Paul, Brea TCB 1-18-07
Jan. 1B. 200 I 2: 53PM DRMP No. 0739 P. 1 CITY OF ATLANTIC BEACH BOARDICOMMITTEE MEMBER APPLICATION FORM Please check <">beside each Board or Committee that you are applying to serve
on: (A summary of each board/committee is available on page 2 of this fonn.) Code EnforcementBoard CommunityDevelo ent Board Pension.Boardof Trustees ree ConservationBo CulturaJArtsand
RecreationAdvisoryCommittee ADDRESS: DAYTIMEPHONE: l\~~-i95~{'\..,.~ EVENINGPHONE: (jl\d..l\~ E-MAILADDRESS: (\Mn. breo.@~\\~G\-~ FAX: APPLICANT'S NAME: Please explain any employment
experience, board/com.mittee experience, and/or community voluntee.r e~erience relative to the board/committee ~pIying for. ,((t<\\\..., ~mC\\C"\"'t:'4IoA \--N \ Please provide a brief
explanation of your interest or any special qualifications you have in this field and y-ou-r reasons for wishing to be appointed to this boanJlconunittee. ----.1 ("("\Mr r,(\c\ ~pp \"uer
. Please return completed fonn to DOMa L. Bussey, City Clerk, 800 Seminole Road, Atlantic Beach, FL FL 32233