Application-Davie, Drew W. CARAC 1-17-08CITY OF ATLANTIC BEACH
BOARD /COMMITTEE MEMBER APPLICATION FORM
RECEIVED
Please check (~) beside each Board or Committee that you are applying to serve on: ~A ~~ 1 ~ 9~OA
(A summazy of each boazd/committee is available on page 2 of this form.)
OFFICE OF THE CiT`i CLERK
^ Code Enforcement Board ^ Community Development Boazd
^ Pension Boazd of Trustees ^ Tree Conservation Board
,~ Cultural Arts and Recreation Advisory Committee ^ Board Member Review Committee
APPLICANT'S NAME: Drew ~,U . .~ au-c .
ADDRESS: 3 $ ~ ~'~'{'~ ~ ~ ~ ~3 ~ ~ 3 3
DAYTIME PHONE: 7p ~ - ~ ~ 7 EVENING PHONE: a ~"y - ~ ~/ ~
E-MAIL ADDRESS: ~ ~ n n - [, ~ l5a ~ CQ-'71 C~3`~net FAX:
Please explain any employment experience, boazd/committee experience, and/or community volunteer experience
relative to the boazd/committee applying for.
~~ ~r ~I P, ~VYI liYl (AVI/•
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.
~.c~ 1 ~,n.r~ i ~~ ~ ~`~ n~ m ~-ff "ee...-
1
Please return completed form to
Donna L. Bussey, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233
I e.. ~-hnr~. l G~w~s ~ ro C ~'~ wt S m~v~P.~~-4e._d ~- ~+ Ic,~~ c~