, upon request. A member who is absent for more than 25% of called meetings, for other <br />than medical reasons, will be subject to removal by City Council. Final decisions on appointment and <br />reappointm~nt of members of Boards and Commissions rests with the City Council. APPLICANT <br />MUST BE A CITIZEN OF THE UNITED STATES.; A RESIDENT OF THE CITY OF LA <br />PORTE; AND A QUALIFIED VOTER IN THE CITY OF LA PORTE. MEMBERS OF THE <br />PLANNING AND ZONING COMMISSION MUST ALSO BE RESIDENTS OF ONE OF THE <br />CITY COUNCIL DISTRICTS FROM WHICH THEY ARE APPOINTED. <br /> <br />. DATE: /D-bl-, 0<(- <br /> <br />Phone (II) 'Z~t-41o 8>~ l S <br />(W)?~1-~z>q....4(-, I <br /> <br />NOTE: <br /> <br />Name: Mc.~ 1?,,41~/c.L GfC~,1eP <br />Last First MI <br />Address: C(ZOI ,SJ"OAI6' A4ddJ ~o~1> <br /> <br />City:LAPa~ State/Zip Code:~ ~--" <br />oe <br /> <br />Are you a registered voter in the La Porte City limits?: <br />Did you vote in the last City election?: (); <br /> <br />or <br /> <br />N. <br /> <br />~JH ~~u~ti.:."'ill.l 'V1'lo.vL. <br /> <br />or <br /> <br />N <br /> <br />OCT 0 ~ ZUL4. <br /> <br />Please indicate your preference bv number. 1-2-3. etc. <br /> <br />~. <br /> <br />ADVISORY BOARDS AND COMMISSIONS <br />:z 0 Airport Advisory Board <br />/ Fire Code Review Committee <br /> <br />I <br />2., <br />~ <br />- <br /> <br />DECISION-MAKING BOARDS AND COMMISSIONS <br />Planning and Zoning Commission <br />Zoning Board of Adjustment <br />Civil Service Commission <br /> <br />I <br /> <br />SEPARATE LEGAL ENTITIES <br />La Porte Area Water Authority <br /> <br />NON-PROFIT CORPORATIONS <br />2 La Porte Development Corporation Board <br />I La Porte Redevelopment Authority <br />~ Tax Increment Reinvestment Zone Number One <br />--.!:i:- Southeast Texas aousing Finance Corporation Board <br /> <br />I OTHER <br />I undersigned am interested in serving on one of the above Boards I Commissions as indicated. <br /> <br /> <br />~CJ; <br /> <br />/0 j61lZdfJ4-/ <br /> <br />Date <br /> <br />Revised June 2002 <br />