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Item 10AAGENDA ITEM # l0A MARCH 9, 2009 CITY COMMISSION MEETING STAFF REPORT AGENDA ITEM: Appointment to the Board Member Review Committee SUBMITTED BY: Donna L. Bartle, City Clerk Mike Borno, Mayor Pro Tem DATE: February 24, 2009 BACKGROUND: The Boazd Member Review Committee was created by Resolution No. OS-04 on April 11, 2005 and was later amended by Resolution No. 06-03 on February 13, 2006. The purpose of the Board Member Review Committee is to encourage citizens to apply to serve on the city's boards and committees, to review and consider available applications when vacancies occur, to consider the re- appointment of members and to make recommendations to the Mayor and Commission as to which applicants to appoint to fill those vacancies. Commissioner Borno advised the Commission during the February 9, 2009 meeting that Glen Fisher's term will expire on March 27, 2009 and asked for. guidance regazding whether the Boazd Member Review Committee or the Commission should make a recommendation for the vacancy. It was determined that the Commission should review the applications and make their own recommendations and appointment. There are four applicants on file to be considered: 1) Myron Blankenbaker 2) Elizabeth Eilers 3) Glen Fisher (for reappointment) 4) Jerry Johnson RECOMMENDATION: The City Commission should select an applicant to fill the upcoming vacancy on the Board Member Review Committee. The new term will begin on Mazch 28, 2009 and end on March 27, 2011. ATTACHMENTS: 1) Resolution No. 05-04 2) Resolution No. 06-03 3) Boazd Member Review Committee Membership List 4) Applicant Listing 5) Applications and/or resumes on all four candidates AGENDA ITEM # l0A MARCH 9, 2009 RESOLUTION NO. 05-04 RESOLUTION OF THE CITY OF ATLANTIC BEACH, FLORIDA CREATING A BOARD MEMBER REVIEW COMMITTEE, PROVIDING FOR PURPOSE, MEMBERS$IP AND RESPONSIBILITIES OF SAID COMMITTEE, AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the Boards and Committees established by the Mayor and Commission of the City of Atlantic Beach provide many valuable services to the community by enlisting citizen vohurteers to provide input and consideration upon several important issues that affect the daily lives of citizens in the community, and WHEREAS, it is vitally important that the Mayor and Commission appoint members that are the most qualified, fair minded, bright and energetic, to enable the city's Boards and Committees to function in the most positive and effective way for the community, and WHEREAS, the City Commission deems it to be in the best interests of the citizens of ,~`' Atlantic Beach to create a standing committee to review applications and make recommendations for the appointment and reappointment of members to the city's Boards and Committees. NOW THEREFORE, be ft resolved by the City Commission of the City of Atlantic Beach as follows; SECTION 1. ~: There is hereby created and established the BOARD MEMBER REVIEW COMMITTEE. SECTION 2. Purpose: The purpose of the Board Member Review Committee is to encourage citizens to apply to serve on the city's boards a~ committees, to review and consider available applications when vacancies occur, to consider the re-appointment of appointments to a second term and to make recommendations to the Mayor and Commission as to which applicants to appoint to fill those vacancies. SECTION 3. Membership: There will be a total of four (4) members on this Committee. The first member will be either the Mayor or one of the sitting City Commissioners, who shall serve as chairman of the Committee. 'This member shall be appointed by the Mayor and Compassion. The City Manager and City Clerk will automatically be members. The fourth member will be the chairman of the board or committee for which vacancy or re-appointrrient is currently being considered. The term of office for the elected official serving on this committee will be for a period of two years. That elected official will be eligible for reappoinment to a second two-year term, The City Manager and City Clerk will remain as members on this committee as long as they are empbyed by Atlantic Beach in those positions. The fourth AGENDA ITEM # l0A MARCH 9, 2009 ~'' member will serve only for those meetings where membership on their board or committee is being considered. SECTION 4. Duties and Responsibilities (a) Review available applications for vacancies on city boards and committees and interview applicants as the Committee determines necessary to make informed recommendations. (b) Receive input on the needs of the boards and committees that have vacancies for consideration as to the geographical, professional and philosophical balances needed so that each of those boards and committees can successfully accomplish their intended purposes established by the Mayor and Commission (c) When a n.,appoiirtment is being considered, solicit and receive input from the Chairmen, members or the staff liaison of the board or committee where the vacancy has occurred, or others on the appointee's past record of service including, but not limited to, attendance, preparation and overall contribution to the board or committee. (d) Make recommendation(s) to the Mayor and Commission on appointments or reappointments to the city's boards and committees. ~`' SECTION 5. Meetings and Notice: The meetings of this Boazd Member Review Committee shall be set at regular times and will be open to the public as well as to the other city elected officials and a notice of meetings shall be provided in accordance with state law. Additionally, copies of the applications for appointment s1~a11 be transmitted to the Mayor and Commission prior to any meetings where interviews will be conducted. SECTION 6. Effective date: This Resolution shall take effect immediately upon its final passage and adoption. j PASSED by the City Commissian this ~ ~ +h day of r~ r , 2005. ATTEST: Q~1NI't(~ DONNA BUSSEY City Clerk as to form and correctness: AN~CC J~NSEN, ESQUIRE +~ City A ey AGENDA ITEM # I OA MARCH 9, 2009 RESOLUTION NO.06-03 RESOLUTION OF THE CITY OF ATLANTIC BEACH, FLORIDA AMENDING THE NUMBER OF MEMBERS, APPOINTMENT OF MEMBERS AND MEMBERSHIP CRITERIA FOR THE BOARD MEMBER REVIEW COMMITTEE, PROVIDING FOR AN EFFECTIVE DA'Z'E AND FOR OTHER PURPOSES. WHEREAS, a Board Member Review Committee was created by the Mayor and Commission by resolution OS-04 adopted on April 11, 2005 to review applications and make recommendations for the appointment and reappointment of members to the city's Boards and Committees, and WHEREAS, conflicting language between the city charter and several ordinances in the city code has been identified by the City Attorney which has resulted in a need to amend several provisions relating to the membership of the Board Member Review Committee, and WHEREAS, it is in the best interest of the city to amend the original enabling resolution OS-04 to make changes to the number of members, the appointment of members, the criteria for membership and to make several additional modifications to the original provisions. NOW THEREFORE, be it resolved by the City Commission of the City of Atlantic Beach as follows; SECTION 1. Creation: Resolution OS-04 of the City of Atlantic Beach creating the BOARD MEMBER REVIEW COMMITTEE shall be amended as follows. SECTION 2. P se: The purpose of the Board Member Review Committee is to encourage citizens to apply to serve on the city's boards and committees including requesting applicants to consider other boards or committees than those that they originally applied for, to review and consider available applications when vacancies occur, to consider recommending existing board and committee members to an additional term and to make recommendations to the Mayor as to which applicants to appoint to fill those vacancies. SECTION 3. Memberslu,_p: There will be a total of six(6) members on this Committee. The first member will be one of the sitting City Commissioners, who shall serve as chairman of the Committee, shall serve eons-year term and will be eligible for additional terms. Each one-year term for the Commissioner shall begin on December 1 ~ This member shall be appointed by the Mayor and be subject to the approval of the commission. The City Manager will automatically be a member and will remain a member as long as employed by the City .The third and fourth members shall be citizens of Atlantic Beach. They will be appointed by the Mayor subject to approval of the commission. The citizen members should have backgrounds or experience in committee work or human resources. The citizen appointments shall serve two-year terms which will be staggered and be eligible to serve a second two-year term. The fifth member will be the chairman of the board or committee for which vacancy or re-appointment is currently being considered. They shall serve only for those meetings where membership on their board or committee is being considered. The City Clerk shall serve as a ~„~ non-voting member and perform all necessary administrative duties. SECTION 4. Duties_and~tesp~ibilities (a) Review available applications for vacancies on city boards and committees and interview applicants as the Committee determines necessary to make informed recommendations. AGENDA ITEM # l0A MARCH 9, 2009 (b) Receive input on the needs of the boards and committees that have vacancies for consideration as to the geographical, professional and philosophical balances needed so that each of those boards and committees can successfully accomplish their intended purposes established by the Mayor and Commission. (c) When a reappointment is being considered, solicit and receive input from the Chairman, members or the staff liaison of the board or committee where the vacancy has occurred, or others on the appointee's past record of service including, but not limited to, attendance, preparation and overall contribution to the board or committee. (d) Make recommendation(s) to the Mayor on appointments or reappointments to the city's boards and committees as set forth in the Charter of the City of Atlantic Beach. Recommendations shall be in the form of committee minutes along with copies of any applications of all candidates interviewed. (e) Make additional recommendations for membership if the Mayor does not approve the original recommendation for appointment or if the Commission does not approve the Mayor's recommendation. SECTION S. Meetings aad Notice: The meetings of this Board Member Review Committee shall be set at regular times and will be open to the public as well as to the other city elected officials although non-members of the Board Member Review Committee shall only observe ~"' and not be active participants in the meeting. A notice of meetings shall be provided in accordance with state law. Additionally, copies of the applications for appointment shall be transmitted to the Mayor and Commission prior to any meetings where interviews will be conducted and in the city commission agenda packet. SECTION 6. Effective date: This Resolution shall take effect immediately upon its final passage and adoption. PASSED by the City Commission this ~ 3~ day of Fobr~'N , 2006. ATTEST: ~~YIVVI~~ Q/ DONNA BUSSEY City Clerk as to f~ and correctness: ~I-ANriA~~~I~B~N, ESQUIItE City A y DONALD M. WOLFSON Mayor Resolution 06-03 (Page 2 of 2) AGENDA ITEM # l0A MARCH 9, 2009 CITY OF ATLANTIC BEACH Board Member Review Committee (BMRC) Created by Resolution No. 05-04 on April 11, 2005; Amended by Resolution No. 06-03 on Feb. 13, 2006 Total of Six Members (5 voting members & 1non-voting member) Commissioner member- 1 year term- no term limit; City Manager member- term as long as employed; Two Citizen Members- 2 year term- 2 term limit; Chairman of the board or committee for which vacancy is currently being considered; City Clerk- non voting member. NAME & ADDRESS Mike Borno 223 Ocean Forest Dr. N. Atlantic Beach, FL 32233 Glen Fisher 2001 Mipaula Court Atlantic Beach, FL. 32233 James Smith 73 Oceanside Drive Atlantic Beach, FL 32233 Chairperson of Related Board or Committee being addressed Staff Liaison for Related Board or Committee being addressed Jim Hanson Donna Bartle POSITION/ EXP. DATE BUSINESS HOME /CELL / EMAIL CHAIR Commission Member Regulaz Voting Member ls` Term exp. 12/01!08 Citizen Member Regular Voting Member 13i Term exp. 3/27/09 N/A (904) 633-6300 Citizen Member Regular Voting Member 1 s` Term exp. 3/27/10 Boazd/Committee Chair Voting Member No expiration Varies Attends meeting to provide information to applicants being interviewed and to the BMRC members No expiration City Manager City Clerk/Recording Secretary Varies (904) 247-5806 (904) 247-5805 Fax (904)247-5809 (904) 247-5846 Fax All Official Correspondence Should Be Mailed to: 800 Seminole Road Atlantic Beach, FL 32233 Email: dbartle@coab.us (904) 246-9383 Home (904) 607-3256 Cell (904) 246-9365 FisherG@nfl jaguars.com 246-5600 509-1100 cell jim@secureone.net Vazies Varies jhanson@coab.us dbartle@coab.us F.•ICity ClerklComm., Bds. & CommitteeslBoard Member Review Committee 2-25-08.doc AGENDA ITEM # l0A MARCH 9, 2009 Y Z ~ O OpOO O QOOOOD000 OOOO OO OOO W O O O 0 0 0 w C C V C U> C>>> U U ~~ ~~ O O y ~ "O! ~ ~ ~ Z~ Z Z Z ~ ~ ~ ~ ~~ ~ ~~~ ~+ R J O r~O ~OOer-O Op~OOO OOOOD~er- 0~~~ N N N N N N N N N N N ~V N N N N N N N N N N N N N ••• W ~t~ O~N~(~ ~N V Ntnr rO1~"•OOd•M ~`I~~ch W N N N ~ N ~ ~~ N ~~ ~ ~ r O M (~ N N ~ ~ N N ~ ~ r r r r "~ U U U ~ U m Q ~ p ~ ti ti ti ~ U ao ao ao o~ `~ ~ 1`0 (`O N NV N NN UN ONNN tiN~NN N~ UU m N r+ C c C C ~ N c~ ~ M C M M~ O M C~ f 7 _M c Z O O C C d _ _ C O N ~ O N N N N N M M M M N N N r r M r r r r M f~A ~ ~ N M M J ~ ~ r ~ ~ M M 00 f~ O ~ ~ ~ M 0 O N f` 1` f` r O ~~O ~OotS~~ ON~M~N yOO~OOO X000 ~:+ e~-~~O r QOM _OrNr ~r00~`G~Lp V' \Na~-~ V NrN ~Np~~ NtA~rrr pM~Na^..~ NN~-~ N O r r r O r ~- '~ O N r a Q c` N r" N r M O r r c c c _ `O L L N L O N L c t0 (0 •- ~ O~ N (0 p~ -p to (0 a O N >' N N t0 N O f0 Q Y•N C ~~Z•N~ ~Z'~ Q N cr2~"~ O N~ '~~.~~ Z = ° c r~ic °~~~'c`u ~oW°~~' a~ia~myE a~i~~ £ Y ~ o m rn~ ~~ rn~.-°'w~'z` ° o m rn~ ~u~ .c co ocn Z mW_' m~W 'm~W ~ ~° UUO ~ W ~~LLJ m o o a o 0 m~i~iaoiaoim~i ~ ~ ~ ~ ~ ~ ~ E E E E E E E v a a a a a E E~ E E E E 0 0 0 0 0 0 0 UUUUUUU ~ ~ ~ 0 0 0 0 0 0 ~ ~ ~ ~ ~ ~ ~ m o 0 o m m m m m m 0 0 0 0 0 0 0 ~ UUU ~vvav c c c c c c •~•~•~•~•~•~•> vvvv 333 ~0c°~°fd~° °~0~°~°~°~°~ aaaaaaa mmmm p a~ a~ a~ m°m°m°m°m° aQ•anaa QQQQQQ`t m°m°m°m° > •> •> .r .............. m ma~a~ ccccc 000000 ~~~~~~~ cccc ~ (r ~ ~ d m a~ o a~ > a > > > > m m ~ ~ ~ ~ m o 0 0 0 .~ .a ~ U U U U N ~ 0 ~ ~ ~ D °i~ oEf o~S atS oPS otS o2f ~ Z~ Z o a~ia~ia~i 0,0000 ~`~':~'~'~';~` ~r~~~~~ ~~~~ V ~~~ c c c c c ~~~~>> Q Q Q Q Q Q Q 0 0 0 0 ~ W W W W W (0 N f0 N N ~p N '~ '~ aN N N -pN -pN E E ~ E E ~ ~ ~ ~ ~ ~. ~ ~.. U U U U ~ N f0 t0 a a ~ ~ ~ ~ ~ ~ ~ += = = N O O O ~~ O 3~~~ N N N N m mmm UUUUU UUUUUU UUUUUUU HI-1-I~ O N O f0 a CITY OF ATLANTIC BEACH AGENDA ITEM # l0A MARCH 9, 2009 BOARD ~ COMMITTEE MEMBER APPLICATION FORM Please check (~ the box beside each Board or Committee that you are applying to serve on. If you check more than one, please rank your interest in each board /committee by order of priority. (A summary of each boardlcommittee is available on page 2 of this form.) Code Enforcement Board /Community Development Board _ Pension Board of Trustees _•~Tree Conservation Board ,,,C Cultural Arts and Recreation Advisory Committee /Board Member Review Committee DATE: APPLICANT'S NAME: ~V~. Yk'('j;t/ l3L~ ~ l~f_'F".t, f ,a~-/~'~ ADDRESS: ~ Z~l `-~~1 Duo ~-~- .s ~"~~~- ,6L~G~~6'~,~rl c B~~r,~. ~ z X33 --~--~ DAYTIME PHONE: g"0 y ~ Y 7 - ~T 7 7 ~~,e~ EVENING PHONE: _90 y 2 y7 Y7 ~ 7 qay ~vag' i izs-C~PD) `~G y ~ G~ i L 7~-- E-MAIL ADDRESS: ~~_~~~. ~ ~ p„~~r~ FAX: ,.--~ Please explain any employment experience, board/committee experience, and/or community volunteer experience relative to the board/committee applying for. Please provide a brief explanation of your interest or any special qualifications you have in this field and your reasons for wishing to be appointed to thus board/committee. Please return completer) form to Donna L. Bartle, City Clerk, S00 Seminole Road, Atlantic Beach, FL 32233 PLEASE NOTE: This application will expire two (2) years after date of submit~l. AGENDA ITEM # l0A MARCH 9, 2009 Myron Biankenbaker 1251 Gladiola Street Atlantic Beach, Florida 32233 904-247-4777 (I~ 904-608-1275 (C) City of Atlantic Beach Board 1 Committee Member Application Form Z/17/2009 I have a Masters Degree and a successfiil business background; primarily Pro~~B services and information to the Property Insurance Industry within the claim sector. I have either worked for; or provided services to the insurance industry for most of my business career. I am a 22 year resident of Jacksonville Beach, Jacksonville, and most recently, Atlantic Beach. I am active in various Florida insurance organizations, such as the Windstorm Pool, Property Loss Research Bureau, and others. I am as approved speaker at these and many other industry trade group conferences. The highlights of my background that afford me the qualifications and interest in helping implement the long term vision of the City of Atlantic Beach; especially West Atlantic Beach are listed below: Please Ezplain employment ezperience, bosrd/committee and/or community ezperience relative to the board/committee apptyiog for. Current employment - 2006 -Present Vice President Business Development Certified Restoration Dry Cleaning Network Paul Davis Restoration 1990 -2006 -Corporate Officer VP .Marketing VP Sales Marketing Director Sales Director Numerous other related management and leadership responsibilities • Strategic Planning • Tactics and implementation processes • Training • Strategic Marketing Plan committee member and corporate rep • Budgets P&O management • Warranty company committee member and corporate rep • Executive Developmen Programs AGENDA ITEM # l0A MARCH 9, 2009 Please explain your interest or any special qualifieations you have in this field and your reasons for wishing to be appointed to a board/committee. • Stmng and proven success in business leadership • Executive level employment past 20 years • Successful history of networking and consultative based relationships • Business Development background -Large complex account development • Outstanding public speaking skills and background addressing large groups • Numerous executive development and industry specific educational programs • "Board" level reporting and presentation skills • History of million dollar budget responsibilities • Recognized as a top leader within the insurance restoration industry • Built three houses at two beach communities (Most recently a hurricane resistant home in COAB, 8/08 occupancy) • Currently own four residential properties (2 investment, 1 primary residence, and 1 vacation home) • Civic and community minded • Wife- has recently applied to become a Little Sister • Former commercial real estate owner (Out of state) • Former licensed insurance agent • Real estate and architectural interest Y/ofur consideration would be appreciated. Myro~Blankener AGENDA TI'EM # l0A MARCH 9, 2009 CITY OF ATLANTIC BEACH Rscstv~ed BOARD / CUN~]MIITTEE MEMBER .A-PPLICATION FORM Please check (~ the box beside each Board or Committee that ou are JAN 15 ~ y applying to serve on. If you check mare than one, please rank your interest in each board /committee by order of priority. (A s/ummary of each board/committee is available on page 2 of this form.) o~o~ w cq cwt J Code Enforcement Board 1~ Community Development Board / Pension Board of Trustees ~_ Tree Conservation Board Cultural Arts and Recreation Advisory Committee ~ Board Member Review Committee DATE: / `' % ' D `~ APPLICANT'S NAME: __ ~~/,~,,g.~ .f ~` ~ 'J", ' ~ / G ~ ,e S ADDRESS: ~ (o y T/~ir~ T . ~ l~~ ~,~~--3 3 DAYTIlVIE PHONE: ~~ - ,~ Y 9' -~ ~o y i//.~t 7-20 ~ / ~ g &"~i cf --- EVENING PHONE: E-MATT. ADDRESS: FAX: Please explai>~ aay employment experience, boat+d/committee experience, and/or community volunteer experience relative to the boaid/committee aanlving f~r_ _ Please return completed form to Donna L. Bartle, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 PLEASE NOTE: This application will expire two (2) years after date of submittal. Please provide a brief explanation of your interest or any special qualifications you have in this field and your reasons for wishing to be appointed to this board/committee. AGENDA ITEM # l0A MARCH 9, 2009 ~~~ jYL~ 1 , CITY OF ATLANTIC BEACH °'~ 3/20pq BOARD /COMMITTEE MEMBER APPLICATION FORM . 1 a, . , ,,, _,, Please check (~) beside each Board or Committee that you are applying to serve on: _~ (A summary of each board/committee is available on page 2 of this form.) ~~': ~; -' `"' ' '" 1 "~ , Code Enforcement Board Community Development Board Pension Board of Trustees , Tree Conservation Board Cultural Arts and Recreation Advisory Committee APPLICANT'S NAME / °'J ~~ ADDRESS: ,~ ~G~ ! ~l ~,/~~' ~ ~-: DAYTIME PHONE: ~ ~ „~ -! ~ ?~~ EVENING PHONE: ~ ~'~"" /,,.~~ ~~/'f'' l E-MAIL ADDRESS: ~~~f~~ ~ J'/I_, ~~~._I > Ax: ~'~~ j '~(~~~~ Please provide a brief explanation of your interest or any special qualifications you have in This field and your reasons for wishing to be appointed to this board/committee. 1 Please explain any employment experience, board committee experience, and/or community volunteer experience relative to the boardlcommittee applying for. Please return completed form to Donna L. Bussey, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 AGENDA ITEM # l0A MARCH 9, 2009 GLEN FISHER SENIOR SALES ~TIVE PRENIIUM SEATS & SUITES Glen Fisher is the Senior Sales Executive in charge of Premium Seats and Suites for the Jacksonville Jaguars. That includes all az~eas of sales and service for the Touchdown Club, Suites and Terrace Suite. Glen has been with the Jaguars since November of 1944. "As a Jacksonville resident for 37 years and witnessing the changes the city has experienced throughout that time, it is truly exciting to be a part of something that has brought the community together like the Jaguars have done," said Fisher. Fisher spent 25 years in television broadcasting, 22 as Sports Anchor, and three years as the News Anchor at WJKS-TV in Jacksonville. He was very involved in covering the city's ongoing efforts to attract a National Football League team. Glen was elected to the Jacksonville Sports Hall of Fame in 1993 for his accomplishments as asports broadcaster. He is one of only three Broadcasters to be so honored. Fisher is a member of the Board of Directors for the Florida Sports Hall of Fame. He is a past president of the Florida Sportscasters Association. Glen served on the board. of the Northeast Florida Kidney Foundation and the Jacksonville Boys and Girls Club. Fisher is a graduate of Leland Powers in Boston with a degree in Radio, Television and Theater. Glen lives in Atlantic Beach with his wife Irene. He has two grown children. AGENDA ITEM # l0A MARCH 9, 2009 CITE (_)F :~"l`1_:~~;`TIC BI~.:~CI1 Ut):~RD / CO11~I1"I'"hl~:~: ~lE:tiIbl~'1~ :1.PPLIC:~TIC~ti I~OR:til 1''1~ayc; check (~,') beside each Buard ur Cummitt~e that vuu arc ahnlyin~~, t« serve ~~n: i_:~ summar~~ ufeach board,-committee is available un pu~a~: ~ ufthis fur7n.) ~-~~' rs ~i~~.4? Code Enforcement Buard " ' ' '' `' F ~~ , ,~ Cutltinity Development Buard _. Pension Board of Trustees _ Tree Conservation Board _: Cultural Arts and Recreation Advisory Committee ~>J'' Board Member Review Committee ---" ~-- APPLICANT'S N AN1E: ~,,~t-~ t~ C't / ~_ _ ~ 1~ ~7 ADDRESS: ,~._~~ ~~,.qC ~,,~C~:;r~, ~~7c"72 l f (-~1L t_LC_/rTn: ~ IC'_.-- ,~~~',1;r l 1 DAYTIME PHONE: ~G,~~ {~~ r(,t ~ EVENING PHONE: E-MAIL ADDRESS: ~~ y~ ~s , s C~ FAX: Please explain any employment experience, board~'committee experience, and/or community volunteer experience re~tive to the board,'committee applying for. I~2[~ ~,{ } -ti t ~... -~ ~A ~ ~-. C '- ~' ! ~T ~~ 12 v ~ i~3 ~ C r`} 1 ~r~,A'C2,~1 a-~ ,/ Y'I ~.:~A~A l ~ - X V 1 \' ~ C~ ~-~ r? S ,, C' r ) l ,f i~~ SX-' /1.] ~ Iy ~~ ~ ~' C~. ~ ~ F• !~(~,~ ~ ~ /`~ ~ ~ ~~~"i' / Ae ~4 ~2 #M ~}~T / CJi.I ~C~ ' V4~ IZ-~~ S C-a.% -.::~ :~C ~ _ / _ f . P . ~ k ~.z ~ I _ . ~ .mil ..r") _ n ~ .h ./~~ ~ n_ ~ C _. ~ _ l~L~, V'~7 / _ Please return completed form to Donna L. Bussey, City Clerk, 80~ Sc:minule Road, Atlantic Beach, FL 32?~3 Please provide a brief explanation of your interest or ::ny special qualifications you have in this field and your reasons for wishing to be appointed to this board committee. n _ 'C.. ~~F.1 C' , wti 1 ~~ '~ C IG.' C,?