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

applicallf for a brief descrl don of dunes I= 11111111101 --- 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 4, a registered vvber) CODE ENFORCEMENT BOARD GOLF CLUB ADVISORY 4 VISION PLAN STEWARDSHIP mUSt be a resident) COMMITTEE COMMITTEE cift- m-awame must be a resident COMMUNITY REDEVELOPMENT HISTORIC SITES & ADVISORY AGENCY BOARD must be a Cky resident, own Properiv or work in the district 4. Do any circvmstaneestconditions exist which may inhibit your ability to be totally objective? _ji:'— If yes, explain, NO ----- YES 3. What special qualitications d I you feel you will bring to this Bwrd? A OP s J 6, Until VuYES are -selected for the Board of your choice, may we submit your application when vacancies occur rather than contacling you? NO, 1 wish to be contacted fiirst. 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 / 1 am a resident of the City..YES i NO * 1 HAVE BEEN a resident for g, Q f years I own property in the CRA District YES NO '"' I work in the CRA District YES NO Aoo' I am a rMegismTad voter: YES No SIGNATURE DAB_ OTE: AppliC30011 effective for QW YEAR from date of submission. you have any quesftw on the above, pleesa Call the City Cleric, Helen Spenow, at 83349509 or the City Han TDD # M9925 INFORMAM N BELOW FOR USE ONLY BY THE CITY Appointed to: Date of original appointment: Length of Tenn.-  WAL ( UN HL; ii 902 U1 ' - UH1 U` CB UNITED REALTORS No. 1465 P. 2"" Jan. 8. 2008 X11; 03W CITY OF PORT WALTON BEACH APPLICATION TO SERVE On City Agencies, Authorities, Boards, Commissions or committees Reference; Codfiied Ordinanma of Fort Walton beach - Section z-so) I( T Tjj = ILfl Tl/ A_ r • • T.!: 0w r • j,• ll • r - -. Al 04 z,',What optloCi4 would.you Initiate If appointed? P/nC22a 3. _ How Iw.,/ , w1 . w 111 \ IA . - - -- — — vi... e. Y . r. 11.. il..1.. .. r 1. Q./ rarM-+7w 7wYi. w ..• f rM1 BEAUTIFICATION COMMITTEE • FIRE FIGHTERS' RETIREMENT POLICE OFFICERS` FUND Bt;' T' IREMENT FUND must be i* sidonO Imust be a resident BOARD OF' ADJUQTMENT • FWB HOUSING AUTHORITY' MUN)CIPAL PLANNING BOARD must be a raaldant must be a maidant for 2 yre and e.mglstared voter) IN CODE ENFORCEMENT BOARD ' GOLF CLUB ADVISORY ' VISION PLAN STEWARDSHIP must be a realdent) . COMMITTEE COMMITTEE citizeh -atla a must be a resident COMMUNITY REDEVELOPMENT HISTORIC SITES & ADVISORY FORT WALTON BEACH AGENCY BOARD WATER51RON t COMMITTEE must be a City resident, ' own ro art . or work in the dIstri NONO __--__-- YESYES a.a. DoDo anyany circumstances/circumstances/ conditionsconditions exlstexlst whichwhich maymay inhibitinhibit youryour sbil tysbil ty toto bebe totallytotally objective?objective? _ _ Ryes,Ryes, explainexplain 3.3. S.S. UntilUntil YouYou areare selectedselected forfor thipthip WordWord ofof youryour cholmchol , m, maymay wewe submitsubmit youryour applicationapplication whenwhen vacanciesvacancies occuroccur ratherrather thanthan contactingcontacting you?you? Y_Y_ YEsYEs -,. -,. NO.NO. I wishwish toto bebe wntootsd wntootsd first.first. -, -, Y_ YESYES Y_ NONO 7.7. * * bow*?bow*? WouldWould youyou considerconsider servingserving onon anotheranother BoardBoard otherother thanthan thethe oneone youyou WootedWooted _ _ OtherOther Hoard(Hoard( s)s) inin whichwhich youyou wouldwould bebe InterestedInterested I amam aa residentresident ofof thethe City;City; YESYES _, _,