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OLOR.II)O 'i`y . L <br />Cityof 2019 Board and Commission <br />Louisville General Application <br />Applications due by 4 PM, November 5, 2018 <br />All applicants must complete this general application AND ALSO submit the <br />supplemental questionnaire for each board to which you are applying. <br />You MUST meet the following criteria to serve on ANY Louisville Board or Commission: <br />• You must reside in the City of Louisville (exception for Business Retention Cmte) <br />• You may not be an employee of theCityof Louisville <br />Name of Applicant: vCHA.\ % \ \ `Z-,(\)A\,-.EXZ— <br />Date of Birth: <br />Om In\ <br />Home Address: \SS ' r C \2.E. E- 2. <br />Home Phone Number: 3D3 Qtg" Cell Phone Number: <br />Email Address: <br />Occupation: <br />Employer: l� <br />Length of Time Living in Louisville: �S \�m'S <br />Education: <br />On which Board(s) or Commission(s) would you like to serve? <br />You must also complete the questionnaire for each board to which you are applying. <br />Board of Adjustment <br />Building Code Board of Appeals <br />Business Retention & <br />Development Committee <br />Cultural Council <br />Historic Preservation Commission <br />Historical Commission <br />Library Board of Trustees <br />Local Licensing Authority <br />Open Space Advisory Board <br />Parks and Public <br />Landscaping Advisory Board <br />Recreation Advisory Board <br />Revitalization Commission <br />Sustainability Advisory Board <br />Boulder County Housing & <br />Human Services Advisory <br />Committee <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 />38 <br />