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Sternfeld, Bob PBoT 7-30-07 CITY OF ATLANTIC BEACH BOARD / COMMITTEE MEMBER APPLICATION FORM RECEIVED Please check (�) beside each Board or Committee that you are applying to serve on: JUL 3 n 2007 (A summary of each board/committee is available on page 2 of this form.) OFFICE OF HE CATY CLERK 11 Code Enforcement Board ❑ Community Development boar Pension Board of Trustees ❑ Tree Conservation Board 0 Cultural Arts and Recreation Advisory Committee ❑ Board Member Review Committee APPLICANT'S NAME: 01� �J� 1 = iz-/ r L r) ADDRESS: Z19 8 3 2. Z-3. DAYTIME PHONE: Z `7 (� ° 3 S EVENING PHONE: �- y` ?0 E -MAIL ADDRESS : FAX: Please explain any employment experience, board/committee experience, and/or community volunteer experience relative to the board/committee applying for. �lc► J�tiC kS��nt/I le y Se I1 q, l (c-) C, ^.� ©fie . r gU, r -V r c n �c� { (J1��5 -{ti•� ash �` l\ a llc;d , l G��� /,S�rS h�,Je vIFe a 45 1 r1 o�(' /c-tS o Z ho Please provide a brief explanation of your interest or any special qualifications ycu have in this field and your reasons for wishing to be appointed to this board/committee. 001-S ' S - DW 7 WAS 004 ( n Moe ��5 �+�lG ��r� lY� '�,bNS O 0CC -1- t Nr,121 'In L'vA S Sec�lc� ����cG,l C SeA jc 4, 7 vl((c) IFr�S G�M�ns U•�� �J�.n g, ; rLf�f t � �n� M�'���,� {�n� Please return completed form to Donna L. Bussey, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 1