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2012 Ward 1 City Council Application <br />Page 3 of 3 <br />City, <br />—7 LOU iSVille <br />colimm11).41±ii,T <br />personnel staffing specialists, and other authorized employees of the 'City of Louisville, and release all <br />parties for all liability for any. damage that may result from furniShing such information. <br />In the event that I am selected to serve on the City Council 1 agree to comply with all of its ordinances, <br />rules, and regulations. <br />grant ftill permission to use any PhotograPhers, videotapes, recordings or any other record of Illy <br />volunteer partieipatiOn as a City CounCii MeMher. <br />The City will proyideAny,applicant whO is rejected as a result 6f a naCkground invOtigation information <br />on how to obtain the report and contact information for the reporting agency. Determinations to reject <br />an applicant as a result of the criminal haciogrotind'inVeStigotion rep6rt are final. <br />V SIGNING 13t,CiW, 1 AREE THAT QNotksi-AND AND CONSENT TO THE ABOVE STATEMENT: <br />&AS/...7.0 <br />ma, <br />SiOat Date <br />12 <br />