Fort Walton Beach Council agenda — 04-14-09 regular — reading text

r/ IL:.• it ! r ; i_ I 1! i_ riil•7 R r s i + i i 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 BOARD GOLF CLUB ADVISORY VISION PLAN STEWARDSHIP must be a resident) COMMITTEE COMMITTEE citizen -at -Tar a must be a resident COMMUNITY REDEVELOPMENT HISTORIC SITES & ADVISORY FORT WALTON BEACH AGENCY BOARD WATERFRONT COMMITTEE must be a City resident, own property or work in the district objective? objective? NONO YESYES 4.4. DoDo anyany circumstancesci/ rcumstances / conditionsconditions existexist v1hichv1hich maymay inhibitinhibit youryour abilityability toto bebe totaltotal IfIf yes,yes, explain:explain: APAP CRCR rr 3.3. WhatWhat spespe ialial qualificationqualification dodo youyou feelfeel youyou willwill bringbring toto thisthis Board?Board? rr rr allall VeVe l;l; ffff InIn MYMY 6.6. UntilUntil yy areare selectedselected f5rf5r thethe oardoard ofof youryour cc ce,ce, yy wewe submlf}/submlf}/ ur`ur` application application whenwhen vacanciesvacancies occuroccur ratherrather thanthan contactingcontacting you?you? YESYES – – NO,NO, I wishwish toto bebe contactedcontacted first.first. X— X— 7.7. WouldWould youyou considerconsider servingserving onon anotheranother BoardBoard otherother thanthan thethe oneone youyou selectedselected above?above? YESYES __ __ POPO OtherOther Board(Board( s)s) inin whichwhich youyou wouldwould bebe interestedinterested I amam aa residentresident ofof thethe City:City: YESYES NONO * * I HAVEHAVE BEENBEEN aa residentresident forfor YearsYears NONO ** ** I workwork inin thethe CRACRA District:District: YESYES NONO I ownown propertyproperty inin thethe CRACRA District:District: YESYES I amam aa registeredregistered voter:voter: YESYES NONO SIGNATUSIGNATU DATEDATE NOTE:NOTE: ApplicationApplication effectiveeffective forfor ONEONE YEARYEAR fromfrom datedate ofof submission.submission. - - 95099509 oror thethe CityCity HallHall TDDTDD IfIf youyou havehave anyany questions questions onon thethe above,above, pleaseplease callcall thethe CityCity Clerk,Clerk, HelenHelen Spencer,Spencer, atat 833833 # # 833833 - - 99259925 INFORMATION INFORMATION BELOWBELOW FORFOR USEUSE ONLYONLY BYBY THETHE CITYCITY Appointed Appointed to:to: DateDate ofof originaloriginal appointment:appointment: LengthLength ofof Term:Term: Date(Date( s)s) re-re- appointed:appointed:  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: Home 449ma Occup Brief Resume of Education and Experience 2. What options would you initiate if appointed? nu nv A ^ UC AC TUC Cf11 1 MA11KIf_ ann Mhar chin of annlir-atinn fnr a hripf [IAC[_rintinn 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 BOARD GOLF CLUB ADVISORY VISION PLAN STEWARDSHIP must be a resident) COMMITTEE COMMITTEE citizen- at -lar a must be a resident COMMUNITY REDEVELOPMENT HISTORIC SITES & ADVISORY FORT WALTON BEACH AGENCY BOARD WATERFRONT COMMITTEE must be a City resident, own property or work in the district