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1111.: City of 2014 Board or Comrnissio r <br /> Louisville Application for Appointme <br /> i , ;rop,+,Ii;' ,itii l: 1,, +� <br /> trk <br /> APPOCA1XY 4S DUE TO THE CITY MANAGER'S OBE, CITY HAuL, 749 MAN STREET,BY 4 PM, NOVEMBER ? ; :r 13. <br /> INTERVIEWS ARE SC>IEDULED FOR MONDAY AND TL SaAY, DECEMBER 9'AND I0'", 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: Dry IrJ 6 t Y"1 <br /> Date of Birth: O t(cy 1 p.c} <br /> Home Address: co ) G r cy,n* AJa , Louisville CO 80027 <br /> Home Phone Number: 3°)/6 t7��1 Cell Phone Number: -603/44eS �c i— 3 <br /> Email Address: rc 4J' ._f , ,,17C-,C/gyv,, <br /> Occupation: 3r '4s 3\rove,r <br /> Employer: (7 ;6L � r _)a C <br /> Length of lime Living In Louisville: c2C-7 �cGo,c-s 1 J <br /> Education: ril iw' i1 Aitl�!(, • i�n ( �, a S6 SCt <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 <br /> Including duties, terms of office, and meeting times on The City's 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 /> 1/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 /> 55 <br />