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<br />NOTE: <br /> <br />. . <br /> <br />. AB aIi applicant for a City Board or CommiSsion. your '~e, address an~ ph,one n,uDiber may be amiable '. . <br />. to the pr~ss and the pUblic. Y' ou have the right to reqUest th~ ~clU$iOIi of ~ iIifotIDaticm.ttbm pre~s~'. . . :. . <br />. and pUblic~. All other infonnation will remain confi~~. Yo~ Will be ~ntactCd. before any: '. . <br />acti.on is ~ o~ yOur appointIneQt. liicumDen1s w:hoSc ~ expire ~ aUfoma~c,Uy ~de:fed for' . . <br />rcaP1?oin1m~t, upon ~ A member who ~ absent f~r mo~ 1hm 2~~ of called ~tingi. for other . <br />than ~ca1 ~ Will be subject to removal by City CouD~ Final decisions on Bppo1Dtment and, . . <br />. r~in,tmentof~of~oatds~CQmmissioDsres~with1he.Ci~Co1DlCil. APPLICANT.,. ;' . <br />'. MoST'BE oA uni:.&N otTiIE 'ONI'fED stATES,; A.usn>ltNl' OF l1IE CITY OF LA' . .".' ". <br />.:rOan; AND A QuALiFIED VOTER IN 1'IiJ ciTY QF ~ POR:~. ~ER8 OF rim .. . <br />p~G AND ~NlNG. coMMISSION MPsT ALSO BE RESIDENTS OF ONE OJ' rilE <br />. .... ~'~~~ClL DISTlU~ FRO~ WHIcH: 'JjI;E'Y ARE APPOINTED~, . <br /> <br />P!eaBO \we oriidotcl~ DATB:])6C' t ;).00'1 <br /> <br />Name: -140.<; ::r 0 ~ \) T . Phone (H) i g ,,'{7 (, ~3 -7 . . <br /> <br />. .~. Lad/," .' 'Fast MI (W) ,,.:. <br />Address:-l.J-1 (...,.A ~~ L-D.. .' <br /> <br />ci~ ~!t ~6R-r-r-;:' S~. COtic;Jx 11 ~7" .', <br /> <br />(f)' .'or <br /> <br />'rt <br /> <br />'. . CrrYOFLAPORTE'. , <br />e. . w.a . <br />.' . <br />. . . . <br />, . <br />AFPLICATIOr-t FOR CITY B9ARl>~ J co . IO~S <br /> <br />. . <br /> <br />Are you a ~gisterCd voter in the La :Port~ City'limits?: : <br />~d )'l~ilO~in'~ 1aSt CUye1ection?: '{J;: o~. <br />~lea:se,~~cate v~uw:: uTeference bv number. 1.2-3. etc. . <br /> <br />N' <br /> <br />. t.' <br /> <br />.' . <br /> <br />ADVISORY BOARDS.'AND COMMISSIONS <br />Airport AdVisc?ry ~ard. .' <br />. FIIC Code ~e~ Co~~ ,'. <br /> <br />. . . <br /> <br />.', .' <br /> <br />. DECiSioN.MA.KlNO BOARDS AND COMMISSIONS.- <br />1/.... ..Pl...~~ga!U!.~~5.~"U'li...,:io~ . MkliJ "71 ~~,. ,A;pvl S:07;t..."'1' <br />ZOnin . BOard of A,t1;ustm.ent" ' .. <br />g , W;J '. <br />.: 'Civil.S~ce eoIDJDiSsion ..' <br /> <br />..' <br /> <br />~~R.D <br /> <br />. .' <br /> <br />SEPARATE LEGAL ~ll:lIES ' <br />, La ,~oite .Aiea wateir AUtl1,ority , , <br /> <br />. . <br />'. . .' . '0 . <br />NON.PROm 'CORlORAnONs . <br />, i.-:PMto DeVelopment torporBQon Board <br />" La Po~ Rec;tevelopmen.t AuthoritY . <br />Tax IncreDient R:einvestment Zq:De Num.~er One, <br />S~utb.~ T~x~ :aD~ Finance ~rporation Board . . <br /> <br />. .,: .,' <br /> <br /> <br />OTHliK. :.., . .'. " . <br />1 '. I th '. 'de.mgb,ed am interest~ in serVing on Qne of the above Boards I Commissions as'indicated. <br /> <br />r {'U,-~ri, .'. '. '.4ft I ~ /J-O().f' .'. ........ <br /> <br />Si~ of Applicant Dai: ," . . <br /> <br />?..e'\ised 1Une ~002 <br /> <br />. ':.: <br />