Application- Byrnes, Lizzie TCA & CARAC 9-20-10Revised q2ow
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 boardcommittee is available on page 2 of this form
Code Enforcement Board Community Development Board
Pension Board of Trustees
V Cultural Arts and Recreation Advisory Committee vim 1 e C d 4
DATE 1 rg 1 0 APPLICANTS NAME LX Q nn es
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Please explain any employment experience boardcommittee experience andor community volunteer experience
relative to the boardcommittee applying for
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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 boardcommittee
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Please return completed form to
Donna L Bartle City Clerk 800 Seminole Road Atlantic Beach FL 32233
PLEASE NOTE This application will expire two 2 years after date of submittal
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