Eilers, Elizabeth T. (ALL) 1-15-09
CITY OF ATLANTIC BEACH Received BOARD CTOTNEIlYEII MEMBER APPLICATION FORMJAN 1 5 O9 Please check the box beside each Board or Committee that you are applying to serve on Ifyou check
more than orie please rank your interest in each board committee by order ofpriority A summary ofeach cboammaizttedeis available onpage 2 ofthis form OMiadCltyc Code Enforcement Board
Pension Board of Trustees Cultural Arts and Recreation Advisory Committee 1 Community Development Board Tree Conservation Board Board Member Review Committee DATE ASPPLICANT NAME zi9f3g7
f G e S ADDRESS 3o jyhy r l 3Y3 DAYTIME PHONE o c3o y EVENING PHONE EMAIL ADDRESS FAX Please explain any employment experience cboommaitrtede experience aonrd community volunteer experience
relativeto the cboommaizttedeapplyin for j l LriJtsZ A c Please return completed form to DonnaL Bartle City Clerk 800 Seminole Road Atlantic Beach FL 32233 PLEASE NOTE This application
will expire two 2years after date of submittal 1 Please provide abrief explanation ofyour interest or any special qualifications you Dave in this field and yourreasons for wishing to
be appointed to this cboommaizttede