Laserfiche WebLink
<br />e <br /> <br />CITY OF LA PORTE <br /> <br />e <br /> <br />APPLICATION FOR CITY BOARDS I COMMISSIONS <br /> <br />Address: /151 ? <br />city:Lf} ~~7l!f. <br /> <br />AB 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 infonnation from press <br />and public access. All other infonnation 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 />reappointment 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 />PLANNlNG AND ZONING COMMISSION MUST ALSO BE RESIDENTS OF ONE OF THE <br />CITY COUNCn.. DISTRICTS FROM WHICH THEY ARE APPOINTED. <br /> <br />" DATE: a//~(j <br />Phone ~?/j - )L7/- ~n <br />(W) ~I - ~?/... ?~ d)l7:~ <br /> <br />-r <br /> <br />NOTE: <br /> <br />Please tvoe or nrint clearly <br /> <br />Name: IYJA ,..tV IJ\J (,) WI/.. < I"d\ <br />Fint <br />N AV~, )/ <br /> <br />State/Zip Code: 7)1./? 7 ~?I <br />(J) <br /> <br />MI <br /> <br />Are you a registered voter in the La Porte City limits?: <br /> <br />or <br /> <br />N <br /> <br />Did you vote in the last City election?: @ or N <br />Please indicate your preference bv number. 1-2-3. etc. <br /> <br />ADVISORY BOARDS AND COMMISSIONS <br />Airport Advisory Board <br />Fire Code Review Committee <br /> <br />~ECISION.MAKlNG ~OARDS AND COMMISSIONS <br />V Planning and Zoning Commission " . <br />Zoning Board of Adjustment <br />Civil Service Commission <br /> <br />~EP ARATE LEGAL ENTITIES <br />V La Porte Area Water Authority <br /> <br />NON-PROFIT CORPORATIONS <br />La Porte Development Corporation Board <br />La Porte Redevelopment Authority <br />Tax Increment Reinvestment Zone Number One <br />Southeast Tex~ lfousing Finance Corporation Board <br /> <br />i-, J t" <br />a.J/tMl;o ~ "l2f4Ath#"f <br />Signature of Applicant <br /> <br />~OTHER <br />I the undersigned am interested. in serving on one of the above Boards I Commissions as indicated. <br /> <br />/o/pr--ft ~ <br />D6!e <br /> <br />Revised June 2002 <br />