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Application- Boni, Rita CEB 1-21-09
Received CITY OF ATLANTIC BEACH JAN 2 1 ZOQ'9 BQARD / CUNIlI~IITTEE MEMBER APPLICATION FORM on+oe or cKy c~tc Please check (~ the box beside e . ch Board or Committee that you are applying to serve on. If you check more than orie, please rank your interest in eh board /committee by order of priority. (A summary of each board!comm"ittee is available on page 2 of this form.) Code Enforcement Board Community Development Board Pension Board of Trustees Cultural A~--ts aitd Recreation~Advisory Comt~~,ittee Tree Conservation Board Board bomber Review Committee r DATE: I j'Z 5 ,l'f U % APPLICANT'S NAME: .~'~.~~ 1 ~+"f-~ '~~ ~ i1// ~ . r ADDRESS: ~ ~ ~ ~ /~-1 ~y~t S G~ ~2 ~~~ (~-{\;~ ~ ~~~ €=.G~C±~"1 ` , 3 c3-c~- 3 3 1 _. DAYTIiVYE PPIONE: ~~'~~/~ ~- l-~ ~ ~- _ ~ ~ ~ ~-{~ EVENING PHONE: ~~ O Y,~ rlf~ . ~ - ,~- ~~{ f . E-MAIL ADDRESS: i~L~canl1 ~~ ©,-~~~+ , N~ i FAx: ~qo~) ~~- ~~ ~- i I ~~ 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. ,. Yw2.~ - Please return completed form to Donna L. Bartle, City Clerk, 844 Seminole Road, Atlantic Beach, FL 32233 PLEASE NOTE: This application will expire two (2) years after date of submittal. Please exp~aim any employment experience, board/committee experience, and/or community volunteer experience relative to the boazd/committee applying for.