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City of 2014 Board or Commission <br /> Louisville Application for Appointment <br /> COLORADO-SINCE IS78 <br /> APPLICATIONS DUE TO THE CITY MANAGERS OFFICE, CRY HALL, 749 MAIN STREET,BY 4 PM, NOVEMBER 12,2013. <br /> INTERVIEWS ARE SCHEDULED FOR MONDAY AND TUESDAY,DECEMBER 9'AND 10T",FROM 5:30- 10:30 PM. <br /> You MUST meet the following crfferia to serve on ANY Louisville Board or Commission: <br /> • You must reside in the Oily of Louisville <br /> • You may not be an employee of the City of Louisville <br /> Name of Applicant: . 1,1 i-tiNr4. <br /> Date of Birth: S I 11 c\LA <br /> Home Address: CO3'), rlornorweac\ Louisville CO 80027 <br /> Home Phone Number: Cell Phone Number:9 1 - 4.\ <br /> Email Address: l o_ s r-e.,ct.,At'c30". E 40\ . CAS <br /> Occupation: C'Ke.cA;w^t <br /> Employer: c u Y- CA.V6T -o"c k.T'c(TT rl.S .3 ,'./(\C <br /> Length of Time Living in Louisville: 3 11 1, <br /> Q <br /> Education: y '�at cj U ei,v CO`CAteN <br /> On which Board(s)or Commission(s)are you interested in serving? Please indicate numerically <br /> in the order of preference. You may read more detailed information about each board <br /> including duties, terms of office, and meeting times on the City's web site at <br /> www.LoulsvilleCO.gov. <br /> _ Board of Adjustment _Library Board of Trustees <br /> Building Code Board of Appeals _ Local Licensing Authority <br /> I Cultural Council _Open Space Advisory Board <br /> Sit Golf Course Advisory Board _Planning Commission <br /> Historic Preservation Commission Revitalization Commission <br /> Historical Commission _Sustainability Advisory Board <br /> — Horticulture & Forestry Advisory Board <br /> *For information about applying to the Youth Advisory Board, please contact Mandy Perera at <br /> 303.335.4902 or MandyP @LouisvilleCO.gov. <br /> It is the policy of the City Council to make appointments to the citizen boards,commissions,committees, <br /> and task forces based on the needs of the City as well as the interests and qualifications of each applicant <br /> without discrimination based on race,color,national origin or ancestry,gender,religious convictions, <br /> disability,age,or sexual orientation. <br /> 24 <br />