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Cityo <br />6 f <br />Louisville <br />COLORADO -SINCE 1878 <br />2022 Board and Commission <br />General Application <br />Applicant Information <br />Name: Jeanie Balch <br />Email Address: jeanie_balch@comcast.net <br />Phone Number: 720-320-6692 <br />�✓ <br />By checking this box I affirm I am a Louisville resident. <br />On which Board(s) or Commission(s) would you like to serve? <br />❑ Board of Adjustment <br />❑ Building Code Board of Appeals <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 />❑ Parl<s and Public Landscaping Advisory Board <br />❑ Planning Commission <br />❑� Recreation Advisory Board <br />❑ Revitalization Commission <br />❑ Sustainability Advisory Board <br />You must ALSO complete the questionnaire for EACH board to which you are applying. <br />How long have you lived in the City of Louisville: <br />In what City Ward do you live: O 1 O 2 ( 3 Linl< to Ward Map <br />If asked, would you be interested in serving on a board or commission you did not <br />choose above: ( yes Ono <br />Are you currently serving on another City board or commission:0 yes (�) no <br />If yes, which board or commission: <br />16 <br />