Application- Withdrew Davie, Drew 12-31-08w'~~~ huJ ° n crrY of
~Z 3 ~ O ATLANTIC BEACH
I ~ g BOARD /COMMITTEE MEMBER APPLICATION FORM
~~ 12ECEIVED
Please ei~lc (~ beaide each Board ~ Committee that Y~ are YOB to serve on: la N ~ s ?p8A
(A s~mm~y of each board/committee is available on page 2 of this form.)
^ Code Enforcement Board
^ Pension Board of Trustees
,~, Cultural Arta and R+e~tion Advisory Committee
OFFICE OF THE CITY CLERK
^ Community Development Board
^ Tree Conservation Hoard
^ Board Member Review Commitbx
APPLICANT'S NAME: .,.~r~w l,U . _ av~~
AnDlzESS: 3i~~ b'"~ ~ A~ .~ zs 3 ~
DAYTIII~E PHONE: 7D 4- - 4 q Y 7 EVENING PHONE• -- o'f'f - ~3 µ/ ~
E-MAIL ADDRESS: 4~i r~, n ~ ~ g 1, C eery, at„t~,,,et gAX: ------
-._...._
Please explain airy employment e~cperience, board/eo~nmittx experience, and/or community volunteer expaie~e
relative mthe board/co®mittee applying for.
Please provide a brief explanation of your interest or any special qualific~tiona you have in this field and your reasons
for arishing to be appoi~ed to this board/oo~mmittee.
In I n al ter-=b LTt /_ l
~ Nadi.: 'W .~P~t(nc~~E`,,,~I•,,au~ ~-n.G.ua6;p
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Please sedan coanpleted farm to
Donna L. Bussey, City Clerk, 800 Seminole Road, Atlantic Beach, FL 37.233