Laserfiche WebLink
<br />Jun 0': .05 .03:3~p <br />MilY. ~l. 2005 ~:29PM <br /> <br />Terr~ Bunch <br /> <br />City of LaPorte City Hall <br /> <br />281-471-6483 <br />110. 'uu, <br /> <br />I. L <br /> <br />p.2 <br /> <br />" <br />I" <br /> <br />cmOF LAPoRTE <br />APPLICATION FOR CITY BOA1U>S I COMMISSIONS <br /> <br />NOTE: M an appUC3D1 for a City Board or C~mimon, your uame.. addresS and phone <br />DDDJber ms.y be available to !he pres& anI! the public:. Yt:J\1 have !be right to ~ tbc <br />~ of catIiD jofbmlalioD flOm p<eSS lIllIlpul>lic oa:css. AD - ....- will <br />re:snam ~rle:ntial. You wm be contacted bcfos:e any action is 13kcn OD yom <br />appo~t.. InCl:m'l1YT1f!t wbO$e tenDS expire arc automatically coJJSidc:red for <br />~ upoD,eqoest. Jo. mcmbor _ is.-for _ _:15" of aDcd <br />~. for 0- maD medical ~ will be subjeCt to )'CDOval by City Council. <br />F"mal deeis\ODS on a~ and JC3PPOinIme:Dt of membeES of Boards ard <br />eommbsiODS teSts with 1bc CitY CounCil. APPLICANT MUST BE A. CI)"dEN OF <br />THE UNlTED STATiS; AUSlDENT O]F TBE CITY OF LA PORT&; AND A <br />Q11ALJl'lED vO'll!lllN TJIE crrY OF U pORTE. MEMJIERll OFTJIE <br />Jii.ANtl1NG AlQD ZONING CQMlIIlSSIoNMIlSl' AlSO lIE BFSIJ>ENl'S 0., <br />ONE OJ TIlE CITY COUNCIL DIsrRIC1'S noM wmca: THEY A1tE <br />APfOIN'l'ED. <br /> <br />~ lVaC or nnnt. e1eulv <br />~~: T~l'r~ (3v.r\~k.. <br /> <br />DATE: ~ - "3 \ . C ~ <br />PbDDC (.H) t8.~ - r.l,.4 .~? 3 <br /> <br />(Wt J.cal 411 3E 7 <br /> <br />AM=S: \~.5 S. 8-1 t\.. <br />City: ~CI pOf' -I ~_ smeJZip: ~ ')"1) "1.1 <br />Me you a registered voter in the La pone city liDlits? @ or <br />Did you vo~ m the last City election? y or eN) <br />.~. <br /> <br />N <br /> <br />iJeISI indieate 'fOdf 'Dl"efprp.1lce bY JlO,mlber'. 1-2-3. etc... <br /> <br />bJ}VJ.SORY'RIlARDS AND CI"'l\A'MTSSIOm <br />AiIport M:iJsOrI Board <br />:= Chapter 172 Esnp]oyceJReliree I1)surInCC ~ CQmD)iaee <br />La ?cd Health AUtbo:rit.Y <br />- <br />1daiu ~ AdWt1rY Bcwd <br />- <br />_ Yoush AtWisI:>ry Co\mCi1 <br />~ LIY' 6. G IV .re.... l. c ,,,,,,; tV -, <br /> <br />I . /' 1.\ \ () <br />G' 00. r ,( I (3...... l \GlI..J t.J Lt'll)~' $ r' \")(l-Ra. ~ <br />56 <br />