Application- Roskein, Lynne Knecht CARAC 3-12-08CITY OF ATLANTIC BEACH
BOARD /COMMITTEE MEMBER APPLICATION FOR. M
Please check (~ the box beside each Board or Committee that you are applying to serve on. r31 more than
one, please raak your interest in each board /committee by order of priority.
(A summary of each board/committee is available on page 2 of this form.) MAR 1 2 ?008
^ _ Code Enforcement Board ^ Community I~o~^ ~ {~~'~jRK
^ _ Pension Board of Trustees O _ Tree Conservation Board
~di _ Cultural Arts and Recreation Advisory Committee ^ Board Member Review Committee
DATE: ~ / ~ (J APPLICANT'S NAME: y/ ~ '
ADDRESS:
DAYTIlVIE PHONE: -S~
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E-MAIL ADDRESS: •~~'o~.S
EVENING PHONE:~~' --~~l3 D
FAX:
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 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
PLEASE NOTE: Ttris application will expire two (2) years after date of submittal.
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