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

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l......<.- Ibwy\~ r.:) ( 1V\. J> iLL t,~,~ ~ LI ~ e-.~ L. Ct:'~ U"l.... Af j. e'bu 1f:S ~ .+ J~,,",", he..- SJ tAo"\ ,~~ I . . ANYONE OF THE FOLLOWING Please 888 other side of a Beautification Com m Ittee Fire Fighter' s Retirement Fund Police Officer's Retirement Fund m ust be a resident must be a resident Board of Adj'ustmtmt FWB Housing Authority Municipal Planning Board must be a must be a resident) must be a resident for 2 yrs reslde1! t) and a re Istered voter Code Enforcement Board Historic Sites Board Vision Pian Stewardship must be a resident) Committee citlzen- at-Iarge appointment must be ~ resident Community Redevelopment Agency must be a City resident, 0Nn property In the CRA district orWOFk In the CRA district NO YES k Do any circumstances/ conditlons exist which may inhibit your ability to be totally objective?:/ If yes, Explain: . Board? (!. IJ::-~ c.-O<. 5. What special qualifications do you feel you will bring to this er~ c..,,~+- p"'\' \.'- than contacting 3. Until you are $elected for the Board of your choice, may we submit your application when vacancies occur rather you? V YES NO, I wish to be contacted first. YES . NO i'. Would you consider serving on another Board other than the one you selected above? ..- Other BOelrd in which you would be interested a resIdent; * I AM A ~ esident of the city; I HAVE BEEN' a resident for 5 vears I AM NOT _ AM NOT a registered voter I AM ....- a registered voter e CRA District YES ----:- I work in the CRA District YES ~ NO_ I owo property in NO-=-- lJ' l( z(,/~~~ DATE Si~ NATURE " 4-"-'-'\ "!: tJy/ .. NOTE: AppHcation effective for ONE YEAR from date of submi~sion. INFORMATION BELOW FOR USE ONLY BY THE CITY OF FORT WALTON BEACH Appointed to: Date of original appointmen Length of Term: Date( s) re- appointed: at 833- 9509 or the City Hall TDD # 833- 9925 you have any questions on the above, please call the City Clerk, Helen Spencer, 7- 03 updated 3- Name: \ tIC' ~ Home address: ~ Home phone: Occupation: <:. C) he!.. 5t~~, a" c;. l"T'i c. -~ G~~\) ,~\~....., t>-~\ c. ~' C~ c."~ e. r1 ~ i\ Ao.."'c-\o\\ e'S. I S' I\~\ Cc.o~ CHECK ANY ONE OF THE FOLLOWING please see 0 er side of a l ication for a brief scription of duties t BEAUTIFICATION COMMITTEE * FIRE FIGHTERS' RETIREMENT * FUND POLICE OFFICERS' 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 1( a registered voter) r CODE ENFORCEMENT BOARD GOLF CLUB ADVISORY * VISION PLAN STEWARDSHIP must be a resident) COMMITTEE COMMITTEE citizen- at-lal" Qe must be a resident) COMMUNITY REDEVELOPMENT HISTORIC SITES & ADVISORY AGENCY BOARD must be a City resident, own I-( croperty or work in the district) 4. Do any circumstances/conditions exist which may inhibit your ability to be totally objective? LNO _ YES If yes, explain: 3. \ Nhat special qualifications do you feel you will bring to this Board? occur rather than contacting you? 6. Until ytJu are selected for the Board of your choice, may we submit your application when vacancies YES _ NO, I wish to be contacted first 7. Would you consider serving on another Board other than the one you selected above? . LYES _ NO Other Board( s) in which you would be interested S-e.. .... bGvc: I am a resident of the City: YES.-L NO _ * I HAVE BEEN a resident for <\ ~ years I own property in the CRA Disbict YES L NO - I work in the CRA Disbict YES / NO_ I am ~ red voter: YES ./'" NO j ""'" - - DATE~ O' SIGNATURE'''''''''''''. ~ "- NOTE: Application effective for ONE YEAR from date of submission. the City Hall TDD # 833-9925 If you have any questions on the above, please call the City Clerk, Helen Spencer, at 833-9509 or INFORMATION BELOW FOR USE ONLY BY THE CITY Appointed to: Date of original appointment Length of Term: CITY COUNCIL MEETING March 14, 2006 Regular Agenda Consideration of appointment to the Historic Sites Board City Clerk) Council Action 1 st 2nd Vote: RG - 16 Agenda Item Number: CITY OF FORT WALTON BEACH MEMORANDUM TO: Joyce Shanahan, City r FROM: DAT~ Helen Spencer, City Clerk Ma~ h~ 2006 ManWg: SUBJECT: Historic Sites Appointment BACKGROUND: The criterion for replacing a member on the various Boards and Committees is Section 2. 02.05, Vacancies, of the Code of Ordinances of the City of Fort Walton Beach. A copy

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