Wolfel, John PBoT July 30, 2007 CITY OF ATLANTIC BEACH
BOARD / COMMITTEE MEMBER APPLICATION FORM RE CEIVED
Please check (�) beside each Board or Committee that you are applying to serve on: JUl I q 2007
(A summary of each board/committee is available on page 2 of this form.) OFFICE OF THE CITY CLERK
❑ Code Enforcement Board ❑ Community Development Board
Pension Board of Trustees ❑ Tree Conservation Board
Committee ❑ Board Member Review Committee
❑ Cultural Arts and Recreation Advisory
APPLICANT'S NAME: �a V-1 W 0
ADDRESS: 43S H �r. �An�. WK f^(�IQt 1 lIC- ?IC, FL 32233
DAYTIME PHONE: G q 9 g 7 EVENING PHONE: 6q Y ?91 7
E -MAIL ADDRESS: -TO�Ih,o�'Fe'"co nM\t# ^ #4AX '
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.
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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.
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ati� �a S pvf\vlo 111 . Please return completed form to
Donna L. Bussey, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 .
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