Dattilo, Jesse CARAC & TCB 2-28-08
CITY OF ATLANTIC BEACH BOARDCOMMITTEE MEMBER APPLICATION FORMR1cE1vED Please check beside each Board or Committee that you are applying to serveon F R 1f18 Asummary of each cboommaitrtede
is available on page 2 of this form OFFICE OF THE CITY CLERK Code Enforcement Boazd Pension Boazd ofTrustees f Cultural Arts and Recreation Advisory Committee CSANT NAME 1 rfd APPLI
ADDRESS G r DAYTIME PHONE 07 94D EVENING PHONE S hGi hFS FAX r EMAIL ADDRESS 41 yn 9 h Please explain any employment experience cboommaitrtede experience aonrd community volunteer experience
relative to the cboommaitrtede applying for lc7 s C Cam4Si DsI c4siGrGP1 hClu Y1 r li t aC 7 CiS dlCY Cr j 1 ir r i 7 Please provide abrief explanation ofyour interest or any special
qualifications you have in this field and your reasons for wishing to beoapintpedto this cboommaitrtede r C vt mac e Community Development Board Tree Conservation Board 209ad0 Board
Member Review Committee 2Gz E c Please return completed form to Donna LBussey City Clerk 800 Seminole Road Atlantic Beach FL 32233