AgendaItem2F-BMRC-7-21-05 Quinif, Casey v CITY OF ATLANTIC BEACH
BOARD /COMMITTEE MEMBER APPLICATION ffTtM
JUL 1 5 2005
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 form.) '
Code Enforcement Board 7 Community Development Board
Pension Board of Trustees = Tree Conservation Board
IT Cultural Arts and Recreation Advisory Committee
APPLICANT'S NAME: �a�ZJ►n��
ADDRESS:
DAYTIME PHONE: IO E` Lo O C EVENING PHONE:
E-MAIL ADDRESS:(y' �t(t►F@CptitinkF,Clakre FAX:
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Please explain any employment experience.board/committee experience,and/or community volunteer
expericpce relative to the board/committee applying for. ( �- / n
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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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Please return completed form to
Donna L. Bussey.City Clerk. 800 Seminole Road.Atlantic Beach,FL 32233
1