Application- Byrnes, Lizzie TCA & CARAC 9-20-10
Revised 2qwo CITY OF ATLANTIC BEACH BOARD COMMITTEE MEMBER APPLICATION FORM Please check I the box beside each Board or Committee that you are applying to serve on If you check more
than one please rank your interest in each board committee by order of priority A summary of each cboommaitrtede is available on page 2 ofthis form Code Enforcement Board Community Development
Board Pension Board of Trustees V Cultural Arts and Recreation Advisory Committee vim 1e C d 4 DATE1 rg 1 0 ASPPLICANT NAME LXQ nnes ADDRESS ckOl DCre c6Lt 6Y1Ql t C DAYTIME PHONE cad
4aQC EVENING PHONE VQ t LI Sqt EMAIL ADDRESS iaZZ ry 5e 6uorvi skFnA4X4 Please explain any employment experience cboommaitrtede experience aonrd community volunteer experience relative
to the cboommaitrtede applying for j O 1 tOkC en C k5Q t rl e isrc kcd S r Ac CkJ s a s a VCALIIk CVeC arce coor 1 5 a lc cf CPorEA c c for tin 5c c c1ur 0sr n vera C0rvi eNel t S w
VeQx3t s crOm V b5 A c cv eC rCiakrv cz VtkOInS co y t11ekr 1 i cAbr SoeeCCt c5 er tQst leeNrv LDork w v n e F r c3 o acCer fcCDS 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 cboommaitrtede 1 N c i e oyeoC k worle L k 5 c tte r oole vz cue ems CIAt e
NPL ocNwNUri i a r it iecct fib Ve cwt a Uc x 0 poc See on VA ex1V5 C eXeeet nceS VJ n e vt1 C Pt ore pv r 7ecCf Ueeidrossk CP Please return completed form to Donna L Bartle City Clerk
800 Seminole Road Atlantic Beach FL 32233 PLEASE NOTE This application will expire two 2years after date of submittal I