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112 City.,,- . 2014 Board or Commission <br /> Louisville Application for Appointment <br /> L 4 l 'F: \ili ∎ -'1\4-I tti,'x <br /> APPLICATIONS DUE TO THE CTIY MANAGERS OFFICE, CITY HALE, 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: t\0 I r Y\ '5'e n iA_C 1,S c___ <br /> Date of Birth: (-)Y )5/ ) �1 I <br /> Home Address: J� 7 I S. I (AC.IN a ila,1. C1 r C i E Louisville CO 80027 <br /> Ctll <br /> Herne Phone Number: .)-0--CY-,�CD31 , <br /> Email Address: rLi n1-pr e 11 ii e ,Se g r rY1CT 1 I. C c-)1-11 <br /> Occupation: _YD Frc k - 4 i itiC (,t It i P �A C' �d a-t <br /> Employer: f t ( ci'1 o 0 11 1 f1L C `1 ty CI_S. <br /> Length of lime Living in Louisville: S I 4 C E i / 1 / <br /> Education: Ail CI .S 1-f r5 <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 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 X 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 /> 45 <br />