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

s)s) inin whichwhich youyou wouldwould bebe interestedinterested codecode enforcementenforcement boardboard ofaaofaa 7il7il stmentstment I amam aa residentresident ofof thethe City:City: YESYES XX NONO * * I HAVEHAVE BEENBEEN aa residentresident forfor 1010 yearsyears NONO XX I workwork inin thethe CRACRA District:District: YESYES NONO XX oo ropedy,ropedy, inin thethe CRACRA District:District: YESYES I amam aa registeredregistered voter:voter: YESYES xx NONO SIGNATURESIGNATURE rr DATEDATE 55 MayMay 20072007 NOTE:NOTE: ApplicationApplication effectiveeffective forfor ONEONE YEARYEAR fromfrom datedate ofof submission.submission. 833833 - - 99259925 IfIf youyou havehave anyany questions questions onon thethe above,above, pleaseplease callcall thethe CityCity Clerk,Clerk, HelenHelen Spencer,Spencer, atat 833833 - - 95099509 oror thethe CityCity HallHall TDDTDD # # INFORMATIONINFORMATION BELOWBELOW FORFOR USEUSE ONLYONLY BYBY THETHE CITYCITY Appointed Appointed to:to: LengthLength ofof Term:Term: DateDate ofof originaloriginal appointment:appointment:  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: Wi LiNWx WALT E-2- Home address: - n6 . 0 adaacA L_ Home phone: , 2Li2- LrwrY E -mail: _ uiwc /yeT Occupation: AAtALySIS` t Business phone: 8 L- Rfy- twky 1. Brief Resume of Education and Experience 12 yc- M/2s Llsljr, & JCAGqZS DL-- z_J2&-ir_ 7 MJ vn Firr7eyt-rl l A I % :, ' as / A ram t,. ' . i1 k* .. Z ar e• 2. What options would you initiate if appointed? - 7-6 , Y, Gis zsl dr' if!?' 3. Hawyou would address issues if appointed ir U4-1-,q r h.. Ar t. ' D c A/ 45:nF1:Z n za noEZ 47J27- Gr/ a4-r 9rn rzr 14rd- - 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 GOLF CLUB ADVISORY VISION PLAN STEWARDSHIP ar must be a resident) COMMITTEE COMMITTEE BJown citizen- at-large must be a resident COMMUNITY REDEVELOHISTORIC SITES & ADVISORY AGENCY BOARD must be a City reside roe or work in the 4141 NONO YESYES 4.4. DoDo anyany circumstcircumstancesances / / conditionsconditions existexist whichwhich maymay inhibitinhibit youryour abilityability toto bebe totallytotally objective?objective? IfIf yes,yes, explain:explain: QX1Z<QX1Z< 7ri/7ri/ EE f0f0 / / N7N7 O% O%%//%// 64-64- 11 06-06- 2121 y6yjy6yj 3.3. WhatWhat specialspecial qualificationsqualifications dodo youyou feelfeel youyou willwill bringbring toto thisthis Board?Board? i20Mi20M LL of+ of+ GG aAAge7e2raAAge7e2r 47nyfZ47nyfZ - - 176:176:5-5-__ 2,2, 9,9,1-1- 99 7-7-PP FF 4i2f4i2f 6:6: UntilUntil youyou areare selectedselected forfor thethe BoardBoard ofof youryour choice,choice, maymay wewe submitsubmit youryour applicationapplication whenwhen vacanciesvacancies 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 thanthan thethe