Daugherty, Jonathan CEB, CARAC, CDB & TCB 2-7-08
CITY OF ATLANTIC BEACH BOARD HCiT0TiE1E INB1EERl APPLICATION iFvOEI E 0 7 2688 Please check beside each Board or Committee that you are applying to serve on A summary of each cboommaitrtedeis
available on page 2 of this form OFFICE OF THE CITY CLERK Code Enforcement Board Community Development Board Pension Board of Trustees Q Tree Conservation Board Cultural Arts and Recreation
Advisory Committee Board Member Review Committee ASPPLICANT NAME JO 1U1 VU v e ADDRESS 0 U H6CUS 7 DAYTIME PHONE b 1 EVENING PHONE Surn EMAIL ADDRESS Gh j Urt c1 Q Un FAX 4 Flease provide
a brief explanation of your interest or any special qualircatons you have in this field and your reasons for wishing to be appointed to this cboommaitrtede S y li S O iinJ Yl U i P if97I
faC Gt ni2tU v 1P aHl wrt YIaP vSfQ aGd Please return completed form to Donna L Bussey City Clerk 800 Seminole Road Atlantic Beach FL 32233 1 Please explain any employment experience
cboommaitrtede experience aonrd community volunteer experience relative to the cboommaitrtedeapplying for