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Fort Walton Beach Council agenda — 03-14-06 (regular) — reading text
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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..,,~+-
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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-=--
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DATE
Si~ NATURE "
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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,
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Home address: ~
Home phone:
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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
