Fort Walton Beach Council agenda — 06-24-03 regular Council agenda — reading text

Ht L -: PHONE ( fro) 6 ")J- f" JlSl7 E-MAIL /. oier//, 9JTFkU' , IM/ t) E 6/2EEf . z: l' 1cJh. Brief Resume of Education and experience HEM.?_( '-;?, d4/'- viJ .. r . 4#)/f t! tf'[; u . Clk/.? d.: JA4- D , 4,,- v/) /,# r/. A'.: 7. y fr-4fE 1/ 4'1-/ fIT ~ N ? l'Ic E &- L-;A. VIf)~ ,~ J/; e) f/ f( J.!!/ C /. f'()/"' f4. i) rv. / l Y. /~ , T9'/ E.A'/? Lff..4'#-'. ",4" 7/0 a. vpE/ RJ' . P9.. v/:/ What options would you initiate If appointed r/. r , ' C' / 6 A/' / 7>. u/tl. . J uLE'r 1l'(). E// c~. i!' Y /?,.,,-/) . tf. r7. H'/.t. t/.: J.. dJc . tIt/ JT/~ Statehowyouwouldaddressissueslfappointed s.r77I/ E~Y1 7/ L' o~J). u/ - hL , 4 /Pp. zCA:' ft'.$ f# irE for a description of duties CHECK ANY ONE OF THE FOLLOWING PleaSe see other 8kIe of application Fire Fighter's Retirement Fund * Police Officer's Retirement Fund Beautification Com m ittae * must be a resident) ( must be a resident) Board of Adjustment ~ B Housing Authority * Municipal Planning Board must be a resident) ** ( must be a resident for 2 yrs must be a resident) . ( and a reaistered voter)- Code Enforcement Board Historic Sites Board * VISion Plan Stewardship Committee must be a resident) citizen~at. large appointment must be a resident) i3. JfSfffi iR~ A,b.Cummltlee Community Redevelopment Agency Jst be a resident, own property 1", IIVOrk In the district) O YES t Do any circumstances/conditions exist which may inhibit your abUity to be totally objective? ~ If yes, Explain: J - PH'4I" 1//. CPo./' I: What special qualifications do you feel you will bring to this Board? / J/' E-./ Jvde Ah:-,:, / 5. u,. IT.-./ -~. ej' v , 4. z; :, Tt::c/ 1-- J - A.. v'1) J.$/;-/&: H/? PtuT.. occur rather than contacting 3. Until you are selected for the Board of your choice, may we submit your application when vacancies YES NO, I wish to be contacted first. you? ,/ YES ~ NO 7. Would consider serving on another Board other than the one you selected above? you Other Board in which you would be interested I AM NOT ~ a resident; * I AM A .....:.- resident of the city; I HAVE BEEN a resident for years a registered voter I AM ~ a registered voter I AM NOT I work in the CRA District YES _ NO_ I own property in the CRA District YES SIGNATURE DATE t5~ AJ NOTE: APplication effective for ONE Y INFORMATION BELOW FOR USE ONLY BY THE CITY OF FORT WALTON BEACH Appointed to: Date of original appointment: Length of Term: Ite(s) re- appointed: TDD # 833~9925 If you have any questions on the above, please call the City Clerk, Helen Spencer, at 833- 9509 or the City Hall Updated 3- 7-03  May 15, 2003 Helen Spencer, City Clerk city of Fort Walton Beach / P. O. Box 4009 Fort Walton Beach FL 32549 Dear Mrs. Spencer, myres~.';~. FortWaltonBeachHousingAulhorityeffeclive lrV Cordially, A rd OOP; S Tv '.-' . TED OFF::.... ..:. APPOIJ'.' 14ft/ Oj ~~.._,.._- I [; Mi.:. ri Ch. 421 PUBLIC HOUSING a) May be made by the governing body on its own that has jurisdiction for the same locality served 1 I motion; or housing authority, which