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CERTIFICATE OF APPLICANT <br />I understand the submission of this application expresses my willingness to accept appointment <br />to the position of municipal judge for t City • Lr, isville, Colorado, and my willingness to <br />abide by the Louisville City Charter and he L•, tl ale. Municipal Code, if appointed. I hereby <br />certify that the information given in th's + ► r` .� • ;�• - t - •d complete. <br />Date: June 17, 2016 <br />ignat ire =• + •Iicant <br />John Frederick Stavely <br />Print or Type Name <br />I grant the City of Louisville, Colorado <br />Regulation Counsel (formerly maintains <br />records of the Commission on Judici <br />employers, schools, law enforceme <br />information contained in this applic <br />Date: June 17, 2016 <br />WAIVER <br />right to examine the records of the Attorney <br />the Su+reme Court Grievance Committee) and the <br />ci.Iin- c+° sent to the release of information by <br />+. er a ,thorized personnel to verify the <br />ohn Frederick Stave' <br />Print or Type Name <br />Applications must be submitted by June 20, 2016, <br />Page 7of7 <br />