Application-Redmond, Frank TCB 1-7-09CITY OF ATI~A1vTIC BEACH Received
BOARD i Cp11ZR+III~EE MEMBER AP'PI.dCATION FORM
Please check (~ the box beside each Board or Committee that you are applying to serve on. If yd~t?hec~ more than
one, please rank your interest in each boazd /committee by order of priority.
(A summary of each board/committee is available on page 2 of this form.) ~ oroo. d ~ q~
- Code Enforcement Board
- Pension Board of Trustees
_ Cultural Arts and Recreation Advisory Committee
Community Development Board
,~ Tree Conservation Board
Boazd Member Review Committee
BATE: ~, - off' APPLICANT'S NAME: ~Ar~1 k ~~ ~ r,Y, o,.~,
ADDRESS: 3 ~b '~{'~ ~ ~- /4~f-~Y1~tL L~eaC ~ ~~.. 3 ~ X33
DAYTIME PHONE: o~~(c,- ~ ! ~'] EVENIlVG PHONE: __ S A~ynL°
E-MATT, ADDRESS: ~o ,,cJ~_ FAX: mot/ tt .y -C.
Pease expJ,aim any employment experience, board/congnaittee experience, and/or community volunteer experience
relative to the baazd/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 farm to
Donna. L. Bartle, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233
PLEASE NOTE: This application will expire two (2) years after date of submittal.
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