Application- Daugherty, Jonathan CEB, CARAC, CDB & TCB 2-7-08CITY OF ATLANTIC BEACH
BOARD / C01~ii~HTTEE N1El~IBER APPLICATION FOI~~ivE
~E~ 0 7 2688
Please check (~) beside each Board or Committee that you are applying to serve on:
(A summary of each board%committee is available on page 2 of this form.) OFFICE OF THE CITY CLERK
Code Enforcement Board ,~ Community Development Board
^ Pension Board of Trustees ,Q~ Tree Conservation Board
Cultural Arts and Recreation Advisory Committee ^ Board Member Review Committee
APPLICANT'S NAME: •.J O/~ ~ -1 1~`U/~ VU v ~e ~
ADDRESS: 0 ~U H,~6,~~C US ~7`.
DAYTIME PHONE: ~~ - b ~1~ ~ EVENING PHONE: Surn ~
E-MAIL ADDRESS: / Gh~ j Urt c1 Q ~~~~ ~ ~~Un'` FAX: /(.//,4
Flease provide a brief explanation of your interest or any special qualircatons you have in this field and your reasons
for wishing to be appointed to this board/committee.
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Please return completed form to
Donna L. Bussey, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233
1
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.