Application- McMillan, Hollie CARAC 8-3-10
CITY OF ATLANTIC BEACH BOARD COMMITTEE MEMBER APPLICATION FORM 813 10 Please check 0 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 boardcommittee is available on page 2 of this form Code Enforcement Board Community Development
Board Pension Board of Trustees VCultural Arts and Recreation Advisory Committee DATE ASPPLICANT NAME Q te MCA ADDRESS 1 iTttrAkfleI DAYTIME PHONE qcq23 EVENING PHONE 104 l3 0 60 2232
EMAIL ADDRESSoOChmarne FAX i014 2IiJ 104me Aec 39 P st Please explain any employment experience boardcommittee experience andor community volunteer experience relative to the boardcommittee
applying for it a in s e n aen 0 I re Lot F1 a C I a h An n snot 0c6e Sohh ACJ DTCe Huos Vt kna art Iiaick u xe also bin a td Akiaifi BCEhr p ddlcr 1 or enhCAr e r s 1Is erg d red and
pr d an AC r caL to a Axe 4amsolomCrC hXJS WI aCCCes r raft1 Z sue Please provide a brief explanation of your interest or any special qualifications you have in this field and your reasonsp
for wishing to be appointed to this boardcommittee back 1 o l l r r i t i tx Iam qe1cxi hF cause oC my P 1a ri ICses 00 tae I 11 Jt a ill R r f 11 A Mb a OC Si r M L a is Ambn Adoc T
C 1 c dso z o cr op 0 ud S ri Q Wch O C Aa Coe ds ru01 u i 1c 4ee knd doW Please return complete4 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 1
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