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<br />CITY OF LA PORTE <br /> <br />APPLICATION FOR CITY BOARDS I COMMISSIONS <br /> <br />NOTE: As an applicant for a City Board or Commission. your name. address and phone number <br />may be available to the press and the public. You have the right to request the exclusion of <br />certain information from press and public access. All other information will remain confidential. <br />You will be contacted before any action is taken on your appointment. Incumbents whose terms <br />expire are automatically considered for reappointment, upon request. A member who is absent <br />for more than 25% of called meetings. for other than medical reasons. will be subject to removal <br />by City Council. Final decisions on appointment and reappointment of members of Boards and <br />Commissions rests with the City Council. APPLICANT MUST BE A CITIZEN OF THE <br />UNITED STATES; A RESIDENT OF THE CITY OF LA PORTE; AND A QlJALlFIED <br />VOTER IN THE CITY OF LA PORTE. MEMBERS OF THE PLANNING AND <br />ZONING COMMISSION MUST ALSO BE RESIDENTS OF ONE OF THE CITY <br />COllNCIL DISTRICTS FROM WHICH THEY ARE APPOINTED. <br /> <br />DATE: I - 15 - 0 J) <br /> <br />Phone (II) J. S J . 4 7:; L/3 (; Y <br /> <br />Please tyoe or print clearly <br /> <br />Name:_J)L\V;,r L€.E.- J(OL'Xlc" Jr. <br />I <br /> <br />CJ .50 2 <br />Address: <br /> <br />Drj Dl~t.rt \Jc.y <br />State/Zip: J )( l/511 <br /> <br />(W) !J].oj!ojC -OrIZt) <br />((<c II j S') 2 - ') 7 / - 75 L [) <br /> <br />L ,~) .to", <br />City: c. UOi \:.- <br /> <br />/ <br />Are you a registered voter in the La Porte City limits? Y U2J0r N D <br /> <br /> <br />Did you vote in the last City election? Y ~ N D <br /> <br />Please indicate your preference bv number. 1-2-3. etc. <br /> <br />ADVISORY BOARDS AND COMMISSIONS <br />_ Airport Advisory Board <br />Fire Code Review Committee <br />Fire Pension Board <br />_ Main Street Advisory Board <br /> <br />DECISION MAKING BOARDS AND COMMISSIONS <br />~ Planning & Zoning Commission <br />~ Zoning Board of Adjustment <br />Civil Service Commission <br /> <br />SEPARA TE LEGAL ENTITIES <br />_ La Porte Area Water Authority <br />