Fort Walton Beach Council agenda — 03-14-06 ‎(regular)‎ — reading text

APPLICATIONS: Terry Brockhoeft, 332 Shannon Court. Mr. Brockhoeft stated he would be interested in serving as an alternate. If Council chooses to appoint one of the alternates to the regular position, the alternate position would need to be filled for the unexpired tenn of the alternate. Both alternate positions expire on Auril 26. 2007. CONCLUSION: Council appoint a citizen to serve on the Code Enforcement Board for an unexpired tenn until Aoril 26. 2007. s/ lve Reviewed and Concurred: / Hold for Discussion: ed:-:- J. q~of A L ~ ,~ J e S anahan, City Manager Date J()  J erN OF FORT WALTON BEACH o~~. ~ -. ~ -'- APPLICATION TO SERVE On City AgenCies, Authorities, Boards, Commissions or Committees Reference: Codified Ordinances of Fort Walton Beach - Section 2-60) It f' f\ fiJe II I 9)( f\ f'\ 4 2. What options woul tjt Gt\')(" rw k l) it'~' 0..... CLv... rJ ~ LCJ rY\~-^^ Ui() State how you would address issues if appointed c- u 1 "- ~ 3. JLv'\ tr ~ l Ut)Q( l"\ Cl~ CHECK ANY ONE OF THE FOLLOWING Please see other side of a Ilcatlon for a desert on of duties 1.\ Beauttflcation Committee Fire Fighter' s Retirement Fund Police Officer's Retirement Fund 1~rt must be a resident must be a resident) Board of Adjustment FWB Housing Authority must be a resident) must be a resident) Code Enforcement Board Historic Sites Board Vision Plan Stewardship must be a resident) Committee citizen- at- Iarge appointment must be a resident Community Redevelopment Performing Arts Committee Agency must be a resident, own property or work in the district 4. Do any circumstances/conditions exist which may inhibit your ability to be totally objective? --- If yes, Explain: X- NO YES 5. What special qualifications do you feel you will bring to this Board? C., r~. . 6. Until 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? )(. YES NO Other l30ard in which YOl!would be interested AM NOT _ a resident; "' AM A ~ ident of the cIIy; " I HA":') a residentfor ~ ears I AM NOT a regi~ in the CRA District YES .. red voter ** N _ -* I AM. fEN a registered voter I work in the CRA District YES _ NO_ I own pro e SIGNATU DATE~ c:lS lD 3 NOTE: Application effective for ONE YEAR from date of submission. INFORMATION BELOW FOR USE ONLY BY THE CITY OF FORT WALTON BEACH Appointed to: Date of original appoin Length of Term: Date( s) re- appointed: 1 you have any questions on the above, please call the City Clerk, Helen Spencer, at 833-9509 or the City Hall TDD # 833- 9925 Updated 3- 7-03  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} 11 E AN E l- 1-1 / G-6- l, v.s ' 3 LJ4v~ 15 IJ(. NE.. Fw632.. I- t;'- t N1EADDRI:SS ( I ' P A ". BUSINESS PHONE S'II2w; 1:t 5-' 7.<{ I.:," ,~ CUPATION c.. f) 187 0.J .'" 5 l!!. ~ I" c.....~ C:ZG 0' - to3 - ' Z. ""' E- MAI~ 1\e, Q, , C-. o"'"'\ ME PHONE Cj - Brief Resume of Education and Experience $- e e. cr!f(). Q' . ' c.. k..&: J., What options would you initiate If appointed l: L rJ OW\<. ~.... {.: cl-{'oL~~ .... 0.. '" J",~'~ Co\. t-. t~ b IJQ r-~ . o~ L b-f-:\-..... :& M r ~~"" ts f) State how you would a dress issues if appointed ~ ee." ,\ t\ ~I~....