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• <br />CITY OFLA PORTS <br />APPLICATION FOR CITY BOARDS / CONBVIiSSIONS <br />NOTE: As an applicant for a Ciry Board or Commission, your name, address and phone <br />number will be available m the press and the public. AIl other information will remain <br />confidential. You will be contacted before airy action is taken on your appointment. <br />Incumbents whose terms expire aze automatically considered for reappointment, upon <br />rel. A member who is absent for more than ?S ~ of called meetiags, for other than <br />medical reasons, will be subject to removal by City Council. F'maI decisions on <br />appointment aad reappointment of members of Boards and Commissions rests with the <br />City Council. APPLICANT MUST BE A CITIZEN OF Tl~ UNITED STATES; A <br />RESIDENT OF TSE CITY OF LA PORTS; AND A QUALIFIED VOTER IN <br />TIC CITY OF LA FORTE. ME1~iBERS OF Tl~ PLANNING AND ZONING <br />CO1~BbIISSION MUST ALSO BE RESIDENTS OF ONE OF 1'HE CITY <br />COUNCIL DISTRICTS FROM WffiCH THEY ARE APPOINTED. <br />Please cvoe ar yrint clearly DATE: ~ - \ ~ -• ~E/Ld <br />Name: _ r,~sE i T ~ ~L4ta ~ L_~ .J Phone (I•~s, ,81 -y 1 i -Q \L,~ <br />t.an F~ ~ (v~ ~S ~ - i-j-~r1.- ~3 c~1 <br />Address: \ ('•~q i ~ ~~+~' ~~ ~ t -~„ ~~ _ ~r <br />City:~eai--~_State/Zip Code: ~ 1'7 S 7 <br />Are you a registered voter in the La Porte Ciry limits?: ~ or N <br />Did you vote in the last City election?: Y or <br />Please indicate your preference by number. 1-2-3. etc. <br />ADVISORY BOARDS AND COMMISSIONS <br />Airport Advisory Boazd <br />Fire Code Review Committee <br />DECISION MAKING BOARDS AND COMMISSIONS <br />. 1 Planning and Zoning Commission <br />Zoning Board of Adjus~ent <br />Civil Service Commission <br />-~=~ <br />• s <br />SEPARATE LEGAL ENTITIES <br />Porte Area Water Authority <br />undersigned am interested in serving on one of the above Boards ~/ Commissions <br />at nppuc~ac <br />the <br />Rya Aar Ls~s <br />