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Fort Walton Beach Council agenda — 01-23-2007 regular agenda — reading text
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choice, may we submit your application when vacancies occur rather than contacting you?
YES ~ NO, I wish to be contacte9 first.
7. Would you consider serving on another Board other than the one you selected above? YES rNO
Other Board( s) in which you would be interested
I am a resident of the City: YES _ NO ~ ... I HAVE BEEN a resident for vears
I own property in the CRA District: YES _ NO v I work in the CRA District: YES v NO
I am a registered voter: YES .,...,..... NO_
SIGNATURE DATE ./ - ~ -~?
TE: Application 0 NE YEAR fr submission. .
you have any questions on the above, please call the City Clerk, Helen Spencer. at 833- 9509 or the City Hall TDO # 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)
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CHECK ANY ONE OF THE FOLLOWING please see other side of apPlication for a brief description of duties
BEAUTIFICATION COMMITIEE .. 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