Application- Dattilo, Jesse CARAC & TCB 2-28-08~'
CITY OF ATLANTIC BEACH
BOARD /COMMITTEE MEMBER APPLICATION FORM R>1cE1vED
Please check (~ beside each Board or Committee that you are applying to serve on: ~F= ? R ~~1f18
(A summary of each board/committee is available on page 2 of this form.) OFFICE OF THE CITY CLERK
^ Code Enforcement Boazd
^ , Pension Boazd of Trustees
f~/ Cultural Arts and Recreation Advisory Committee
CANT'S NAME: ~.1 %°~~~ ~` `~ ~r f'd~"~
APPLI
ADDRESS: ~/ G~' ~ ~~~~`r`''~
DAYTIME PHONE: 07~ ^ ~ 94D EVENING PHONE: -S `~- "~ ~
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E-MAIL ADDRESS: ,~.~ ~~ 41 y n~ ~ 9
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Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee 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 ap(p~ointed to this board/committee.
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^ Community Development Board
Tree Conservation Board '~2~09 •ad0~~
^ Board Member Review Committee
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Please return completed form to
Donna L. Bussey, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233