Quinif, Casey CEB & CDB 7-15-05 v CITY OF ATLANTIC BEACH a —�, O
BOARD/COMMITTEE MEMBER APPLICATION .. a r i t,Tv" ' :,CH i
JUL 1 5 2005
Please check(')beside each Board or Committee that you are applying to servo on:
(A summary of each board/committee is available on page 2 of this form.)
' BY:_ ,- ___.__
lii Code Enforcement Board 17 Community Development Board
Pension Board of Trustees a Tree Conservation Board
n Cultural Arts and Recreation Advisory Committee
APPLICANT'S NAME: CICI . Q.J.ti\A
ADDRESS: ‘-, Iii-k \,l).T.t:,
en
DAYTIME PHONE: ` 1U`6 —IP 02 EVENING PHONE: L—`; _; e-!��.:.)
E-MAIL ADDRESS:ct1Dtilt T loi,,1‘F-,C ip ,ar_ FAX:
rA—
Please explain any employment experience,board/committee experience,and/or community volunteer
experitrce relative to the board/committee applying for.+ , L J
) rPO.., -k-vv--4.A..- y. --_ a A}1L�n\-i4 toC T,er. U v,1 1)lanPar9
t V CIT ip1`,�1,int. Lith r\,, , F-1,-,,„L [ ;�ti lr.r..trr.1 Jt',r-lam. LL
Lje.r kC ►n, i 11 pr-Y3ce. i ctn.4 ( -e. vi /i._l r..r-t-�,p.�, 1r cl.>,i,r j C/A E....
FACYK
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._ .,1 �_ •.r ? , ,....'rk.S ♦ k Ili.,.`-k _ t- " t - - J. l._.
r A n 1. (160-1 CPI -,r- 1.1• ' i144i.c_ •a r Ls,`` tj S (A. CAMr.s.,�rij� ,_ 1")(� i D;.tltts
441 npi)1r-�ilr ck-1 ‘,./31i r r, -,-,R... ' -n +Y+ - C/v.it t11._)L, _ ,zr veyzf'Y
-� ��*` \J 11'. \� / j71C.Ce- tvz_ 'G.r Ft%Nvl1-). kr) �tini, ---0. e rtu rri
i r -� „�, r
(8 %.1 Vi Ll 1� -t7 C',..71.l\ t 41L- r.i n� l-Ckts�,� `V it +.\h 1 11'�.r,. (A.K.--
)AAAI Uirl,ti( %.
Please return completed form to
Donna L.Bussey,City Clerk,800 Seminole Road, Atlantic Beach, FL 32233
1