Fort Walton Beach Council agenda — 01-23-2007 regular agenda — reading text

be a resident) ( must be a resident) BOARD OF ADJUSTMENT . FWB HOUSING AUTHORITY · MUNICIPAL PLANNING BOARD must be a resident) .... ( must be a resident for 2 yrs and a registered voter) CODE ENFORCEMENT BOARD GOLF CLUB ADVISORY * VISION PLAN STEWARDSHIP must, b~ resident) COMMITTEE COMMITTEE citizen- at- Iarge must be a resident) COMMUNITY REDEVELOPMENT HISTORIC SITES & ADVISORY AGENCY BOARD must be a City resident, own oropertv or work in the district) 4. Do any circumstances/ conditions exist which may inhibit your ability to be totally objective? ~ NO YES If yes, explain: 3. What special qualifications do you feel you will bring to this Board? 6. Until you are selected for the Board of your choice, may we submit your application when vacancies occur rather than contacting you? YES _ NO, I wish to be contacted first. . . . 7. Would you consider serving on another Board the one you ~~ d above? YES )( NO Other Board( s) in which you would be interested () othrtan T / ir s 77/11 E I/:; I n a resident of the City: YES c;; X NO _ · I HAVE BEEN a resident for / 8 years 1f} f}(~ CJ 1o WILL) / ^--bu D-- C;-NO .... C9/f8v I own property in the CRA District: YES _ I work in the CRA District: YES NO I am a registered voter: YES ~ NO _ DATE J'JCT{ tJ0 OTE: Application effective for ONE YEAR from date of submission. If you have any questions on the above, please call the City Clerk, Helen Spencer, at 833- 9509 or the City Hall TOO # 833- 9925 INFORMATION BELOW FOR USE ONLY BY THE CITY Appointed to: Date of original appointment: Length of Term:  CITY OF FORT WALTON BEACH APPLICATION TO SERVE On City Agencies, Authorities, Boards, Commissions or Committees Reference: Codified Ordinances of Fort Walton Beach - Section 2-60) tU~ C:~ ov CHECK ANY ONE OF THE FOLLOWING please see ot h er ' SI d eo f application f' for a brie f description of dutIes BEAUTIFICATION COMMITTEE · FIRE FIGHTERS' RETIREMENT . POLICE OFFICERS' FUND RETIREMENT FUND must be a resident) ( must be a resident) BOARD OF ADJUSTMENT . FWB HOUSING AUTHORITY · MUNICIPAL PLANNING BOARD must be a resident) ... ( must be a resident for 2 yrs and a registered voter) CODE ENFORCEMENT BOARD GOLF CLUB ADVISORY · VISION PLAN STEWARDSHIP t be a resident) COMMITTEE COMMITTEE citizen- at- Iarge must be a resident) MMUNITY REDEVELOPMENT HISTORIC SITES & ADVISORY V~ AGENCY must be a City resident, own BOARD property or work in the district) 4. Do any circumstances/conditions exist which may inhibit your ability to be totally objective? If yes, explain: LNO YES 3. What special qualifiCations do you feel you will bring to this Boar ? ~ ~. #)/, ~ f~C-UL. /~ ~ ' c.. eb __ r. 5- b V> cA. 6. U0til Yg,Ii'are selected for the Board of your choice, may we submit your application when vacancies occur rather than contacting you? YES NO, I wish to be contacted first. 7. Would you consider serving on another Board other than the one you selected above? YES " No Other Board( s) in which you would be interested I am a resident of the City: YES ~ NO _ · I HAVE BEEN a resident for ' L. vears c...--.. I own property in the CRA District: YES _ NO I work in the CRA District: YES v- No I am a ; eg;st?: YES _ NO t.--"""" C2 - SIGNAT~ f;(~ V~ '- i -- DATE I Z- 2-- CZ:- DC TE: Application effective for ONE YEAR from date of submission. yOU have any questions on the above, please call the City Clerk, Helen Spencer, at 833-9509 or the City Hall TOO # 833-9925 INFORMATION BELOW FOR USE ONLY BY THE CITY Appointed to: Date of original appointment: Length of Term: Date( s) re- appointed:  CITY OF FORT WALTON BEACH APPLICATION TO SERVE On City Agencies, Authorities, Boards, Commissions or Committees Reference: Codified Ordinances of Fort Walton Beach - Section 2-60) Name: J-I'"'rne address: E- mail: 2. 3. IIe/? J( jh~ IIn I" CH E C K ANY ON EO F T HE FOL LOW IN G please see other side of application for a brief description of duties BEAUTIFICATION COMMITTEE · FIRE FIGHTERS' RETIREMENT * POLICE OFFICERS' FUND RETIREMENT FUND must be a resident) ( must be a resident) BOARD OF ADJUSTMENT . FWB HOUSING AUTHORITY · MUNICIPAL PLANNING BOARD must be a resident) ...... ( must be a resident for 2 yrs and a registered voter) CODE ENFORCEMENT BOARD GOLF CLUB ADVISORY .. VISION PLAN STEWARDSHIP must be a resident) COMMITTEE COMMITTEE citiren- at-larQe- ffltiSt.be a resident) COMMUNITY REDEVELOPMENT HISTORIC SITES & ADVISORY V· AGENCY must be a City resident, own BOARD oroDertv or work in the district) 4. Do any circumstances/ conditions exist which may inhibit your ability to be totally objective? NO YES If yes, explain: 3. What special qualifications do you feel you will bring to this Board? c 56rv0J tptJ;hu';" /~ ~ d":'r' t ~ ;.,.{....s 6. Until you are selected for the Board of your