Fort Walton Beach Council agenda — 10-09-2007 regular agenda — reading text

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 citizen- at- Iame must be a resident) COMMUNITY REDEVELOPMENT HISTORIC SITES & ADVISORY FORT WALTON BEACH AGENCY K BOARD WATERFRONT COMMITTEE must be a City resident, own - ~ . property or work in the district) Cln, V'_ 4. Do any circumstances/conditions exist which may inhibit your ability to be totally objective? If yes, explain: 4NO YES 3. 6. til ou are selected the Board of your choice, may we submit your application when vacancies occur rather than contacting you? I YES 0 I wish to be contacted first. 7. Would you consider serving on another Board other than the one you selected above? YES i Y 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 ~ 8 years I own property in the CRA District:YES _ NO X ** I work in the CRA District: YES NO 4- I am a registered voter: YES ~ NO _ SIGNATURE DATE < X)ot' 01.0 ~O~/ NOTE: 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: Date( s) re- appointed:  OL. (! O~ 3. r z: CHECK ANY ONE OF THE FOllOWING 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 citizen- at- Iarae must be a resident) COMMUNITY REDEVELOPMENT HISTORIC SITES & ADVISORY FORT WALTON BEACH AGENCY BOARD WATERFRONT COMMITTEE must be a City resident, own (\] property or work in the district) X 01\- f? or -([ 4. Do any circumstances/ conditions exist which may inhibit If yes, explain: your ability to be totally objective? ) I NO YES 3. 6. U~ I 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 other than the one you selected above? Other Board( s) in which you would be interested \- I i~ Tt)al ~ .&:0 Xt'\... YES NO \ l. D PLAW\. 1I'. X- I am a resident of the City: YES -NO _ * I HAVE BEEN a resident for - 1b years I own property in the CRA District: YES - X- NO ** I work in the CRA District: YES X NO re~~ te' YESLNO_ SIGNATURE~~ l~. 7:. 2am,,~~: - DATE 9.1: C7 z" i' / NOTE: 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: 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) 2. What options wouid you initiate if appointed? \ w ~V ~ ~ c...~ too-r'(' N U\tt ' "'\ ~ , 4 e-\.. l' \ ~ f' ~ ~tV\' 17 ~0 ~ .;;; c.".s. r ~~ ""c """" vv ~-'\ ~ So e't:. e. ~c.. f a ~ .p G'" h--<~!:."' - t- o.J~: r, r">> - fi"V \ ~ I ~ t0 tJ CHECK ANY ONE OF THE FOLLOWING 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 citizen- at-larQe must be a resident)