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077-OFLA P <br />APPLICATION FOR CTY BOARDS / COMMISSIONS <br />NOTE. As an applicant for a City Board or Com®ssiou, your name, address and phone <br />number will be available m the press and the public. AIl other h tormadoa wa .remain <br />eontidential. You WM be contacted before any azdan is taken on your appointment. <br />Incumbents whose perms expire are automatically considered for mappoint I t, upon <br />request. A member who is abaeat for more than 25 % of called meetings. for.. other than <br />medical reasons, wX be subject to remove! by City Council. Final decison <br />aPPomment and vlmmtment of members of Boards and.Cammissions rests withie <br />City Council. APPLICANT MUST BE A C1T7zmv OF THE UNnw STATES; A <br />RESIDENT OF TBI CITY OF LA PORTE; AND A QUALlrM VOTER IN <br />THE CITY OF LA PORTE. M OMERS OF TIRE PLANNING AND ZONJNG <br />CO1y MSION MUST ALSO BE RESIDENTS OF ONE OF THE CITY <br />COUNCIL DISTRICT'S FROM WMCEI THY ARE APPOINTED. <br />_Please the or print clearly DATE: 2--L0-Q2- <br />Name: Uo��_9055 T 4 <br />xAU t=t ha <br />Address; __�}29 ��ER <br />Ciry state/Zip Code:TEXA,=;1'531 <br />Are you a registered voter in the La- Porte City Jim <br />Did you vote in the last City election?: or N <br />,Mease indicate Lour preference by number. I-2-3. W. <br />Airport Advfsory Board <br />_Fire Code Review Committee <br />Planning and Zoning Commission <br />Zoning Board of Adjustment <br />Civil Service Commission <br />SEPARATE LEGAL ENTITIES <br />La Porte Area Water Authority <br />or <br />9i <br />I the undersigned am interested in serving on one of the above Boards / Commissions <br />as indicated. <br />SJ&=v=-of Applieaoc Dace <br />