2000-08-28 Regular Meeting - Laserfiche WebLink

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. . . e e CITY OF LA PORTE APPLICATION FOR CITY BOARDS I COMMISSIONS NOTE: As an applicant for a City Board or Commission, your name, address and phone number will be available to the press and the public. All other information will remain confidential. You will be contacted before any action is taken on your appoinanent. Incumbents whose terms expire are automatically considered for reappointment, upon request. A member who is absent for more than 25 % of called meetings, for other than medical reasons, will be subject to removal by City Council. Final decisions on appointment and reappoinanent of members of Boards and Commissions rests with the City Council. APPLICANT MUST BE A CITIZEN OF THE UNITED STATES; A RESIDENT OF THE CITY OF LA PORTE; AND A QUALIFIED VOTER IN THE CITY OF LA PORTE. MEMBERS OF THE PLANNING AND ZONING COMMISSION MUST ALSO BE RESIDENTS OF ONE OF THE CITY COUNCn.. DISTRICTS FROM wmCH THEY ARE APPOINTED. Please tvoe or Print clearlv ~ l.2120Oo DATE: Name: l:x1 \ d WIN '\6.rnQJo. L Gr \Q<iw L\ ~~t La. n ~ MI Phone (H) 2~' q 30 1<:(1' I (W)~l Last Address: :,52lo City: La. Q{)-< ~ ~ State/Zip Code: -, 1 51 I Are you a registered voter in the La Porte City limits?:Q) or Did you vote in the last City election?: Q) or N Please indicate your Dreference bv number. 1-2-3. etc.' N ADVISORY BOARDS AND COMMISSIONS Airport Advisory Board Fire Code Review ~omminee DECISION MAKING BOARDS AND COMMISSIONS / Planning and Zoning Commission Zoning Board of Adjustment Civil Service CoIllJIlission SEPARATE LEGAL ENTITIES La Porte Area Water Authority I the undersigned am interested in serving on one of the above Boards / Commissions as~~_ ?/5/:l000 Siguaazl'e or Applicant Dare Revised April 1999