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3. 
6. BOARDS & COMMISSIONS
   Application for Appointment
10. DATE*
    DATE
12. BOARD OR COMMISSION*
    -- Select One --Airport Advisory CommitteeADA Advisory CommitteeBandera Blvd Special Improvement Maintenance District Advisory CommitteeBoard of ElectionsBoard of HealthBuilding Board of Appeals Community Commission on Housing and HomelessnessElectrical Board of Appeals Energy Advisory CommissionFire Board of AppealsFountain Creek Flood Control & Greenway Dist.Golf Course Enterprise Adv CommitteeHARP Authority Board of DirectorsHARP Foundation Board of DirectorsHistoric Preservation CommissionHousing Authority of the City of PuebloLibrary District Board of TrusteesLiquor & Beer Licensing BoardMarijuana Licensing AuthorityMechanical Board of AppealsPlanning & Zoning CommissionPlumbing Board of AppealsPueblo Conservancy DistrictPueblo Depot Activity Dev. Authority BoardRegional Building CommissionSangre De Cristo Arts & Conference Ctr. BoardSouthPointe Special Improvement Maintenance District Advisory CommitteeStreetscape Advisory CommitteePueblo Urban Renewal AuthorityZoning Board of Appeals
14. Do you own property in the Bandera Special Improvement Maintenance District?*

    1. Yes
    2. No
15. What type of property do you own in the Bandera Special Improvement Maintenance District?*

    1. Residential
    2. Commercial
17. What is the address of the property you own in the Bandera Special Improvement Maintenance District?*
19. Do you own property in the SouthPointe Special Improvement Maintenance District?

    1. Yes

    1. No
20. What type of property do you own in the SouthPointe Special Improvement Maintenance District?

    1. Residential

    1. Commercial
22. What is the address of the property you own in the SouthPointe Special Improvement Maintenance District?
24. Contact Information
26. FIRST NAME
27. LAST NAME
29. HOME ADDRESS
31. CITY
32. STATE
33. ZIP
35. OFFICE ADDRESS
37. CITY
38. STATE
39. ZIP
41. DAYTIME PHONE
42. E-MAIL ADDRESS
44. ARE YOU CURRENTLY EMPLOYED WITH THE CITY OF PUEBLO?

    1. YES
    2. NO
45. ARE YOU A RESIDENT OF THE CITY OF PUEBLO?

    1. YES
    2. NO
47. OCCUPATION (or if RETIRED, your previous occupation)
49. Questionnaire
    Please complete the following general information.
51. 1. Please list your areas of accomplishments that you feel could assist the mission of this Board or Commission.
53. 2. Why are you interested in being appointed to this Board or Commission?
55. 3. What Goals would you like to see this Board or Commission accomplish?
57. 4. List any other items that might be useful in consideration for your appointment to this Board or Commission.
61. Upload résumé, references and/or other pertinent information
Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit Submit and Print

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