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Cityor 2O Ap�Daca i „j� f �� >p Ward Louisville Cuty C©undll AppokotomenR <br />Ow <br />COLORADO • SINCE 1878 <br />APPLICATIONS DUE TO THE CITY MANAGERS OFF ICE, CITY HALL, 749 MAIN STREET, <br />BY 4 PM ON NOVEMBER 30, 2091. <br />INTERVIEWS ARE SCHEDULED FOR THE EVENING OFI WEDNESDAY, DECEMBER 7, 209 9. <br />You MUST meet the following criteria to serve as a Ward I City Council member. <br />• You must reside in Ward I and have done so fora minimum of 12 months (see <br />attached map) <br />• You must be a registered elector <br />Name of Applicant: .eio+/L'.d.s?ie/, G3ri)T uid.e7/5/ <br />Date of Birth: YAS- 1 /gS�o <br />Home Address: 5-0/ 4207S' Louisville CO 80027 <br />Home Phone Number: 7/11,. iv ' Cell Phone Number: JA,swE <br />Email Address: 7'&b etokLelariV qztrCS f e, e • n� <br />Occupation: go 5 /it/ESS ptu,v <br />Employer: 5F-6 E. e za — Tb /3A046 etce-tithe <br />Length of Time Living in Louisville: / f ;� S <br />Education: .•S /x P 'ieC S lcle/.1-1,S411 XA. 4W 'f /III <br />17o.0 <br />STATEMENT OF INTEREST: <br />Please attach a letter or statement briefly describing your interest in serving on the City <br />Council. Feel free to indicate any areas of expertise, background, concems and/or general <br />information that may be applicable. You may also attach a resume or other information you feel <br />may be relevant to your application. <br />CURRENTLY SERVING ON A BOARD: <br />Do you currently sit on a City Board or Commission? 0 YES ONO <br />If Yes, please identify that board. <br />It is the policy of the City Council to make appointments to the City Council, citizen boards, <br />commissions, committees, and task forces based on the needs of the City as well as the interests <br />and qualifications of each applicant without discrimination based on race, color, national origin or <br />ancestry, gender, religious convictions, disability, age, or sexual orientation: <br />10 <br />