05-14-2008
CITY OF EDGEWATER
Planning and Zoning Board
Wednesday, May 14, 2008
6:30 p.m.
EdgewaterCommunityCenter 102 N.RiversideDrive
AGENDA
1.CALL TO ORDER
2.ROLL CALL
3.APPROVAL OF MINUTESApril 9, 2008
4.OLD BUSINESS- PUBLIC HEARING
a. VA-0801 – John and Yvonne Bice, applicants,requesting an amendment to previously granted
variancesfrom the City of Edgewater Land Development Code for property located at 217 N.
Riverside Drive. (Continued from the April 9, 2008 P&Z hearing)
5.NEW BUSINESS- PUBLIC HEARING
a.AN-0801 – Michael Collard Properties, Inc, applicant,requesting annexation of approximately
88.69± acres of land located south of State Road 442 and east of Air Park Road.
b.CPA-0801 - Michael Collard Properties,Inc,applicant, requesting an amendment to the Future Land
Use Map to include 88.69± acres of land located south of State Road 442 and east of AirParkRoad
as Commercial, Recreation and Open Space and Low Density Residential.
c.RZ-0801 - Michael Collard Properties, Inc, applicant, requesting an amendment to theOfficial
Zoning Map to include 88.69± acres of land located southofStateRoad442 and east of Air Park
Road as B-3 (Highway Commercial), R (Recreation) and R-2 (Single Family Residential).
6.OTHER BUSINESS
None at this time
7.DISCUSSION ITEMS
a.Development Services Director’s Report
b. Chairman’sReport
c.Agency Members’ Report
8.ADJOURNMENT
Pursuant to Chapter 286, F.S., if an individual decides to appeal any decision made withrespecttoanymatter
considered at a meeting or hearing, that individual will need arecordofthe proceedings and will need to ensure
that a verbatim record of the proceeding is made.The City does not prepare or provide such record.
In accordance with the Americans with Disabilities Act, persons needing assistance to participate in any of these
proceedingsshouldcontact City Clerk Bonnie Wenzel, 104 N. Riverside Drive, Edgewater, Florida, telephone
number 386-424-2400 ext. 1101, 5 days prior to themeetingdate. If you are hearing impaired or voice impaired,
contact the relay operator at 1-800-955-8771.
Citizen comments are to be limited to five (5) minutes
CITY OF EDGEW ATER
PLANNING AND ZONING BOARD
INFORMATION SUMMARY
CASE # VA-071O
OWNER: John and Yvonne Bice
APPLICANT/AGENT: John and Yvonne Bice
REQUESTED ACTION: The applicants are requesting an amendment to previously
granted variances from Section 21-41.04(a), Section 21-42.05(e) and Section 21-50.02(Table
V-I) of the Land Development Code.
PROPOSED USE: Single family residence
LOCATION: 218 N. Riverside Dr. (PID# 7428-00-00-0020)
AREA: .44::1:: acres
CURRENT LAND USE: Vacant
FLUM DESIGNATION: Low Density Residential
ZONING DISTRICT: R-1 (Single Family Residential)
VOTING DISTRICT: 1
SURROUNDING AREA:
Current Land Use FLUM Desil!Ilation Zonine District
North Vacant Low Density Residential R-1 (Single Family
Residential)
East Indian River Indian River Indian River
South Vacant Low Density Residential R-1 (Single Family
Residential)
West Single Family Low Density Residential R-1 (Single Family
Residence Residential)
Background
On May 14, 2003 the Planning and Zoning Board approved variances from Section 21-
41.04(a), Section 21-42.05(e) and Section 21-50.02(Table V-I) of the Land Development
Code to allow: a 15.4-foot setback in lieu of the required 25-feet setback to wetlands
vegetation and a 21.23-foot setback in lieu of the required 50-foot setback to the mean high
water line along the north property line; and a 13.46-foot side setback in lieu of the
G:\Planning\ V A-071 0 - Bice - 217 N Riverside Dr.doc I
required 15-feet along the south property line; and a front setback of 30.72-feet in lieu of
the required 40-feet, provided that:
. The applicant/owners comply with the recommendation of the Volusia County
Environmental Management Division concerning wetland alterations, including
approval of a native vegetation planting plan prior to installation;
· The stormwater design is approved by the City Engineer;
. The native vegetation plantings are approved by Volusia County Environmental
Management after installation; &
· Verification that the lot was not illegally subdivided.
A Development Order (DO) was issued on January 5, 2004. The applicants have twice
installed the plantings that were required per conditions of the DO since the majority of the
original plants did not survive. The applicants are requesting that, in lieu of the native
plantings, they be allowed to contribute signage along Riverwalk at Highlands Park for
identification of existing natural vegetation along the Indian River in locations to be
determined by the City of Edgewater.
The intensive maintenance required and ongoing financial burdens of the planting area are
the purpose of this request. Staff recommends the applicants contribute the original
amount of $580.55 paid by the applicant for the plants towards the above-referenced
signage.
Land Use Compatibility: The area is designated as a low density residential future land use
and single family residential is compatible with the surrounding area.
Adequate Public Facilities: The property is served by City water and sewer, and has access
to Riverside Drive.
Natural Environment
This site is has no other known environmental issues.
Comprehensive Plan Consistency
The Comprehensive Plan does not directly address this matter.
Other matters
Per the City of Edgewater Land Development Code Section 21-10.04, in order to grant a
non-administrative variance, the P&ZB shall make the following findings of fact:
1. That granting of the proposed variance is not in conflict with the Comprehensive
Plan;
2. That granting of the proposed variance will not result in creating or continuing a
use, which is not compatible with adjacent uses in the area;
3. That granting of the proposed variance is the minimum action available to permit
reasonable use of the property;
4. That the physical characteristics of the subject site are unique and not present on
adjacent sites; and
G:\Planning\V A-071 0 - Bice - 217 N Riverside Dr.doc 2
5. That the circumstances creating the need for the variance are not the result of
actions by the applicant, or actions proposed by the applicant.
STAFF RECOMMENDATION
Staff recommends approval of the request to mitigate the previously required plantings with City
approved signage for identification of existing natural vegetation along the Indian River in
locations to be determined by the City of Edgewater staff.
MOTION
Motion to approve the request to mitigate the previously required plantings with City approved
signage for identification of existing natural vegetation along the Indian River in locations to be
determined by the City of Edgewater staff.
G:\Planning\V A-071O - Bice - 217 N Riverside Dr.doc 3
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ORIGINAL INVOICE PAID BY APPLICANT FOR NATIVE PLANTS
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BILL OF LADING
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3637 State Road 44
New Smyrna Beach, FL 32168
Phone: (386) 428-8889
Fax: (386) 428-8879
DATE:
SHIPPED VIA:
SHIPPED TO:
CONTACT PERSON:
#
QUANTITY SIZE SPECIES
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DRIVER:
CUSTOMER:
WHITE: ACCOUNTING
YELLOW:TRUCK
PINK:CUSTOMER
GOLD: LOGISTICS
, r1iEcITY OF EDGE'WATER
POSTOFFICE BOX 100-ED'GEWATER, FLORIDA, 32132-0100'
Noyember 17, 2003
, ,
Mr. James Morris
Storch & Morris
,420S.,Nova,Rpad
, Daytona Beach FL 32114
RE: V A: 0302 (Rice)
Dear Mr. Morris:
, ,
' ,
. . ., .
' ,
. . ..
On May 14, 2003 the P'lanning:and ZOIling Board of the.City ~fEdgewater approved the
, above refe~enced variance request with the following conditio!ls: '
(1) The ~pp1~cant!oWners comply with the r,ecommendation oithe V Qlusia COUJity,
"Environmental 'M.anagement Division, cqncerning wetlands alterations,
including . approval of the native planting planpri6r to installation: '
(2) 'The stormwater design 'isapj:n'oved by the City EngiJ)~er; ,
" (3.) The native ~egetatiQri "plantings . are, ,appr~ved 'by V olusia ,C,ourity
, Environmental Management after installation;
,(4) V erificati~n that the lot was hot illegally sub~ivided: '
. '. .... ,
It has since' been, verifieg "that t4.e' )ot . has' not . ~een ,iilegally subdivIded:, The
applicant/owners: mtistc'on~ply with conditions (1) and .(2) aboye Prior to the issuance ola '
, " Developmerit Order' for this prpject. Please prpvide the modified ~etlands plan, as'well as
a st6rrriwater plan (to' scale) Jor review: After installati.on of all plantings Vollisia County
EnvirQtuIl.ental-' Manag~ment shall conduct' 'an inspe'ction prior, to, the, issuance of a:
, Certi:ficate ,of Occupancy>, I am e#ciosing the' corresponden.ce frOni V olusia 'CoUrity so
the plans may be properlym~dified: ' " ,
'Should you have any questions please ~all-386-424-2412.
Sincerely;:. '
~ WwgJ
Bonnie. Wenzel, "
Phl.11rung Technician '
"
cc: John & Yvonne,-Bice
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N. RIVERS\DE . DRIVE
PLANTING PLAN
dW9- no.
REVISED -
Joe H, YDung J1l
drown DAB
dote 04/25/03
BleE PROPERTY
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11- .s",~ ,.-A. ,L 3ZJtltI
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ENVIRONMENTAL PERMITTING
ASSISTANCE
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BIOLOGICAL CONSUL TlNG SERVICES. INC.
. job no. ,
03- 01002
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The planting'i.p the ,northern ;buffei;area;(25tfwiW:bedone'with:tlie?same:type 'nath~e 0
plants and density as' the east bUffer planting area., .
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CITY OF EDGEWATER
DEVELOPMENT ORDER NO. 0401
01/07/2004 03:49 PM
Instrument# 2004-003997
Book: 5238
Page: 3162
I,
J.
1, the undersigned Chief Planner of the City of Edgewater Florida, do hereby grant a Development Order
for TJrOTJertv located east of 218 N. Riverside Drive (PID# 7428-00-00-0020), Project Number V A-0302 -
Bice in recognition of compliance with applicable regulations, standards, and procedure as outlined in
the Land Development Code of the City of Edgewater.
Dated this 5th day of January, 2004
The signature of the applicant affixed to this document is considered evidence of the applicant's
acknowledgment and understanding of all conditions to be met as stipulated by the City of Edgewater.
The signature is also considered evidence that the applicant understands that if any regulation, standard,
procedure, or condition is not complied with, to the full satisfaction of the City of Edgewater, the
c;j certificate of occupancy and/or final approval of the project shall be withheld by the City until
.{j compliance is verified.
)
'\
\ '
This order shall expire on Januarv 5. 2006. (two (2) years after issuance of Development Order) unless a
building permit or certificate of occupancy has been issued.
Comments/Conditions: On May 14, 2003 the P1annin~ and Zoning Board approved the variance
request provided the City Engineer approve the stormwater plan and V olusia County Environmental
Management Division approve the wetlands alterations. Approval has been granted bv all required.
V olusia County Environmental Management Division must approve the plantings after installation and
prior to the issuance of Certificate of Occupancy.
~I,~~~l~
Owner/ Applic t Signature
D~"
65
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STATE OF FLORIDA, COUNTY OF VOLUSIA .Jru
Sworn and subscribed be:f9J:e me this 5 day of, r'JLL~1
Personally known ~ /Type of identification
,2004.
~ \kJ.slmrlgO
Notary Signature
BonnIe Wenzel
7608 EXPIRES
P., t d/T .i~' :: fNo~pwmber 13, 2004
nn e ypelt-~,6.-'r,; ", 0 BONDE'O"lflRl/1ROYfAIN INSURANCE, IlK.
'I Ill'"
"
'THE CITY of ED'GEWATER
. ,
"
, ,
,POST OFFICE BOX 1 OO-EDGEWATER, 'FLORIDA '32132-01 DO
. .. . .
,.APPLIcATION :FOR APPOINTMENT'l'O CITY
, BOAlmS OR, CCHaTTEES, " ' , l:-tf r~5 '
NAME' ~A-~~~p6&il.~~
AnDRESS ~4tl' ~JJt. '~ 'Pf-l".:z. '
HOME PHONE ~&V ~ 4t~ ,.~t41', .. BUSINESS PHONE ?,tJ/;. - -4/L~ -7:tY7 '
" ,
,OCCUPATION ' 1- t J It Jt
,AreYOll a resident ,0 Edgewater How 'long
Is your principal 'place of 'employment ih Edgewater? :~~" ,
, , ' if yes how long?' , .. ~J YE:.A1!~
Brlefly state your interest in ~ervihg on a'~ity board or
;1J;%!!~fi~~~f:/;r;1:r~~ULP. .
.sfU.l', State your experi, enC€/qUalifiCatiO, ns e~~MU rchLE ~~q, B,a '
~fLdfu}~~~~Jl~~~~~~fi~~;~:~=-~~ .
,Are you a r~, lstered, voter?, --:-:--:- , , ',' " ", 1'J'Je- ~~ '/, ,
, ','AreyOu ez:np~oyedby th~' City?iJLDo you 'ho14 :p~blic 'ofiice?~ '
,At the present t,ime~ dq, you: serve on any other, Boards, or co:inrn:ittee,s?,
If ~o, list eich:
, ,
. Have youeverserv~d on any boards, a~enCies, or CbmmitteeS?ili-If so,
list, each:' ~OAruA"T~ t::. '-1Y I!:.b/J ~ILMAI\J ,Q7 ...qq , , , '
, If.p4~WArU '~.!.oNDMJLptl\l~z-.fW'1lr:NT ~~p n'i~~'17, '
VAJJ5,A t:.ciJArP{ ,J.-I"AAG. ~1J~~tJrJt6 A.~O.; '!?nAS7p ~j " ~iB-qq,
!loLl-DAY L.:UM.!-1't( fbALL'f~A.Jcj p41.G1J.~ .&Ai!-b' 'Cj... '2-00'2..
, (B<;>ARD' AND CoMMITTEE, MEMBERS MAY BE, QU1RED, TO FILE "WITI;! THE, STATE ,
FINANCIAL DISCL9S~FORMS:EACH YEAR) , "
" . PLEASE, INDIC!'-TE BOARDS O~ COMMITTEES YOU ,
WoULD LIKE, TO S~~VE ON AND RANK THEM ACCORDING, TO caOlCE BY NUMBER
, ,
~ANlMAL 'CONT~OL BOARD
~CITIZEN 'CODE ENFORCEMENT BOARD
~CONSTRUCTION REGULATIQN BOARD
_____ECONOMI~ DEVELOPMENT BOARD
_GENERAL EMPLOYEES PENstON, BOARD
, ,', ...:.--LIBl)ARY , BOARD
~RECREATION, & CULTURAL SERVICES
~PLANNING & 'ZONI~G BOARD
_POLICE PENSION,~OARD
~FIREFIGHTERSPENSloN' BOARD " _VETERpm, PARK ADV. COMMITTEE ,
SIGNATURE ..~(-jk&:- ..DA;E:~
SEE REVERSE SIDE OR OARD AND ~OMMITTEES L STINGS (2-10~03) ,
..~ 1 _ . ~. -"J :::; ~~ (~:~, : . r-:
APPLICATION FOR APPOINTMENT TO
CITY BOARDS AND COMMITTEES
11- ?!.(:,.'::;J? - .:;c\;[:
;Ikc;/?rJ. k-tnr7t!d'J
/005 r ~nald s: iY.e~ f / h~~tJCr~ ..fZ132
(dtf /..) l./ 2-7- 9<-1/ L Business Phone (j7~r;,) 3/'1- c; oS-c,
5c / I ~/I/1;:'/D1 r/-( J.q-/\/CI5C~p-( (tJY7IYc<croa...
~-es.
1t.s
Name
Address
Home Phone
Occupation
Are you a registered voter?
Are you a resident of Edgewater?
Voting District
-t=I=-L
31
'1 ~ct/5
How long?
If yes how long?
7 1.( /1./"5
Is your principal place of employment in Edgewater? ~ {' 5
Briefly state your interest in serving on a City board or committee:
/J1'1 l~fwe51- /~S hl-Ia!; tl 10ft,} oJ bf/I.A"/d~;';7 F4ttvc'.fu's ~Iv(c,
State your experience/~ualifications tls- t2 !t./<.. /~J?~ /~IS I d~ /}f tJ I' E4~ tJ;t~ _ J: "?~tt/c. a... _
SVO-1j (o/Jl1,'1'/,fme-i1f 1v OWl CCYrlTY1Ul'l/'-7. Cl,,; a.. /ocC<.( bU~'/}"55o(U-?e::v-1
JJc<"l/t:.. ..5 frO;?? /'t'Ct. ~/e,-- sh;/ g(/~/,'h;'-: ctnd Ifra/s D f f?X:j7l'/I(I?Y'('t:'
v . . :; U-/. ~. ( , I I- of
a..f?(Jl/cti61t. ktl0tv/e 5t:: /YJ ~/arlY7IT7'1 a",
Are you employed by the City? ~ Do you hold public office? ~ 0
At the present time, do you serve on any other Boards or committees? AJ 0
If so, list each:
Have you ever served on any boards or committees?
If so, list each:
/I/o
(BOARD AND COMMITTEE MEMBERS MAY BE REQillRED TO FILE WITH THE STATE,
FINANCIAL DISCLOSURE FORMS EACH YEAR)
PLEASE INDICATE THE BOARDS OR COMMITTEES YOU WOULD LIKE TO SERVE ON
AND RANK THEM ACCORDING TO CHOICE BY NUMBER
_ANIMAL CONTROL BOARD
_CITIZEN CODE ENFORCEMENT BOARD
_CONSTRUCTION REGULATION BOARD
_ECONOMUCDEVELOPMENTBOARD
_FIREFIGHTERS PENSION BOARD
Signature~4",j6
(REVISED - 0- 4)
_GENERAL EMPLOYEES PENSION BOARD
LffiRARY BOARD
_RECREATION & CULTURAL SERVICES
Vi>LANNING & ZONING BOARD
_POLICE PENSION BOARD
_VETERANS PARK ADV. COMMITTEE
Date III &/07
I t
,.
THE CITY of EDGE WATER
POST OFFICE BOX100-EDGEWATER, FLORIDA '32132-0100
'. .
APPLIcATIQN ::roR APPOINTMENT '~ CITY
BOAlIDS OR. COMMITTEES"
NAME ACJ\H?_5 \iJl\~er
~DRESS. ,;;l.~3' ~~~tj\e\' Ave
HOME PHONE . q ~ 2 - 5 {p~ 7: . .. ,BUSINESS PHONE
. OCCUPATION r' e-t l .. e d
. Are you a resident. of Edge~aterY~5,' How long .3 t '1eo\''5
. . .
Is your principal 'place of 'employment ih Edgewater?
. , . if y~s'how long?
. Bri,efly state your int.erest in serving on a City board or
'. coriunittee: .r ~f()0..\d II ke. .to see. ClLl~ c\{ rDW 'j"",
0. Su.5\:-0-\nO:b\~ '(Y\a""e.:~ 101' e:mp OYIYl:J \t\1~he~ cw~d., Ioes
Llse . W,^e~~ .0\Jpropnci-t-e... .,., .' .
State your eX'per_ience/qualif~cations . . .
'. -D*. ea(5' busl'flE'SS ek e. 'Ie\\ee:. '~.
R - D6f\KU'\ - Tea. es Q e
Are. you a rl3gis ered voter? ye.s
0:; - .~: ';.- 0 7 Ail :..j ~ i N
'.
. .Are: you er:nployedby thEi City? No '00 you .ho14 :P~blic 'office? No
.At the present t,ime~ dq. you: serve on aflY other, Boards or coinrriittee.s?
~e'S ,If so, list each: .'C-\*-I2.ef\ Volu(\t'eer ,,'
. Have you ever; served on
list. 'each:: . c. \ + .
or committe~s?
'.
I fs 0,
(BQAiU)' AND CoMMITTEE ,MEMBERS MAY BE. REQUIRED. TO FILE . WIT~ THE. STATE,
FINANCIAL . DISCL9.S~ FORMs: EACH YEAR) . ,
, . PLEASE INDICATE BOARDS OR COMMl:TTEES YOU
WoULD LIKE TO s~aVE ON AND' RANK THEM ACCORDING. TO CHOICE BY NUMBER
. ,
. ..
. .
''c: h 'ct\~42-\- '" ~V\ e 0 C6m~'t\-\~ e.
~ANIMAL 'CONTROL BOARD
~CITIZEN . CODE ENFORCEMENT BOARD
~CONSTRUCTION REGULATibN BOARD
LECONOMI~ DEVELOPMENT' BOAR'O
~FIREFIGHTERS PENSION BOARD
, , ,
. .
_GENERAL EMf:'LOYEES PENSIoN. a.OARD'
. ." ~LIBAARY 'BOARD '
~RECREATION. & CULTURAL SERVICES
~PLANNING ~ ZONI~G BOARD
, ,
: . .
_____POLICE PENSION BOARD
_____VETE~S.PARK ADV. COMMITTEE
SIGNATURE "
SEE REVERSE SIDE FO
, DATE:
BOARD AND COMMITTEES LISTINGS (2-10-03)
".aJdv
9'- / 7- LJ 7
. 11-17:-05P12:18
THE CITY OF EDGE WATER RevD
POST OFFICE BOX 1 OO-EDGEWA TER, FLORIDA 32132-01 00.
. ,
APPLICATION FoR APPOINTMENT -XO CITY
. ,
BOARDS OR. COMMITTEES,
.
,<Tn t-//VCLY!1DE / R 0
ADDRESS ;;JI(~ P/IVE-mEf . Df( ~
//:J7- 96// /
OCCUPATION i( E (i IX E D
Are you a resident of. Ectgewater yes How long c9y.,eS'
" .'
R..E'1i~eME.v7'
Is your principal 'place of employment ih Edgewater?
if yes how long?
, Bri,efly state your interest in serving on aCi ty board
NAME
HOME PHONE
BUSINESS PHONE
Y~'/J S
or
committee:/ /i-15-t/e MdVEf) FRoI1/1 r5oo7?"1 FL;t:1#.. nu/"" /J-J-L
111'7. /hO'.AII:y /-u ~.Hl7cJrE" .;.fF-,op ~A/j)', /~jA.~In'
He~ M ~K..c-. '?'?7tN\>.'c~?7. A- ~ ~E;J<f7' P L/J-cp -:::r; LIt/I:.
State your experlence/quallflcatlons/ {u~~, rr,lJl9-/IJ./11/}N: /}j
,J1;t/~1i1/.,~d6f2: .LcJc"'9,L /;~cJ~b-.r70 't'/A//t7/1/. ,A7R' ..~ .Y~' .
. / 8E.L/~vE '(ij~ . {.J/SZVM1 C'(J'~ VJr}V'r>EM.r.E79-;V_' _ /:1 C/1-1l/
. Are you a reglstered voter? 7ps" '#E);..fJ AJ)G-t=lv~ TI?R..;
.. .Are you employed by the' City? VC:?Do you 'ho14 ,P~blic .office? .. I/o
,At the present ~ime~ do you serve on any other Bbardsor c6fumittee~?
. If so,. list each::--'------. '
Have you eve1;served on any boards, agencies, or committees? A-IO If so,
list each:: ---------...
(BOARD AND CoMMITTEE. MEMBERS MAY BE, REQUIRED TO FILE . WITH THE, STATE,
FINANCIAL pISCL9S~FORMS:EACH YEAR)
: PLEASE INDICATE BOAlIDS OR COMMITTEES YOO
WOULD LIKE. TO S~~VE ON AND' RANK THEM ACCORPING, TO CHOI~ BY NUMBER
_ANIMAL 'CONTROL BOARD'
~CITIZEN 'CODE ENFORCEMENT BOARD
~CON'STRUCTION REGuLATI,ON BOARD
. ,
, . . .
_GENERAL EMPLOYEES PENSION. BOARD'
. ... ~LIB~RY' BOARD.
RECREATION. & CULTURAL SERVICES
*LANNING ;. .ZONI~G BOARD~. .
~POLICE PENSION ~OARD '
_____VETE~S,PARK ADV. COMMITTEE
_____ECONOMIC DEVELOPMENT BOARD
_____FIREFIGHTERS 'PENSION BOARD
. SIGNATURE
SEE REVERSE
. DATE:
(2-10-03)
//-/:/-00--
. 07 -1 8 - 0 5 P 0 2 : 50 Rev D' '.'.
-f ;...;.
THE CITY OF EDGEWATER
POST OFFICE BOX 100-EDGEWATER, FLORIDA 32132-0100
APPLICATION FOR APPOINTMENT TO CITY
BOARDS, AGENCIES OR COMMITTEES
VI .s c. 0 NT I
ADDRESS :5 J (, ?t IU &. f3 R If.f3 2- C-
HOME PHONE 42-7 5/ 7 IS
R -'
1&1 I ~ I=- f>
NAME
M'c"hl3el
() Ji2 .
BUSINESS PHONE
OCCUPATION
Are you a resident of Edgewater 'I E~
How long
/3 V&4~ S',.
,
Is your principal place of employment in Edgewater?
if yes how long?
Briefly state your interest i~.~:~~~ng on a City board, agency or
c~mm:~t:;..~:~~~~~~5~}~~~j~~~~,:i:~: T~
.....
,;~~.
,~~::.~\~~.
'\\:,
. :S'!'il.i,'":. :
. ~". ,.;
Have 'you eyer
If
,y'". "
': :~:9.7~'~ C; - ~;)'
'~",." ~7j(~::f;-. :.....~..~~. ',1:.. '," .
,.'...".:= . ..r~~~~~'~
"~!.:. ,'~' "::"" .:.::h-:,-i' ..."" ,,"
(BOARD, AGENC1{t, AW . CO~ITTEE MEMBERS MAY B;,",,-:RE'Q\i:di~p" TO FILE WITH
THE STATE, FIN~.I~ E!~9.M~~?~~ .~~~~~~b~H<~~~I;!~
........... "'". ........ ' . .'<".\.f;;;......)!_\()h':i""i:.'..... . ....... ,:.....-
PLEASE")Dl:Pi;;Arl: iib~~; j.G.:~C3:~S 'BIt C.9!)!!ri!rTEES YOU .
WOULD LIKE TO SERVf' :t*:.~ ~ 'THEil A~Sgf}P.:tNG' TO CHOICE BY NUMBER
..t1~: '."}~~: :', ',r. ~....::~: ';'.-:-:;'.: .!.t ~ " .
_ANIMAL CONTROL BOARD _GENERAL EMPLOYEES PENSION BOARD
t
.~~
'.-(
_BEAUTIFICATION & TREE COMMITTEE
_CITIZEN CODE ENFORCEMENT BOARD
~LAND DEVELOPMENT & REG. AGENCY
_LIBRARY BOARD
_CONSTRUCTION REGULATION BOARD
_PARKS & RECREATION BOARD
_ECONOMIC DEVELOPMENT BOARD
_____POLICE PENSION BOARD
_FIREFIGHTERS PENSION BOARD
SrGNATURE~ ~.
_____VETERANS PARK AnV. COMMITTEE
.. SEE REVERSE SIDE FOR LISTING OF EOARDS, AGENCI:ES AND COMMITTEES..
DATE: 7//'/1 os-
I /
/
THE CITY OF ED GE WATER
POST OFFICE BOX 1 OO-EDGEWA TER, '.FLORIDA '32132-0100
. APPLICATION :FOR APPOINTMENT~O CITY
. BOARDS OR. COMMITTEES.
NAME ,("i; c\iG.-\~. 0~ J
ADDRESS \~~. 4.....~~\
HOME PHoNE!J\ 1\ . ~(" <I2- S- . BUSINESS PHONE
.----
. . OCCUPATION . e
. Are you a resident.of Ectgewater~Howlong
Is your principal "place of empl~ym~~t ih E:dgew~ter?
if y~s how long?
Bri.efly state your interest;. in serving on a'City board or
.~~<G:~/..
committee:
. .. .
. ~A 1~ . q W~'''~
.. J" .
. .
. .
state your experience/qualifications
. '.~(?e:,.ipf\(,& ..' . '. .'
Are. you' a r~gister~d 'voter? . \..v', \ \ ~!
. 'Are:yOu ezpployedby th~' City? rl :DOYOU .ho14 .p~biic 'office?
. At tfie present t,ime~. dQ. you' s.erve on any other Boards. or coinrrii ttee.s? .
~~f SO~ list e~ch:
Have you eve
list 'each::
or committe~s?
If so,
(BQAlU) AND COMMITTEE MEMBERS MAY BE. REQU1RED TO FILE . WITH THE. STATE I
FINANCIAL DISCLOSURE FORMs:'. EACH ~) ,
. . .... PLEASE. rimI~TE BOARDS OR COMMITTEES YOU , H
WoULD LIKE. TO Sl\:RVE ON AND RANK THEM ACCORPING. TO caOICE BY NUMBER.
. . ./ B !~l{c/'i.lfJ~J iJJv. Cu",,:~:l-re<. /11:0
_ANIMAL CONTROL BOARD
~CITIZEN . CODE ENFORCEMENT BOARD
~N'STRUCTION. REGULAT.I.bN BOARD
~ECONOMIC DEVELOP~NT BOARD . '.
SIGN:::~:~]~~~
SEE REVERSE SIDE FOR BOARD AND COMMITTEES
. . . . .
. ~GENERAL EMI'LOYEES. PENSION. BOARD' .
. .... .' ~l\ARY BOARD' .' ..'
-Y.%:.' ,. ." REATION.& CU~:URAL SERVICES'
.. PLANNING & ZON.ING BOARD .
. .
_____POLICE PENSION ~OARD
_VETER;ANS.PARK ADV. COMMIrTEE
DATE:
LISTINGS (2-10-03)
. fly t<()' ~c)1
APPLICA nON FOR APPOINTMENT TO
CITY BOARDS AND COMMITTEES
04-11-07Al0:18 RCVD
Name
0- S~~ct~.(
l . . \'v e- ( a., V-- U". 5 J
?J~LaL\t\() '+41~' Business Phone 8
.
SeJ.(' .phvtpl()W~ bu~\(UJS >
\.}f <) Voting District ~ L
'trZ <;
Address
Home Phone
Are you a resident of Edgewater?
How long?
wO~
5 ~ .::>
51(\('-" q0 ~LXt
Occupation
Are you a registered voter?
If yes how long?
dJfJ-~\5
'-{-e~
Is your principal place of employment in Edgewater?
Briefly state your interest in serving on a City board or committee:
IN ~ak -+0 '0;.. \ (\ vO \ ve:-d ,{\ w~ \.s ~ (j\ ~ O'1ra
State your experience/qualifications '-r- ctM ct r.e<:\,\ P-S{-ev\...e. t v\.ve5fnr
--h \.{\ "j \P d ft.Ccv\ U f' r.::~w.J.-e.r ot. V, A {VVA 'ce
~QU"'V.3 G. &,ckYl \.e ChI' "I!)U ~ ~ "~~9A p.<1.ofla
Are you employed by the City? 00 Do you hold public office? D 0
At the present time, do you serve on any other Boards or committees?
If so, list each: P (3 l .
~ <(;f3){O ,0 ~\'f'-
Have you ever served on any boards or committees? [-th I fV\.~ \ s~J ~ \V\....Q....tM~ ~ L L __ _
If so, list each: 90 \" ().....(ep V\ ~ ar'S .. _J: V 0 \U \'\ .~ ~r l) i~ ~~
Il k. 'D B .
(BOARD AND COMMITTEE MEMBERS MAY BE REQUIRED TO FILE WITH THE STATE,
FINANCIAL DISCLOSURE FORMS EACH YEAR)
PLEASE INDICATE THE BOARDS OR COMMITTEES YOU WOULD LIKE TO SERVE ON
AND RANK THEM ACCORDING TO CHOICE BY NUMBER
_CITIZEN CODE ENFORCEMENT BOARD
_GENERAL EMPLOYEES PENSION BOARD
LIBRARY BOARD
_ANIMAL CONTROL BOARD
_CONSTRUCTION REGULATION BOARD
0CONOMIC DEVELOPMENT BOARD
_FIREFIGHTERS PENSION BOARD
_RECREATION & CULTURAL SERVICES
~:G~~
_POLICE PENSION BOARD
"'_ _VETERANS PARK ADV. COMMITTEE
si_ure~Lo..tk~~A Date :1-j4-Dl
(REVISED (2-10-04) .
APPLICATION FOR APPOIN'l'MEN'l' '1'0 cIrlaii ius , 9
BOARDS, AGENCIES OR COMMITTEES -'-.
NAME P; r:>rl'e(' t Icl:! A.. . ( Mij 'f ') (Y7 0..5"0 ""-
ADDRESS J/ t:J 0 I,~ ~~ ee~ . ~r;fs f""L~~
HOME PHOm(" 38G) <{~ C::,- C, ~':;-...s- BUSINESS PHONE
OCCUPATION D{..()t-\ (1du<I"",,<!.Ci,oQA.< (Oc-vfA-.F'a ~
Are you a resident of Edgewater Y I"" S How long IP y~~
Is your principal place of employment in Edgewater? ~~~
if yes how long? ~R<"-r"
Briefly state your interest in seryil1g on a City' board," agency or
committee: ?;; ;:z:;;.. ,(~ ~t" ~k c,'F"i-~'e"> to, /'ow<./.4 ~ ~OI t:7~
~ f1;,~""!r. ~A?;~!J:! / ~~~~p C',~
r-e.' 4'" ,. '.0- I 'f-II ~"'e., ,p;"),,,, .~IA 'f., ~
State your experience/qualifications Dlr<::J j)/~ (/,IO~ IV?
, ~
~dt(<i'u(01fJcVt r/ b.,a(./-p'1o fJ VVtP. MY-
L ~-
Mf ~~.~.
Are you a registered, voter? C/ r'..5 ..
Are you employed by the :CitY~~~;"JD;/YOU hOldpLibli~'OffiCe? k6
At the present t:ime, do you. serve. qQ.'any othe.r 130~rds,. Agencies, or
committees? ,././0 If so, list: each ::::.
Have you ever serv$d 'o.ni'ci.ny:;Cboards, agencies, or c~riunit!:ees?~'
If so, list each: .:.... ,
.:',~' .,,:, ..,,/
.,.f~.~'.; .~,'
.:..::.\~'j:-
, .,,-.
(BOARD, AGENCY ANDr;''C~;TE;E'~E~''~Y\J3E ~QthRED TO FILE WITH
THE STATE, FINANCIALDISc;bsuRE FORM~f. ~CH;YEAR)
PLEASE INDICATE BOARDS, AGENCIES OR COMMITTEES YOU
WOULD LIKE TO SERVE ON .AND RANK THEM ACCORDING TO CHOICE BY NUMBER
_____ANl:1AL CONTROL BOARD
___~EN CODE ENFORCEMENT BOARD
~CONSTRUCTION REGULATION BOARD
_____GENERAL EMPLOYEES PENSION BOARD
_____LIBRARy BOARD
_____RECREATION & CULTURAL SERVICES
~PLANNING & ZONING BOARD
_____POLICE PENSION BOARD
_____VETERANS PARK ADV. COMMITTEE
_____EC0~O~IC DEVELOPMENT BOARD
FIREFIGHTERS PENSION BOARD
SIGNAT:.JRE ,#;1 4~
.. SEE ~~fRSE SIDE FOR LISTING OF BOARDS,
DATE: 8-/0 'a.~
AGENCIES AND COMMITTEES.~ (REV 1-02)
Aug. I. LVVI I:LlrIVI
\)[/iIJ/iI[
I~ o. 'I, ~tJ- r. !.4DCj
APPLICA nON FOR APPOINTMENT TO
CITY BOARDS AND COMMlTfEES
Voting District
3Y~'
('h~ ~c.cxn\(\5~
~:c.\~~ro~~ "
, \ C\~l
Are you II resident of Edge water?
Ye:..<s
How long?
Is your principal pl.ace of employment in Edgewatet?
If yes how long? MO. n red Cb{M (cc.t;++o
B. f1 ... C' b d . ~~I,[ WYQ[e.+h~~~H) _
. fie y stilte your mterest In servmg on a Ity Oar or committee: f-1'C:l.J I OL$ L( WI - H~,
~ill L\ tQJe, 6,1,E' ~ct:hi..:rhe O~ I ho.~ C()l'Y\J2.. -\-0 '--<Xf::
s,,,. your ",p"i'~"'/qu.llfi"fion' Th ~ ~+ OtlJh.(>.R. 1 / d. Yt'1les I/J
, --ff1l QUI /din ~ md /)SJ-r-JJ, r e (fi OUtS if/a b 1/61 n-c8.S {JWhe;e I
;-/14<<" ~ eL'Im/a; -10 6. ~M?b ci'Wl~ /flCl/ ti'/1a N/oCa~~>
Me you employed by the City? IDDO you hold public office? -I\f 0 Htlt/!:{he i d
At the present time, do you serve: on any other Boards or committees? l Jr.... I;( ~ ~L. /
I \IV tlt!.fl?/P1(.5ff4, 1"0
-ftlte WI t/tJ.f?t
(!crt/Siva {/7011
f7 ~fflS'.
If so, list each:
Have you ever served on any boards or committeeS?---.11D
If so, list each;
(BOARD AND COMMllTEE MEMBERS MAY BE REQUIRED TO FILE WITH THE STATE.
FINANCIAL DISCLOSURE FORMS EACH YEAR)
PLEASE INDICATE TlJE BOARDS OR COMMllTEES YOU WOULD LIKE TO SERVE ON
AND RANK THEM ACCORDING TO CHOICE BY NUMBER
-LANIMAL CONTROL BOARD _GENERAL EMPLOYEES PENSION BOARD
_CITIZEN CODE ENFORCEMENT BOARD LIBRARY BOARD
_CONSTRUCTION REGULATION BOARD ~RECREATION &. CULTURAL SERVICES
_ECONOMIC DEVELOPMENT BOARD
_FIREFIGHTERS PENSION BOARD
_POLICE PENSION BOARD
_ VETERANS PARK ADV. COMMITTEE
Date~ I D1-
'~: 9 - _:; - '.; 'i t'. I I : ':' I :'1
APPLlCA TION FOR APPOINTMENT TO
CITY BOARDS AND COMMITTEES
Name
J\W\
'5 y (l/e..5-f~v-
/
Address
7 2- D l' C)'V-.<'L 141.,P' Iii-' ~ e-
3'P.c, 7"'2 7 17 J- if Business Phone /t}2>Vt G
~e_+ I v-e..4 CZ>;-J.f-ra-c...:fDr-' / r4c;e-! e.:.: f~ -Ie.
/
Voting District
Home Phone
Occupation
/ r) t/4?$" 7z> J,-.
Are you a registered voter? Ye S
/
Are you a resident of Edgewater?
"Z-
Yes-
/
How long?
2- Y v'>
Is your principal place of employment in Edgewater?
/1)/\ f
e~f/~l/ed
/
If yes how long?
Briefly state your interest in serving on a City board or committee:
.?,:>olbp"t -f"".. Wn,YS- r;; V"er'.I,-,,(...~, z: ..yL~ ~y br':'Ci-/"/e.I't'/If 71",.1;:)( 6A-6C'.
Stateyourexperience/qualifications 1'0_5 t elU. f~yft',",- i ) VJc':I(/~(J7.$" ~~t I b.$.'f.dTc- $~jJl',)./
eDit.. -f lrb-':= -to ~ .J 1k.y:>a. ...... -t PtA <u. + Mal U~t'; v- c> P Pvd UA/n, SrlaJ1 Jalrl;
;Ko;;fJ> {..oli~ 'Lbt?~t1-T, 7:.Mr:!us-fV-ltt...-! YI-2.a~-f, ,y/t4 <?ot:K~~{(:rA~ev->{..t2--\J~.....,:(.
/
Are you employed by the City?...L!liLDo you hold public office? /l.? 0
At the present time, do you serve on any other Boards or committees? IV 0
If so, list each:
Have you ever served on any boards or committees? ,()?J t { h V 2> ( v ~ (/-L- G, ft
If so, list each: Z!::.<"~-fV-( t:..&.-l -r'>H'ft!-.c;-t-oY' - cPVJ~14:... CzDl./jt:/_ -PI
(BOARD AND COMMITrEE MEMBERS MAY BE REQUIRED TO FILE WITH THE STATE,
FINANCIAL DISCLOSURE FORMS EACH YEAR)
PLEASE INDICATE THE BOARDS OR COMMITTEES YOU WOULD LIKE TO SERVE ON
AND RANK THEM ACCORDING TO CHOICE BY NUMBER
_ANIMAL CONTROL BOARD _GENERAL EMPLOYEES PENSION BOARD
_CITIZEN CODE ENFORCEMENT BOARD LIBRARY BOARD
_CONSTRUCTION REGULATION BOARD _RECREATION & CULTURAL SERVICES
i XECONOMIC DEVELOPMENT BOARD 2 LPLANNING & ZONING BOARD
_FIREFIGHTERS PENSION BOARD _POLICE PENSION BOARD
_VETERANS PARK ADV. COMMITTEE
='(;,{1;.~/~:r~~-cJk 1- 0." 6'1I07D7
.'FHE CITY OF ED.GEWATER
POST OFFICE BOX 1 OO-EDGEWATER, FLORIDA 32132-01 00
.APPLlcATIQN:FOR APPO~ ~O'CITY
BOAIIDS OR. COMMITTEES,.. .
N1IME. .A?'A?9. . M/?/J V A/~X3"o/
'. / . . .. ~<f~aJ...9T.e-;e
AnDRESS, . 7.1.9' fr.h~g~;?~..6.6'..-A06g_~d'+' /
HOME l>HOmU'.f,{ -: 7'~,{':2-$"~~ BUSINESS ,PHoNE~b/-eb2)' .
OCCUPATION ~9"~ . &C2d.e/T;/ ~&g::z:)
Are'yot,]. a reSlde t.ofEdgewater y~q'. How long' ~// ~l~S .
. . '.' . . . ., .'. "/, .
Is your principal place of 'employment ih Bdgewater?~
. . . if yes how long? ---
Bri,efly state your interest in serving on. a'City board or
. :/
'. ~re.. you a registered voter? Y ...c-q
. ..Are you eIPployedby thEi. CitY?~Do you 'hold :p~biio office? YO.
.At the present t,ime~ dQ. you: serve on any 6Uier Boards. or ooinni.ittee.s?
- . If SOj list ea."ch: . .
Have you ever; served on
.list. 'each:: c
. --.
."e.
(BQAIU?' CoMMITTEE. MEMBERS MAY BE. REQU REO
FINANCIAL DISCLOSURE 'FORMs:".nCH l.EAR) "
. .. ... PLEASE. riIDI~TE BOAWS o~ COMMITTEES YOU ,
WOULD LIRE. TO SEiWE ON AND RANK 'THEM ACCQRPING. TO CaOICE BY NUMBER.
or C~~itte~s?JI~ If so,
./9.-<82)
'.~T~
. WITH THE. STATE f
. .
.:'. Q-:J. ~.c:sANI~ 'CONTROL BOARD
~CIJIZEN'CODE E~FORCEMENT BOARD
~CONSTRUCTION' REGULATtbN BOARD
~ECONOMI~ DEVELOPUENT BOARD
. GENERAL . EMPLO~EES PENSION. BOARD' .
~.... "
.'. ~LIB~RY' BOARD'
~RECREATION. & CULTURAL SERVICES
:..~;~~ii_ltN;G;;i~:I~~.fil.A~~l,iJfqA~b ..
~POLICE PENSION ~OARD
COMMI'fTEE
. DATE:
(2-10....03) .
'7 ?J ~..
./.
'. .
1 2 - 05 - 6 5 P 1 2.: 5 9 F I L E - .
APPLICATION FOR APPOINTMENT TO
CITY BOARDS AND COMMITTEES
Name (Y\ CtH~ l. -Po...rl.S
Address \ 5 ();) ~ D%o-\. ~C{ \ VY\ bY'; \J e.. - ~ k +- Wa...-t-e r 1 ~~ 3.2..[ ~ .::J
Home Phone ~ <6"(L - ~ ~ 7r Jl S ? q Business Phone ru II=\-
Occupation t\l=>+:\r'-e~ ~p(~i ~-\-e \r eJ.. J0 U. V-S(7
Are you a registered voter? ~ -eg V oUng District
Are you a resident of Edgewater? l\e ~
Is your principal place of employment in Edgewater?
How long? 4 ~vo 8VY\ol'\~s
I\)(f\-
.
If yes how long? ~ A
Briefly state your interest in serving on a City board or committee: I\, e~l..Ua..';to 10 e.eli\ \l\. \ev-C" 'CteJ IVI ~
QommWM.~ O--Yl~ 'di.iI\.'b ir4;lre.\. at 0-.. ~o~ c.t.~~ lUC\..V\.'\-~ kee.~ a.c.'+\ue ~.l M-.cx.....;,"l:.
Q\ So ~f1 He -t"v.~ {t\\\\?_) e Y~~r\ 0 ~c e <!... 0. ~ ~e..~ '.. 1M--\: ~D W\. -\0 fe.x-<:ue ,\-\,:"';, \ vd-ev'C' ::.'1"
State your experience/qualifications LivH'-ke1a.c; (tV) A~\"(\. ~'5$"Ua.\.o\+ ~ "" CL ~A 9ta~p ~o"S~~.\o..l }:cv-
<A.R\>"-Cill..il.'l n ~~v'e ~~\e\t\~O>....o.Q~V-~~ l~\. ~~~\.o\ ~3:cO'\-\~"u..~WOit-l>:!.t"'-G\ ',1.-\
~ -e... G \- \Q.\r . . ' ... \ l-e.\\i-
O\:tO-.."\ 6ctt.o'n."'- \ \ €CL-\,12....-s'"'\~ ~ ~-. \\ 0.; \-.o..u-<e.~ l\) c...-'"th k~ ~~leJ..~ a!a...""\-\o~ -6 ct. C"a L<.S'E
:~~'.
Are you employed by the City?---.A1LDo you hold public office? Do
')l:~'
At the present time. do you serve on any other Boards or committees?
If so. list each: :r m not- ~u.\re- ',C l.-(ow 0' \r l2.. Cl,tfrt \:( ~111..1 e>~ 0\1\ lu (\ ~'.\.--/~ ~o(j...n-1.'2>) bz.vT-
'. lJ ). Q
. , .
Have you ever served on any boards or committees? Y ~s - -:\ ""fT II e Be II' oj eel Q S Q.. LA VI I O'y\ ~-eS'iJ E?",--t
C>~ ':'~S~~f ~Olo- to ~E'a."( QIi\~ aIM. CH.:-\r\t-e.~--\-\,&o- \)e.12+'O~ ~l- ~~E>C\.Ccoiod~\ra.~OI_
If so. lIst each:\=o\r ~e. f\1M\>\r-.t("'Q \i\ \""P('~ ,,~, t:< .tlE'It'S .t...,..... i-h \7_ ?"tcfr L.I '!1:1i-<; *' 0CA.\r're1d\l{ .
aV\c:Lse.\J'e~\~<.:L(j-b~~;Ce~ D~~ AM.g.eq-.AlA?<. \ooth DIsh n..L l.c<Jo.a...l. a
(BOARD AND COMMITfEE MEMBERS MAY BE REQUIRED TO FILE WITH TIlE STATE.
FINANCIAL DISCLOSURE FORMS EACH YEAR)
PLEASE INDICATE TIlE BOARDS OR COMMIITEES YOU WOULD LIKE TO SERVE ON
AND RANK THEM ACCORDING TO CHOICE BY NUMBER
__AMMALCONTROLBOARD
iCITIZEN CODE ENFORCEMENT BOARD
__CONSTRUCTION REGULATION BOARD
__ECONOMIC DEVELOPMENT BOARD
__FIREFIGHTERS PENSION BOARD
Signature 'rY1 (D fL!. '0.. ~pn ni Av
(REVISED (2-1O~4) .
_GENERAL EMPLOYEES PENSION BOARD
LIBRARY BOARD
_RECREATION & CULTURAL SERVICES
...c:tPLANNING & ZONING BOARD
_POLICE PENSION BOARD
_VETERANS PARK ADV. COMMITTEE
Date 0-~ '-I-C),
";
THE CITY OF EDGE WA TER
POST OFFICE BOX 100-EDGEWATER, FLORIDA 32132-0100
Zilll !lPR -4
APPLICATION FOR APPOINTMENT TO CITY
'7\ BOARDs, AGENCIES OR COMMITTEES
U AVa) II ~~
~to2J UluoW ~I( Oli.
HOME PHONE '12 J - 08Y'2
AM 8: 27
NAME
ADDRESS
Are you
BUSINESS PHONE
2~s: Jcf3S""
Is your principal place of employment in Edgewater? AI~
if yes how long?
Briefly state your interest in serving on a City board, agency or
How long
WI
I
~
Are yoU a registered voter? YF~{.
, .~-~Ii
Are you employed by the :City?-MQDo
/ a", ,MfJlJftJ ~ ,J er"j -iy, 0<'7 . { c .yIMNIt('
I~ .,Q,('~~lPcrtJ- -!t:':"'/~C?(f.J(, 6vr (1;-1;;,
).""';(1. '. . ,
.1ti,"'~
State your experi~nce/qualifications
,F &~(~~,,<,~ f~,: "'" / A/If"r""/1-
..7&t\ .~
committee:
. .'~ -~~
. ;.:. ~
At the present!'t,;!;~kt:do{f~ou serv~~'pn any o~.her Boards, AgenCies, or,
commi ttees?Jv'cj"';:';"~f:i"sOi'iJ~i'list each: . '..','
you hold public office?
No
"';'"
. .~.1_.
'?J.".,.
Have yoU eVer ser~~p on~any boards, agenc~es, or committees?____
If so, list each:",..:"; '~;::
: ...~.'~~~,::~.:\..
i', '~;.:-1'';-
',1.-
''''',~
!}~:f-' ~..
C".,-
'~~ -'..
-"'jl...
i.,...,
'~.
'(.,~
'''':.'
~z'~.
(BOARD, AGENCY AND COMMITTEE MEMBE'Rs MAY BE'''REQUIRED TO FILE WITH
THE STATE, FINANCIAL DISCLOSURE FORMS EACH YEAR)
PLEAsE INDXCA!rE BOARDs, AGENCIES OR COMMJ:!r~s You
WOULD LIRE !rO SERVE ON AND RANK !rHEM ACCORDING !rO CHOICE BY !WMBE:R
_ANIMAL CONTROL BOARD
_CITIZEN CODE ENFORCEMENT BOARD
_CONSTRUCTION REGULATION BOARD
_GENERAL EMPLOYEES PENSION BOARD
_LIBRARY BOARD
~RECREATION & CULTURAL SERVICES
~ING & ZONING BOARD
_ECONOMIC DEVELOPMENT BOARD _POLICE PENSION BOARD
-!-FIREFIG.'~""7 ;: 1 _v'''. ERANs PARK lillV. COMMITTEE
SIGNATURE 1~ Xt" //~ DATE: 0) Cb
h SEE lU:VImsE SIDE FOR LIS~ING OF BOARDS, AGENCIES AND COMMJ:!r!rEESh (REV 1-11-00)
6-rL-tJ-S'" - J4H"""~~r
)
04-05-02Al i :<47 RCVD
(Q-A- (l\..l..S$~
APPLlCA TION FOR APPOINTMENT TO
CITY BOARDS AND COMMITTEES
-:P ...,....., b <::: 05-14-07All :58 RCVD
Name . r]~'1ri?oNh .,J , DIll-c./:::. 02. ,
Address 33;:t.'1 U.tJl+1 nEe J)ll.f//i? Ecl~/t+b(.{
HomePhone 3g~-tf).'7- 3>350 Business Phone '3SiP - .;2.';;)..4>- 'flf/3
Occupation 13171'/ jt:. (tf fTl'f A (bEll- - flJltNIc- 0 r::. ~E1't;<'4
Are you a registered voter? ~ E.s
Voting District
Are you a resident of Edgewater?
"il:5
How long?
Is your principal place of employment in Edgewater? i( 0
If yes how long?
Briefly state your interest in serving on a City board or committee:
'hJ BE' ~'" r. () r=o Cr. w.\ ~ (7, '~Y- /h' p R r 7X1 /l'!y t!"p-~>-z;
State your experience/qualificationsL'FI=it."E!Z) 13 If,wk OP A. <",'2":;"'-4 / /-/rl-v~ ~~
()y</ 3 -'r "7.5.c,"t-a.ds: ~o Jil\-v€: '13FF,vI YEA-/ 5(/t!'~.e>~vIfC
.
il\J Crowf\y~ -r /J1Hh"'tv; do,td 8~ fl $Rr}-EIZ-- t)~NVi2-~
,
/r
Are you employed by the CjtY?~Do you hold public office? N ()
At the present time, do you serve on any other Boards or committees?
Ifso, list each: ~oIVE
5 ~ the.;. r a (J::""./'; G' e
.:., ,
fc.:>C(?4 vILtl/c'/E
Have you ever served on any boards or committees?
If so, list each:
(BOARD AND COMMITTEE MEMBERS MAY BE REQUIRED TO FILE WITH THE STATE,
FINANCIAL DISCLOSURE FORMS EACH YEAR)
PLEASE INDICATE THE BOARDS OR COMMITTEES YOU WOULD LIKE TO SERVE ON
AND RANK THEM ACCORDING TO CHOICE BY NUMBER
_ANIMAL CONTROL BOARD
LCITIZEN CODE ENFORCEMENT BOARD
_GENERAL EMPLOYEES PENSION BOARD
- LIBRARY BOARD
_CONSTRUCTION REGULATION BOARD
~ECONOMIC DEVELOPMENT BOARD
_FIREFIGHTERS PENSION BOARD
_RECREATION & CULTURAL SERVICES
~PLANNING & ZONING BOARD
_POLICE PENSION BOARD
-~
.Q
,
_VETERANS PARK ADV. COMMITTEE
%-o:;L
Date