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Application- Bishop, John CDB 11-26-12
CITY OF ATLANTIC BEACH BOARD / COMMITTEE MEMBER APPLICATION FORM Please check(Ai) 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 board/committee is available on page 2 of this form.) Code Enforcement Board g/ Community Development Board Pension Board of Trustees Board Member Review Committee Cultural Arts and Recreation Advisory Committee DATE: 6l/26 l i'2._ APPLICANT'S NAME: "Tb h i 5 I d p ADDRESS: 3-ittf Ocev 3 kid e'aC,� �L 3 22 3 3 DAYTIME PHONE: 5o -'3791 EVENING PHONE: 9--Lt o1'- 9003 E-MAIL ADDRESS: 3 6.`,5 ho p ha eg ycl 1100.cool FAX: Please explain any employment experience, board/committee experience, and/or community volunteer experience relative to the board/committee applying for. �. ewe_ .e <-1-en S�ve_ expam'ie-vtca 'IA ta toreli r-1 sta. -C0v 't-p*ct' Lao;Ic o v Co+^t0h era iu( S#t`4 c':1 6n Projec 5 raw► Q��h �`tr�`�u�� ( -p(civic, 1.. 5' peo c.;Vat ,oiS. 7.. �ct.,-e- been t, l Dy ec-t ct c cZ Coo ovti cIc,^ ,~� y tcc OA on 3c.n k. f% ./ decree -c't>t,n U.vxtverSti-►y o Kos-117 Fjc t`icJIc7 Te ntolo5y IN AI LOA y ?r 'c. l e.r'tc ll Lo'C-4 Y k1.4s C q'. C tM4 V1 o 1 tt Coot oversee- Ike- ages't% R haC con et'Pkc-ti ovl W Sghc't u4..ry .no U4`E raq 'in 2002. 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. hare_ l; vt-�i n P-tionitc 3eci Q1( M cflendec4 A-`Nc.19tc3egcJ, F�e,Aeniar.i Se. ttQ9I Q tc h4ue. Cake -kvieco 4hy 1an43 '+une S'eS+Jahl•$ 'New,Luc. ‘t-t-- Laos ut0* c4 n4 X r4 ccec-P ihct S e.czme_ c�17 P c e 4—k e. -f ,eic ce_tte 1 c out, Ca t,"4 At t n'►y1, .1. cippt P `t o t M► -Re s p`t t,►1' v`P t4 k'►in s©vQe,_ N S po s t 1 t 1i Y s$e sdc bkr n�,%�►borhoocQa Please return completed form to Donna L. Battle, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 PLEASE NOTE: Members of the Code Enforcement Board, Community Development Board and Pension Board of Trustees are required to file Statement of Financial Interest Forms. Also, information regarding "Conflict of Interest" is provided on page two of this application. This application will expire two (2) years after date of submittal. 1