Longbottom, John A. CARAC 11-03-06
RECEIVED CITYOFATLANTICBEACH 3? ": BOARD/COMMITTEEMEMBERAPPLICATIONFli~ . OFFICE OFiHE CITY CI..I1RK Please check (1J beside each Board or Committeethat you are applyingto serve on:
(A summaryof each board/committeeis availableon page 2 of this form.) Code EnforcementBoard CommunityDevelopmentB0JA9V0 3 ?~nh PensionBoardof Trustees TreeConservationBoard FTHECITYCLERK
Cultural Arts and RecreationAdvisoryCommittee~ OFFICE0 RECEIVED E-MAIL ADDRESS: APPLICANT'S NAME: ADDRESS: DAYTIME PHONE: Please return completedform to Donna L. Bussey,City Clerk, 800
SeminoleRoad, Atlantic Beach, FL 32233 1