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<br />e CITY OF LA PORTE '. . e <br />. APPLICATION FOR CITY BOARDS I COMMISSIONS <br /> <br />. '. .. <br />. . <br />NOTE: . AB an applicant for a City Board 'or, COmmission,- your D8II1e. address and phone-number may be available' <br />to the' press and the public. You h,ave the right to requesUhe eXclusion of certain infonnati~ from press " <br />'. and public access. All other information will remain confidential. You will be contacted before any. '.' <br />action is taken on your appoiritment. Incumbents whose terms expire ale autot:natically considered for,' . ' . <br />reappointment, upon request. A member who is absent for m~re than 25% of called meetings. for other <br />thaii m,edical r~ons. Will be .subject 1'9 removal by City Council. Final c;lecisions on'appointment and . <br />. reappointm~t of members of BoardS and COmmissions rests. with the City COlUlcil. APPLICANT <br />MUST BE A CITIZEN OF THE 'UNITED STATES.; A RESIDENT'()F ,TUECITY OF LA ,'.: <br />, PORTE; AND A QUALIFIED VOTER IN THE CITY OF LA PORTE. 'MEMBERS OF THE . <br />. PLANNING AND ZONIN(; COMMISSION MUST ALSO BE RESIDENTS OF ONE OF THE: <br />CITY COUNCIL DISTRICTS FROM WHICH THEY ARE APPOINTED..: <br /> <br />Please !We or nrint clearly DAtE: I () -' /O-O,/- <br /> <br />Name~ "VELeZ.'_ Fiz.FlAJ~iS'(!,o ~~, Phon~' (H) tflll-~.f/~/-;J-7cl! <br /> <br />.' . , . ~ . .a.' Fiff' . MJ . . . (W) 7/.? - 9'7/- 4.JCI.4 <br />, Ad~s: IDv/JJI /()1R,(!, /I Dl?lV~ . , (fJ9r) <br /> <br />city:/..;4'.fbr<7c S~e/Zip Code:'~ '/'15')/ ' <br /> <br />hey~u."aregistered,vo~erin theLaPort~Ci~liini~J:' W.' :,.or' , N. <br /> <br />Did you vote in the l~t City election?: " " . Y..' or .'.0. <br /> <br />Please indicate vour'Dreference bv number.' 1-2-3. etC.. <br /> <br />. o. . <br />ADVISORY BOARDS AND COMMISSIONS <br />Airport Advisory Board' ' <br />Fire CQde Review Committee ,,' <br /> <br />DECISION.M.A.KmG BOARDS AND COMMIsSIONS <br />" Planning and Zoning Commission, . ' '" .. <br />Zoning Board of Adjustment.. <br />Civil Service ComDrlssion <br />~. .. <br /> <br />. , <br />SEPARATE .LEGAL ENTITIES' . <br />La Porte Area Water Authority <br /> <br />NON-PROFIT CORPORATIONS . <br />. La Porte 'Development Corporation, Board <br />La Po~e Redevelopment Authority , ','- '. <br />Tax Increment Reinvestment Zone Number One <br />Southeast ~ex~ aousing Finance, COrpor,atio~ ~o8rd,.' .' <br /> <br />. . ."- <br /> <br />, . <br />OTHER " " ". : . <br />. . . I the undersi~ed am interested in serving on ~ne of the above Bo~ds I Co~ssio~ as, iJ;1dicat~. . <br />/0---/ 0 ,~ (j if., , <br />. Date <br /> <br />SiJlWUl'e o~ Applicant <br /> <br />'.- <br /> <br />Revised' Jun~ 2002 <br />