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City.,y- 2014 Board or Commission <br /> Louisville Application for Appointment <br /> COLORADO•SINCE I r+78 <br /> APPLICATIONS DUE TO THE Cm/MANAGER'S OFFICE, CITY HALL„ 749 MAIN STREET, BY 4 PM,NOVEMBER 12,2013. <br /> INTERVIEWS ARE SCHEDULED FOR MONDAY AND TUESDAY, DECEMBER 9'"AND 10'", FROM 5:30-10:30 PM. <br /> You MUST meet the following criteria to serve on ANY Louisville Board or Commission: <br /> • You must reside in the City of Louisville <br /> • You may not be an employee of the City of Louisville <br /> Name of Applicant: ,.(41(I &,,,,j,-, <br /> Date of Birth: /0 . j . / ! -9-f,/ / 1 <br /> Home Address: cal �. C 5-�YI t/1L �. Louisville CO 80027 <br /> Home Phone Number: ---- Cell Phone Number:-102-D ' , 3 j • 36 y5 <br /> Email Address: vYl l'C 1U2i i 6-90 6) yak°o • c o rl-'- <br /> Occupation: i C - ay , I - le 4,01 • i I 1, <br /> Employer: el <br /> Length of Time LMng In Louisville: j \/_J'a't <br /> Education: -8.4-. vh- PS\I C 11--D) ; A c en u n i c4 scy 6 ce' <br /> On which Board(s)or Commisslon(s)are you interested In serving? Please indicate numerically <br /> in the order of preference. You may read more detailed information about each board oy <br /> including duties, terms of office, and meeting times on the Citys web site at <br /> www.LouisvilleCO.gov. <br /> Board of Adjustment 'Library Board of Trustees <br /> Building Code Board of Appeals _ Local Licensing Authority <br /> Cultural Council / Open Space Advisory Board <br /> 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 /> 1 <br /> 29 <br />