Fort Walton Beach Council agenda — 02-12-08 regular agenda — reading text

FUND RETIREMENT FUND must be a resident) must. be a resident) BOARD OF ADJUSTMENT FWB HOUSING AUTHORITY MUNICIPAL PLANNING BOARD ILML 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 -lar a must be a resident". OMMUNITY REDEVELOPMENT HISTORIC SITES & ADVISORY FORT WALTON BEACH AGENCY BOARD WATERFRONT COMMITTEE must be a City resident, own property or work in the district 4.4. DoDo any.any. circumstancescircumstances / / conditionsconditions exist'exist' whichwhich maymay inhibitinhibit youryour abilityability toto bebe totallytotally objective?objective? NONO YESYES IfIf ves.ves. explain:explain: 3.3. WhatWhat spermsperm ialial qualificationsqualifications coocoo youyou feelfeel youyou wil wil bringbring tptp thisthis Board?Board? . _/ . _/ hh alltallt 11 00 11 WiAWiA Y&Y& yy__/ / yy inninn < /< / // / / ii 6.6. UntilUntil ouou areare selectedselected forfor thethe BoardBoard ofof youryour choice,choice, maymay wewe submitsubmit youryour applicationapplication whenwhen vacancies vacancies occuroccur ratherrather thanthan contactingcontacting you?you? YESYES NO,NO, II wishwish toto bebe contactedcontacted first.first. 7.7. WouldWould youyou considerconsider servingserving onon anotheranother BoardBoard otherother tt thethe oneone youyou selectedselected above?above? YESYES NONO OtherOther Board(Board( s)s) inin whichwhich youyou wouldwould bebe interested!interested! na•(. na•(. I amam aa residentresident ofof thethe City:City: YESYES `/ `/ NONO * * I HAVEHAVE BEENBEEN aa residentresident forfor TearsTears / / xx SS nn pp TTT__ TTT__ "' / "' / I ownown propertyproperty inin thethe CRACRA District:District: YESYES NONO ** ** I workwork inin thethe CRACRA District:District: YESYES NONO II amam aa registeredregistered voter:voter: YESYES NONO SIGNATURESIGNATURE DATEDATE NOTE:NOTE: ApplicationApplication effectiveeffective forfor ONON EAREAR fromfrom datedate ofof submission.submission. IfIf youyou havehave anyany questionsquestions onon thethe above,above, pleaseplease callcall thethe CityCity Clerk,Clerk, HelenHelen Spencer,Spencer, atat 833833 - - 95099509 oror thethe CityCity HallHall TDDTDD # # 833833 - - 99259925 INFORMATION INFORMATION BELOWBELOW FORFOR USEUSE ONLYONLY BYBY THETHE CITYCITY AppointedAppointed to:to: DateDate ofof originaloriginal appointment:appointment: LengthLength ofof Term:Term: Date(Date( s)s) re-re- appointed: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: C- H f Home address: Home phone: _ Occupation: I business phone: 1. Brief Resume of Education and Experience && S. RP 2. What options would you initiate if appointed? / i REt6Iv&A C2A PQ It) it- „-• i 3. How you would address issues if appointed tSv L _V C TH R O UG- 1- 1 & Iv S E l! S tt S . T S dLVrIvxr.. -- — UHtt; K ANY QNE OF THF- FOLLOWING please see other side of applicatio n 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 k citizen- at-large must be a resident COMMUNITY REDEVELOPMENT HISTORIC SITES & ADVISORY x AGENCY BOARD must be a City resident, own roe or work in the district 4. Do any circumstances /conditions exist which may inhibit your ability to be totally objective? Y NO YES If yes, explain: 3. What special qualifications do you feel you will bring to this Board? S 7' R bJU o- A1V >t L`! Ti t 4L. 141. E D t A A JV A &-& aI AL 1< I L L.S . S A 7) D IL Ex-7 15 S UL' s; B As-& d La lP d itl rg e i L Y a' fil I TS , L i-- H A-10 PRECVAJC &1 Vito - TQLtk-r1Dx/ s.,+ A. d , ta, opcN rn pub_ 6. Until youYES are_selected for the Board of your choice, may