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<br />e <br /> <br />CITY OF.LA PORTE,' <br /> <br />.. <br /> <br />. :'.' . APPLICATION FOR CITY COUNCIL APPOINTED <br />. MAIN stREET ADVISORY BOARD <br /> <br />NOTE': As an applican~ for ~ City'Board', the Main Street'Advisbry B~ard, your n~e, address and <br />phone nUmber may be available to the press and' the public.' You have 1he right to requ~st the . <br />exclusion bf certain information from press and public;: access. All other information Will remain <br />confidential, Y,?u will be cOQ.tacted. before any action is takep. on your appointmeilt. . Inc~beQ.ts <br />whose terms expire'are automatic~ly considered for reappointment, upon request. A member w~o is <br />absent for mo;re than 25% of called 'meetings, for othet than m~ical reasons, will be $Ubj~ct to <br />removal by City Council. ..Final dec~sions on 'appointmerit ~d reappoiQ.tmentofmempers ofBoa:rds <br />~d Commissions rests with the Ci~ CounciL . ~PLICANT MI!"ST BE A. C.ITIZE~ OF THE <br />UNITED STATES. . . <br /> <br />, Ple~e fu>e or Drint clearlv . . <br />Name;' ."F~JL-' .....P~~ <br /> <br />PAtE: <br /> <br />/~-q~'bl" <br /> <br />PhQne (l;I) . 2 rl- 6fV"""' ~-S-b <br />fN> bCj'/~.47i~.Zj~j'.' <br /> <br />Address: <br /> <br />.~~~. <br /> <br />?fTa-lc:... Ca€S-J' <br /> <br />City: 1-~: A> ^'\1l: StateJZip: '. 77 .~'11 <br /> <br />, . <br /> <br />. '. I. . . <br />I, the' Undersigned am interested in serving on the'above mentioned Main street Advisory <br />Board as iJ;ldicated. . <br /> <br />Si# <br /> <br />/2..~ q-~I '. <br /> <br />Date <br />