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<br />:. Pl~c tvoe or'Drint clearlv ... DATE: <br /> <br />. .. " ~ ' <br /> <br />Name: {J)//4;',/L:.7L. Jc-71/2'., .' .~'.. <br />. Last' . . 411 First' ~ ' MJ . <br />A&h-ess:' fi?Ofp .f tJ.... 'fV\A I}J . <br />Ci~ J..jf~TC'~tatelZiPCode: '#: 7757/ <br /> <br />he ~ ~ "'~ voter ~ the La ~orte citY iimits?: 4J. or <br /> <br />Did yoU v~ in the lam Cityclection?: p;; or . .N <br /> <br />Please indicate voU:.~ Dreference bv number_ 1-2-3_ etc. <br /> <br />. . <br />NOTE: <br /> <br />. ' . . <br /> <br />e. . ~ITY.OF: LA PORTE e <br />A.PPLICATI(j~ FOR CITY BOARDS / COMMISSIONS <br /> <br />As an app1i,c~t for a, City Bori or. CoIiDJrlssion, your name, address and pho~e n~ may be available <br />to thp press and the pub.lic. You have the right to request the exclusion of certain infOfIDl.tion from press . <br />and publi~ a~. All other info~tion will.remain co~dential. You wi,ll be'contacted bef~re any' <br />action is ~ on your appointinent. Incumbents whose term.$ expire are aul9matically considered for . <br />. reappointinent,' upon requesL A member' who is absent for more than 25% 'of called meetings, for other <br />than mem~ reasons, wj.U be subject to removal by City Council. Final decisions on appointment and <br />reappOiJitm~t ofmeinbers ofBo!irds..and CommisSions rests with the City Cotmcil .APPUCANT' . <br />MUST lJE A (.:luZJ!;N OF THE UNITED STATES; A RESIDENT O~ THE CITY 01 LA <br />PORTE; AND A QUALIFIED 'VOTER IN TB;E CITY OF LA PORTE.. ~ERS OF THE <br />PX.ANNING AND ZONING COMMJSSION MUST'ALSO:BE RESlDEJIITS OF ONE.01l' THE <br />CITY CO~cn.. DISTRICl'S ~OM WBtCll ~y ARE ~POINTED.. <br /> <br />. : . <br /> <br />PbOIie (H) 2e..; f 7 J 900 r/- <br />(W) <br /> <br />N' <br /> <br />. .. <br />. . <br />ADVISORY BOARDS'.AND COMMISSIONS <br />I AirportAdvjsoryBoard'., . .....' , . <br />--z- Fire Code Review Co~tt,ee <br /> <br />. . . <br />DECISION. MAKING BOARDS AND COMMISSIONS <br />./. planning'aDd'Zoning Commi~sion' <br />'-- ~ Zoning Board of Adjustment ' , <br />'2-. Civil Service Commission <br /> <br />SEPARATE LEGAL E:N111~ <br />~'. . La P~Ite Area'Watt:r Authority <br /> <br />< "3 <br /> <br />'-~ <br /> <br />I.~ <br />.....~ <br /> <br />1:1 <br /> <br />NON-PROFIT 'CORfORATlONS <br />La Porte Development Corporation Board <br />La Porte Redevelop~ent Authority. . , <br />. . <br />Tax ln~eDt Reinves1ment Zone Nmnbcr One <br />South~ T~~ liou$1g ~inai?ce Corporation Board <br /> <br />It .MIr,~:,61' a~~~';lTa:r , " <br />~dersigned am interested in s~g on one 'OIthe above Boards I Commissions ~ jndicated. <br /> <br />. .';.. . . ... .... ... .... vie.rot,). . .. ... <br />:, i. of Appli . I . om . /. . <br />.. 7/. '.: ' <br />(/ . . <br /> <br /> <br />. R.~ised June 2002 <br />