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

l/n. ')") J. e'-~~ 6. Until you are selected for the Board of your choice, may we submit your ap lication 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? v 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 1'0 years I own Pronerty in the CRA District: YES . j NO ** I work in the CRA District: YES NO SIGNAT RE //. lJ. .' .>71m t- b'? i.-.. t t...iJ.-" 1^.......,.. ~--- a reg; SIe~~ c.- e._.:- A_ ;. ~_.. c) J-- O~ C YE,S ~ o ~ DATE A / I / ' 1 7 ,. 0- 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 TDD # 833- 9925 INFORMATION BELOW FOR USE ONLY BY THE CITY Appointed to: ate of original appointment: Length of Term: II ~ ate( 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) J/ d// , m/ Cf/:: z.CL.& PI: PV.4L rf//\ :> " J... E- mail: t'ln. J7F1IUS@ t.../ c'lI3~ Rr, tJ ' OjY> t:- Occupation: 6/A/ eA/ B6R Business phone: aa 2.~ : o C;Q6 1. Brief Resume of Education and Experience /3.$. l/1lt> V'7~L.. N}\.- VGINoe1ZIIJb / t::/ v L:> 1~.47i/ d c.~ n R/ vr; Y'~:;. r51"L cJF d/./ G-/iJ< 5c::~/ A/ v /, PVS.rte//JL '" t/ rt5A'> 4 6/t6/,,; / VeE., tP/ z/ A/ v;v/ v. tPT ;:= 1.- PI"'" ' SY.>- W1l4f.,.2"2. 7'; 2. r" lc; S-, €.. t' i9UI:::l-ef:, /A/ 7Ir27A1S Cl/' VeL. c; VClt:.- bt::.- Ht~ v lr- / eGL/", iJ1;- Yc/l~ vPe;f2.1Jln: S": r' e"IAb/ A/t:.~ lt7..' 2. What options would you initiate if appointed? 1V91 rAJ1:Jrt- I/ JlrJl JIHl.. A/73 rl. r..- w .,..-Lfl-(" (\-/ 7tv/' 1: 4;- Ulm.jY'lI"[ 1" O'P-rll)~ ~ , 3. How you would address issues if appointed 1!": 4I<:. e . G 5 v(l... d/I 7/~ C,4UZ. / S 1/;// f- ()./ 1 ~: 3'" B U(fJ / J:::. Y2..?/ZM; rV GiJ/?/ tA'~/ f'. IJ/II1 / c....' t a/ l'..:: II1Plj.A1.::;......./ tJ1/ C/1~ C/.:> G.e- ,*, d~- J<.. rr:: A;'/; " 4r'. s:'/. b~ PJ!.. u.//,Lr'/' e;- VC<? 7# ~/ Rffv/ 5/ P""" S~ /';:= U.: 5 C' PA-" V~ . hl/'r~/. 3. : /",-,. 4K..<!: P-V"S 87?5<CZ:> Q1/ 77ile ,cE./[/ 7.: C;; vr.;> l7J,,< J bCC/ 5/ Ac- P'/)> tll.A7Io. 6n.. A1 Pp r- tVl.3/~~ i!.Do ~' r t:) A7~n..To srt:CI, 4L /# 7" f't:: t= I...S;/" ~ f2tJ1I1's:. CHECK ANY ONE OF THE FOLLOWING please see other side of application for a brief of dutiesdescription 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