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12-12-2007 CITY OF EDGEWATER Planning and Zoning Board Wednesday, December 12, 2007 6:30 p.m. EdgewaterCommunityCenter 102 N.RiversideDrive AGENDA 1.CALL TO ORDER 2.ROLL CALL 3.APPROVAL OF MINUTESSeptember 12, 2007 4.OLD BUSINESS- PUBLIC HEARING 5.NEW BUSINESS- PUBLIC HEARING a.CPA-0705 – Carl Carder requesting an amendment to the Future Land Use Map to include 29.65± acresofland located at the northeast corner of US Highway 1 and Godfrey Road as Commercial with Conservation Overlay and Low Density Residential with Conservation Overlay. b.CU-0704–Matthew Porter requesting a Conditional Use Permit to allow light manufacturing at 2529 Guava Drive. c.VA-0711–Michael Brooks, requesting a variances from the City of Edgewater Land Development Code Article III for property located at 118 Rio Vista Dr. d.VA-0712 – Edgewater River Front Inc., requestinga variance from the City of Edgewater Land DevelopmentCodeArticle V for property located southwest of the intersection of U.S. Highway 1 and Edgewater Lakes Drive. e.SP-0724 - Edgewater River Front Inc., requesting site plan approval for a shopping center witha building footprint of approximately 127,258 squarefeet for property located southwest of the intersection of U.S. Highway 1 and Edgewater Lakes Drive. 6.OTHER BUSINESS a.Board vacancy left by Gigi Bennington, who has resigned. 7. DISCUSSION ITEMS a.Development Services Director’s Report b. Chairman’sReport c.Agency Member’s Report 8. ADJOURNMENT Pursuant to Chapter 286, F.S., if an individual decides to appealanydecisionmadewith respect to any matter considered at a meeting or hearing, that individual will need a record of the proceedings and will need toensure 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 proceedings should contact City Clerk Susan Wadsworth,104N.Riverside Drive, Edgewater, Florida, telephone number 386-424-2407, 5 days prior to the meeting date. If you arehearingimpaired or voice impaired, contact the relay operator at 1-800-955- 8771. Citizen comments are to be limited to five (5) minutes 0101101 "'Or-5'cr~~~ S. ~ g. CiJ :S. 3 ci' ~c;1Il1ll"'3c -'---OCD;+ Q3:1.~::IdC en"O III ... 3 _. CiJ CD 1lI-....CD III 3a CDa- -. 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',-(I)'~:':"~ , H> i K ~ ,I, I. t11 H ~ ~ ;', r ,. ~ ~ .~. .~ ~ I'~ I tI) ~ tli ~ i . ~ ~ , C ~ i JdJ. ~ fr= -~ m ;:0 ~(-o m ~ i l'-' ("') 3.cB 00 m i~ ~ ~ _. Ci C:>> 0 g - ....... en So. Ridgewood Ave. (U.S.Highway N~ 1)" I~ [!J 0', p ; rTl LiJ oJ> 0, ~ ~ ATE R.'W A Y , ~ S TA:.rE s.;!E~:u. D. :GETL~Dr:YET-OPlVfE-J\lISERVICES_;Tf\rc. I fi5 ,'>.,.;, , b:, ~, ISO \I'>- ',--:I I EDGEW ATER , ,-__ __ iYOLUSIA.CQUNTY." FLQRIDA 2305 So. RIDGEWOOD Ave. , . , , .. , . . . . SUITE "C" EDGEWATER, FLA'. 32141 ' PH: 386~427~3425 m ~ III Q 5<J' ~ ~, N .:;0' , , ft: ""0' bO't:. I '* 40' '40' 30' 13' 24' 13 \\''30' '~, ~ITJ ITJ ~ ~ ITJ [] [] [] [] G IT] r:I .~ 1,8 8 I ITl ~LJ I:l ~, L:J ~ITJ ~[] !~ , 8 oJ> 0, '0 o. <Jl 0 '" o <Jl o ~ ~ o ~ "i:c U> o C.:l ro' <I> ~, ~ ./ CITY OF EDGEWATER PLANNING AND ZONING BOARD INFORMATION SUMMARY OWNER: Florida Look, Inc APPLICANT/AGENT: Matthew Porter, Higher Spirits, LLC REQUESTED ACTION: Conditional Use to allow a manufacturing facility (alcoholic beverage distillery) to be permitted in the B-2 (Neighborhood Commercial) zoning district PROPOSED USE: Conversion of an existing 3,060SF warehouse/manufacturing building to an alcoholic beverage distillery LOCATION: 2529 Guava Drive AREA: :l::.30 acres CURRENT LAND USE: existing vacant commercial building FLUM DESIGNATION: Commercial ZONING DISTRICT: B-2 VOTING DISTRICT: 3 SURROUNDING AREA: Current Land Use FLUM Desi/:mation Zoning District North Multi-family duplex Commercial B-2 (Neighborhood Commercial) East Vacant- Undeveloped Medium Density Residential R-4 - (Multifamily Residential) South Commercial - Commercial B-2 (Neighborhood Flex Space Building Commercial) West FEC Railroad FEC Railroad FEC Railroad Land Use Compatibility: The proposed use is compatible with the majority of commercial land usage along Guava Drive. Other Matters: Prior to development, the Technical Review Committee must approve the proposed site plan. STAFF RECOMMENDATION: Staff recommends approval of the request for a conditional use to allow an alcoholic beverage distillery to be permitted in the B-2 (Neighborhood Commercial) zoning district. MOTION: Motion to approve the following request for a conditional use to allow an alcoholic beverage distillery to be permitted in the B-2 (Neighborhood Commercial) zoning district. 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" , ,', ~ ~ ~ ~i ~~ ... .... ~ ~ ~ Q Q .. ~~&: ~~~ 'I ~ R! ~Rl I Rl~ ~ I I ~.~ I I ~~ I ~ rg B h i '" ta'tl 2R:B ~~~ ~~ lIi a~ ~ :l) ~ ""1 ~ ~ I- .... ~ () ""1 <5 .... ~ .... (~? ) ...", r- o ..., 0> 0> co co ~ ""1 I'l'J ~; ~Rl ....~ ""1.... f;1~ tJV) ~~ 1)<: $ti !ito I'l'JI'l'J r- "< ~ ~ 'II I il t I h I .... I / ( ;;0;;0 '--..._om roO OJ ;t:. 01 r- /lJzco 0 ~o...: ..., ~o;;o 0> -;t:.O ~ llZ 01 ~/s, ~ "1: it b . ENGINEERED PERMITS. It(;, SHEE T TI TLE. 220 SOUTH WOODLANlJ BOULEVARD 6~~~~D~ FL 32m SITE PLAN PHlNE: 386-742-6681 CERT NO, 26298 !!l~ '" t~ '" l:D ~ ~~~ o~~ "'-1'11 ~~- I'll :l:J $G"l ",!!lFii "'",,,, ~~~ '" '", "l ~ '" l;: Iil ~~~ ~ '1tl1::e: 1'l'J:tJ6 t:Jli2n, '101>< OV) 8Vl~ 0:::>0:..... C')....i'i1 !i:::n, ::e:~1)- ~ ; ~ ~ ~ ~ I ~ r---....J I I I 1'11:b e/'b ~:b ~t ~ "1 ~ ~8 Sij<: n,C') <:~ ~"I (;)':5 ~~ 1'11>< r-O'l p;:. "l ;;0 ~m 00 -z-l::> ;;0 )(= /~ o C-l::>/ Z ~ :f m+ ;;0 zl J 0.,.(0 9"~ ~~ -~ // =iJ:~ ~, / ..., /) m/~6' // GUAVA DRIVE (50' R/W) >< OJ ~ ~ " s () ~ o z ~ }5 a c:... rr, () ""i r-- a () ):. 25 <: ~ !Il ~ 7~ 0> ASPHALT PAVEMENT - WIDTH VARIES ( <> '" c >+ )> en 1l ~ r- -1 } < m ;:: m Z -1 ~ c: ~ ~ ~ ~ Q ~ Q en .. m ;:: m z -1 25.2' Q 15' 15' ~ ALLEY .. i ~ ( R V E-j '-0 r-r H r- 0 0 ..., ..., 0> 0> 01 01 0> 0> W -l::> O~ i I> ~~~ '$1 ;; ~ 'i I'll ~ :O"1:i;; - ~ ~~l;) - '" i I'lj 'lJ -t 'lJ VI :i;; l' f 0 iIl'il'lj :II VI 0 "1 '" . ~ a III 1'11:l:J:l:J '" 'I ~ ~ ell ~1'111'lj ~ - . i II; , -t ~t:1'lj i '" ia~ a '" 'ell C III ~ ~ell ~ i i' [ ! r- III ~ f m ~ ~ II; ~ 0 '" z z ~ ., E a : ~ ~ . : ... ~ I " / ~" ~--, ,~' 's, J 'we . ;;0 U> = om r-o..., OJ;t:.01 /lJZCO ~o...: CD 0;;0 =;t:.0 llZ r- 0 o ..., 0> 01 0> /IJ ~O) .~~ ~ 'lJ 'lJ I'll ~ ~ t:' ~ ~I'lj~ ~ ~ a ~ ~ I !q ;g ~Ill ~ ~~~ ~ ~ ~ i: ~ VI Sl:l:J tl tl 'lJ tl ~ B~ a: Ul~ 'i "1 Z ~ i: :i;; '" Vl8~ ~ ~ ~ 8 III 'lJ _ ~.., .., ~ ~ :!l tl ~~ Z '" VI "1 "1 :t '" ~ ~ ~ -t -~~ ~ ~ ~ I'lj ~~ III "'I'lj~ '" , ~ VI ~ VI ~~ "1 ~ " .., , ~ .., ~~ i\i .... ~ "1 , ~ lil ~ ... ~ VI ~!ll :;;; ~ () ~I'lj ;j , ~ ~ c ~ 0: - ~ ~ i !?l g Ul lil ~ ~ q .., ~ "- "'t ~ q 0 01 - '" 0 Z 01 :0 Z III III !l ~ PROJECT: J ~ ~ PORTER GRANTRENNE. RE. P.E. NO. 4J4DO 220 SOUTH MOC::JOLNo/D BOU.E'VMO SUI1F D oaAM>, FL = PHONE; 3M-T.Q.MI11 EMAft:~,., CITY OF EDGEWATER PLANNING AND ZONING BOARD INFORMATION SUMMARY CASE # V A-0711 OWNER: Francis T. Doherty APPLICANT/AGENT: Michael Brooks REQUESTED ACTION: Applicant is requesting a variance from the City of Edgewater Land Development Code: . Article III, Section 21-36.10(d) and to allow a rear setback of five (5) feet in lieu of the required IO-feet for a swimming pool and deck PROPOSED USE: Addition of a swimming pool and deck to an existing Single Family residence. LOCATION: 118 Rio Vista AREA: .138::1: acre CURRENT LAND USE: Single family residence FLUM DESIGNATION: Low Density Residential ZONING DISTRICT: R-3 - (Single Family Residential) VOTING DISTRICT: I SURROUNDING AREA: Current Land Use FLUM Designation Zoning District North Single Family Low Density Residential R-3 (Single Family Residence Residential) East Single Family Low Density Residential R-3 (Single Family Residence Residential) South Vacantlundeveloped Low Density Residential R-3 (Single Family Residential) West Single Family Low Density Residential R-3 (Single Family Residence Residential) Background: The applicant is proposing to place the swimming pool and deck five feet from the rear property line. Land Use Compatibility: The single family residence is compatible with the surrounding residential uses in this area. Adequate Public Facilities: This site is served by the City's water and sewer service area and has direct roadway access to Rio Vista Drive. Natural Environment: There are no known environmental issues associated with this site. Comprehensive Plan Consistency The Comprehensive Plan does not address this issue Created on 11/19/2007 12:34 PM Other Matters: Staff has received a written objection from one surrounding property owners. Property owners within a 300' radius are required to be notified of a variance request. 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 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 variance request from the City of Edgewater Land Development Code: . Article III, Section 2l-36.1O(d), to allow a rear setback of five (5) feet in lieu of the required 10-feet for a swimming pool and deck, for property located at 118 Rio Vista Drive. MOTION: Motion to approve the following variance request from the City of Edgewater Land Development Code: . Article III, Section 2l-36.1O(d), to allow a rear setback offive (5) feet in lieu of the required 10-feet for a swimming pool and deck, for property located at 118 Rio Vista Drive. Created on 11119/2007 12:34 PM / ~1;o / N89059'59"E, 179.68'(M) I80.00'(p) ---f------&-Rf'fY- '.OO/(p) FOUND FOUND 2~ I~ NO !D. NO !D. BASIS OF BEARINGS(ASSUMED) N90000 '00 "E, 290.00'(p) 289.7I'(M) !~nn!U~}~!~H~iUnnH!UUU~!~ : : ;JuO VISTA DRIVE (50'RlW) !.:::::!:!:2~":1f"f"~T1'1,;""'f'!:'::!, EF 0.3'S OA'E cP~O ~o~.. ~........ ~Oc:? ....... ~;...~.'..'..'.', ~ ..... S89059'51"E. 50.02'(M) 50.00'(P) R/W I PUN 3.2' -:---. ' 5.1' ~I 13.65' 28.0' 0 0 0 ~~ 0 i:... ...... 1 STORY ~~ '" ~ ..... LOT 4. BLOCK E CB <::, NOT INCLUDED ";t- o.;. 0- ...., 0\ RES. # 118 0- ~ 13.65' ~ a LOT 6, BLOCK E o NOT INCLUDED o o ...... ~ 41.65' \Q ::-< " .... .,' ...... ,'.......... :.:; g ~ -.: B .... .~ "" o o r-.. o t') -.. ......." ~ -< ~::. :~. <" ..... ,,_. ~ . ", . ..' cP~O ;':>j.~a :,..."~ 2:'-:10 O~'3 ~ ~" . '- ~ .' '...10 + : ) --,----./ "- \f) LOT 7, BLOCK 1 NOT INCLUDEL N89054'46"w' 59.76'(M) 60.00'(p) LOT 9, BLOCK E NOT INCLUDED LOT 8, BLOCK E NOT INCLUDED ON IS NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A liCENSED FLORIDA SURVEY( AND OR OWNERSHIP WERE FURNISHED TO TIllS nONALRECORDS TIlATMAYBEFOUND IN THE AND OR IMPROVEMENTS HAVE BEEN LOCATED 'OR AND DOES NOT CONSnnrrn A GUAAANTEE OR FURNISHED TO TIllS SURVEYOR EXCEPT WHERE SEARCli TIllS SURVEY IS CERTIFIED EASED ON Y Born AJlOVE AND BELOW GROUND NOT BAnlRES EXAGERRATED FOR CLARITY. 9) THE ,nONS.EASEMENTS AND RIGHT OF WAYS. 1llER TIlANrnOSES ON RECORD PLATS .IS IDASTATIJES RULE 61GJ7~.0031(4Xe) 11) TIllS S ARISING FROM ERONEOUS OR INCORRECT CH IS USED TO FORMULATE TIllS SURVEYORS PREPARED BY JAMES MARVIN BUNN PROFESSIONAL SURVEYOR INC. PROFESSIONAL SURVEYOR AND MAPPER LB # 7037 PSM # 5816 211 LNE OAK STREET, NEW SMYRNA BEACH, FLORIDA 32168 I THEUNDERl:IGNED BOO' A FIELD SURVEY MADE UN MINlMUM TFOlliICAL ST A ADMINISTRATIVE CODE \'1: TO ALL NOTES HEREON. PHONE (386) 424-0998 FAX (386) 424~0885 ~#< :)MAR\~ ~ 8- In J!I ~ I ~ .- II.. g z~ :5 11 ... .- m ~ ~ U l/) ~ [II" ij .... ~ Frank & Lisa Boros 1964 South Conference Drive Boca Raton, FL 33486 561 362-8177 December 5, 2007 SENT VIA CERTIFIED MAIL - RETURN RECEIPT REQUESTED Ms. Pat Drosten, Planning Technician City of Edgewater Post Office Box 100 Edgewater, FL 32132-0100 Re: V A-0711 - Michael Brooks - 118 Vista Drive Property Owner: Francis T. Doherty Dear Ms. Drosten: This letter is in response to your November 27, 2007 letter regarding the referenced variance request. We are the owners of the vacant lot (Lot 8, Block E) directly to the south of the subject property and the single family residence (Lot 9, Block E) southwest of the subject property. We oppose the requested variance as the samc is within five feet of the rear property line of Lot 8, Block E, and therefore in violation of the mandatory setback. We request that The Planning and Zoning Board deny the request and uphold the minimum setback requirements of Article III, Section 21-36.10(d) of the City of Edgcwater Land Development Code, since failing to do so would negatively impact our property and quiet enjoyment thereof. We ask that this letter be read into the record for this matter as we are unable to attend the hearing on December 12,2007. Thank you for your consideration and please contact us i I' you need clarification or any additional information. Sincerely, ~~o~ t};~ Lisa Goodrich Boros 1 fl-. /J.,. h .~ b2- Frank M. Boros III cc: Charles E. Rutherford, Esq. CITY OF EDGEWATER PLANNING AND ZONING BOARD INFORMATION SUMMARY OWNER: Edgewater River Front, LLC CASE # VA-0712 APPLICANT/AGENT: Edgewater River Front, LLC, Tim Howard REQUESTED ACTION: The applicant has requested the following variance from the City of Edgewater Land Development Code: · Section 21-52.02(c) to allow a driveway to be located closer than six hundred sixty feet (660') to an intersection on an arterial roadway (US 1). Proposed driveway will be 434' to Edgewater Lakes Boulevard. PROPOSED USE: Shopping Center LOCATION: SW corner of U.S. Highway 1 and Edgewater Lakes Boulevard AREA: 23.16:1: acres CURRENT LAND USE: Vacant FLUM DESIGNATION: Commercial ZONING DISTRICT: RPUD - (Residential Planned Unit Development) VOTING DISTRICT: 4 SURROUNDING AREA: Current Land Use FLUM Desi!:?:nation Zoninl! District North Vacant Low Density Residential RPUD with Conservation Overlav East V acan t Commercial with B-3 (Highway Commercial) Conservation Overlav South Vacant Public/Semi- Public with Volusia County I-I (Light Conservation Overlay Industrial) West Vacant Public/Semi - Public with Public/Semi - Public Conservation Overlav Background This site consists of two parcels, which will be combined prior to development. The applicant is proposing commercial development (shopping center with out parcels) with a total building footprint of approximately 127,258 square feet. G:\Pat\P&Z\StatT repons\2007\ V A-0712 - Edgewater River Front LLC.doc Land Use Compatibility The proposed use is compatible with the Commercial Future Land Use designations existing on the property. This property is included in the RPUD Agreement for the Edgewater Lakes Development. Pursuant to the RPUD Agreement a total of 275,000 square feet is permitted for this property. Adequate Public Facilities The site shall have access from US Highway 1 and Edgewater Lakes Boulevard. City water and sewer are available to this site. Natural Environment An environmental study shall be required and approved by the City pnor to any development. Comprehensive Plan Consistency The commercial use of the property is consistent with Objective 1.5, "Land Use Compatibility", of the City of Edgewater Comprehensive Plan, Future Land Use Element which states that "Future development must be consistent with the adopted Future Land Use Map and existing incompatible uses shall not be allowed to expand and shall be eliminated, when feasible". Other Matters Property owners within a 300' radius have been notified of a variance request. Staff has received no objections from the surrounding property owners. Prior to development, a site plan must be approved by the Technical Review Committee. Per the City of Edgewater Land Development Code Section 21-100.06, 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 that 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 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 variance request from the City of Edgewater Land Development Code, Section 21-52.02(c) to allow a driveway to be located closer than six hundred sixty feet (660') to an intersection on an arterial roadway. MOTION Motion to approve the variance request from the City of Edgewater Land Development Code, Section 21-52.02(c) to allow a driveway to be located closer than six hundred sixty feet (660') to an intersection on an arterial roadway. G:\Pat\P&Z\StafT reports\2007\ V A-0712 - Edgewater River Front LLC.doc 2 ..s e ~ 11. 8- o lii J!l cr .~ "e u 0::0 ~...J GI lii ::l z~ ~ :g 'l;j u en ~ Cl "C W ~ ~ c Vl :t ~ r'- ~~ :tJ -----~ I : ~~ I . ~--ox ""'Om ~z:= n2s; en - Er :: 8-Z II ri1 C;~ 0_ ;t> .......... ~..... ..... ... ~a -l'- ,", V,m >-tl ns; tTI " '" o!~ " :>- '" ..... m v, a 7 I I --~ --..-- --- ...--.- ...--...-- EDGEWATER ( LAKES IlLVD, tTI X '3 V; Z-J tlZ () , , :s: t"-::O :;;: ""'Om "'Ztl :>-oc n ~ VI en I I CITY OF EDGEWATER PLANNING AND ZONING BOARD INFORMATION SUMMARY CASE # SP-0724 OWNER: Edgewater River Front, LLC APPLICANT/AGENT: Edgewater River Front, LLC, Tim Howard REQUESTED ACTION: The applicant has requested site plan approval for a commercial development (shopping center with out-parcels) with a building footprint of approximately 127,258 square feet PROPOSED USE: Shopping Center LOCATION: SW corner of U.S. Highway 1 and Edgewater Lakes Boulevard AREA: 23.16::1: acres CURRENT LAND USE: Vacant FLUM DESIGNATION: Commercial ZONING DISTRICT: RPUD - (Residential Planned Unit Development) VOTING DISTRICT: 4 SURROUNDING AREA: Current Land Use FLUM Designation Zoning District North Vacant Low Density Residential RPUD with Conservation Overlay East Vacant Commercial with B-3 (Highway Commercial) Conservation Overlay South Vacant Public/Semi - Public with Volusia County 1-1 (Light Conservation Overlay Industrial) West V acan t Public/Semi - Public with Pu blic/Semi - Public Conservation Overlay Background This site consists of two parcels, which will be combined prior to development. The applicant is proposing a commercial development (shopping center with out parcels) with a total building footprint of approximately 127,258 square feet. G:\Pat\P&Z\Statfreports\2007\SP-0724 - Edgewater River Front LLC.doc Land Use Compatibility The proposed use is compatible with the Commercial Future Land Use designations existing on the property. This property is included in the RPUD Agreement for the Edgewater Lakes Development. Pursuant to the RPUD Agreement a total of 275,000 square feet is permitted for this property. Adequate Public Facilities The site shall have access from US Highway 1 and Edgewater Lakes Boulevard. City water and sewer are available to this site. Natural Environment An environmental study shall be required and approved by the City prIOr to any development. Comprehensive Plan Consistency The commercial use of the property is consistent with Objective 1.5, "Land Use Compatibility", of the City of Edgewater Comprehensive Plan, Future Land Use Element which states that "Future development must be consistent with the adopted Future Land Use Map and existing incompatible uses shall not be allowed to expand and shall be eliminated, when feasible". Other Matters Property owners within a 300' radius have been notified of a variance request. Staff has received no objections from the surrounding property owners. STAFF RECOMMENDATION Staff recommends sending a favorable recommendation to City Council for approval of the conceptual site plan approval for a mixed-use commercial development with a building footprint of approximately 127, 258 square foot to be located on the SW corner of U.S. Highway 1 and Edgewater Lakes Drive. MOTION Motion to send a favorable recommendation to City Council for approval of the conceptual site plan approval for a mixed use commercial development with a building footprint of approximately 127, 258 square foot to be located on the SW corner of U.S. Highway 1 and Edgewater Lakes Drive. G:\Pat\P&Z\StafT reports\2007\SP-0724 - Edgewater River Front LLC.doc 2 .' THE CITY of ED.GEWATER . POST OFFICE BOX 1 OO-EDGEWATER, PLOluDA32132-01 ao APPLIcATIQN : FOR ~POmTMENT .~. CITY BOA1U)S OR. COMMITTEE.S,. . NAME. A CO \H~ '3. \rJ l \ ~ e r AnDRESS ;).~3. ~lo.~\e\ Ave HOME PHONE . Li d, 2. - 5 ~ le 7, OCCUPATION . ~ eA- l r € d . Are .you a resident of EOgewaterY~5 .. How long :3 t. '1enr5 o 9 -~., - 0 7. All ,. N --~. ' ': 4 5 " BUSINESS PHONE Is your or \oV\ - . . .Are: yOu eIPployedby th~. City? No Do you 'ho14 .p~blic office? No .At the present, t,ime~. dQ.You: ~erve on apy ot.herBoardsor c6inniitte~:s? ~e5 . If so, llst each: .'C-\-t-l2ef\VolUf\t'eer: ..... . . Have you eveJ;served on itny +boa:rd~, agencies, or committe. ~s? list each :'. . <: \ +~ . ir.n lV\ .f'er- I.r') C \~y lr10 U. ..' , .. . .. Iiso, . .' (BQAlU> AND CoMM1:TTEE MEMBERS MAY BE. REQUIRED. TO FILE . WITH THE. STATE, FINANCIAL DISCL<:>S~FORMS:EACH ~) .,. .. . . . PLEASE. INDI~TE BOARDS OR COMMITTEES YOU WoULD LIKE. TO SF;avE ON AND RANK THEM ACCORPING. TO caOICF; BY NUMBER. . . _ANIMAL CONTROL BOARD . . _GENERAL EMPLOYEES PENSION. BOARD ... -,--LIBl\ARY . BOARD . ----,-RECREATION& CULTURAL SERVICES ~PLANNING ~ .ZONI~G BoARD ..:.......:.-CITIZEN . CODE ENFORCEMENT BOARD ~CONSTRUCTION REGULATION BOARD ~ECONOMI~ DEVELOPME~TBOARb _____FIREFIGHTERS .PENSION.BOARD . . . . _____POLICE PENSION ~OARD _____VETERANS, PARK ADV. COMMITTEE . SIGNATURE SEE REVERSE SIDE FO ..IU~ . DATE: (2-10-03) 9.- /7- tJ? 11<'')-07~02 7", . ../(..:' Revs APPLICATION FOR APPOINTMENT TO CITY BOARDS AND COMMITTEES Name ~c,PJ'L K-tnrJ~clJ /005 r -&rna I d S'.fy.e? f / E;~~~Ic--/.L ..?Z/32 (.J~t) t.Jz.-7- 9'-1/2- Business Phone (~~{.) 3/<(- 908''' 5-c / I l:./1/lj?/c'1 of' /{ ,L,c;-/II CI5C~p~ {t7Y7 jy~ (.:Io/L ~-t'~ 1t5 Voting District *'=-2- Address Home Phone Occupation Are you a registered voter? Are you a resident of Edgewater? How long? 31 '1 ta./5 Is your principal place of employment in Edgewater? ~ 't 5 If yes how long? 7 '1-1 t1./5 Briefly state your interest in serving on a City board or committee: /J11 l~fwe.1f /~S h.t/~~ tl tbl/.J 01 bf/L-,'/j;~, F4ttvc.fu-'s ~i-v(e. Stateyourexperience/q.ualifications tls- a. l./<.. /~1?C; /~ls/d~/},f tJ/ E4~tJ;t~.J }zettle. a.. ~ SVO'1j (oM''-''ldrne.i1f 1v OWl COmml.h~/'-7. {l:<;;; a.. !occ<-( bU.$'/)t'S5~CV7~-1 ),tLl/C 3!--r0177 /'t'Ct.clersh-/ g(/~/,'h;': ctnd Lfra./s of f?)G/,('/lcP",,('(' t-t../ t/l"" t-/~'i j/J & htA.J/d/~ /J /lei ~&VU{( ( . 1-Yt)..t/e U 7' he. (/1" a I () J-. () f a..f?j/ilce1.6/~ kl10tvle ~-{ IYJ ~IcUlrJlr7~ a"" Z(}AJ/AJ6--. Are you employed by the City? ~ Do you hold public office? AI D At the present time, do you serve on any other Boards or committees? tJ D If so, list each: Have you ever served on any boards or committees? ///0 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 _CITIZEN CODE ENFORCEMENT BOARD _CONSTRUCTION REGULATION BOARD GENERAL EMPLOYEES PENSION BOARD LIBRARY BOARD _ECONONUCDEVELOPMENTBOARD _RECREATION & CULTURAL SERVICES V';LANNING & ZONING BOARD _POLICE PENSION BOARD _VETERANS PARK ADV. COMMITTEE _FIREFIGHTERS PENSION BOARD Signature 4~/1~<<4"{- (REVISED - 0- 4) Date 17/&/07 I I ~ THE CITY OF EDGEWATER POST OFFICE BOX 100, EDGEWATER, FLORIDA 32132-0100 Mayor Micbacl L. Thomas District I Councilwoman Debra J. Rogers District 2 Councilwoman Gigi Bennington District 3 Councilwoman Harriet E. Rhodes District 4 Councilman Ted Cooper city Manager Joo C. Williams City Attorney Carolyn S. Ansey City Clerk Susan J. Wadsworth, CMC November 12, 2007 Justin Kennedy 1005 Fernald Street Edgewater, Florida 32132 Dear Mr. Kennedy, Thank you for submitting your recent application showing your interest to serve on our City Boards or Committees. A copy of your application will be retained in the appropriate files and as vacancies occur on a Board or Committee your application will be reviewed. The City Council and/or Board/Committee members may contact you for an interview or with questions pertaining to your application. The City BoardsICommittee may make a recommendation to the City Council but it is the duty of the City Council to make that Board or Committee appointment You will be notified if you are selected to serve on a Committee or Board. Again, thank you for your interest in helping to make our City a better place to live. Please, if you should have any questions or concerns regarding serving on any of the City Boards or Committees you can contact the City Clerk's office at 386-424-2400 ext 1101 and we will be happy to help you. - Sincerely, _------ S~CMC ~ City Clerk (B:adv boards adnowIcd) 104 NORTH RIVERSIDE DRIVE FAX-(386)424-2409 SUNCOM 383-2407 CITY CLERK-(386)424-2400ext 1101 Swadsworth@cityofedgewater.org 09<5-(;7 i.,11:~~1 I>J APPLICA TION FOR APPOINTMENT TO CITY BOARDS AND COMMITTEES Name J\W\ :::> y (1/ e..s-f <- y-' / Address / 2- D ? C)y- LL Vt f .,P, 7&-- ~ e.. 3'P-' c(2 7 17;1- t./ Business Phone (tJ~VJ <.. t?e_+ I rr-e.4 CZ>J1-t-r&-c--r-D)-' / r.Q.~ I es T&--Ie / V oting District Home Phone Occupation I P1 t/ .,. $" 7l> J,- Are you a registered voter? Ye S / Are you a resident of Edgewater? "2- YeS" / How long? 2- Y v> Is your principal place of employment in Edgewater? /Il"'f, e~f/~1/ad / If yes how long? Briefly state your interest in serving on a City board or committee: '?'.:>ok" ~t- q -fn V'" w~ vS- r;; T , State your experience/qualifications ?d_5 t V'"t'?dv('!~ z~ -YL~ ~y br~~,/ "-H//ly -d.". 1;:;( 6p..6(". Red t %s}~-"'c. $~j..lZ 5'/ 'Pvd UA/n, 5r/42J1 Javl; <Co G !\. c.v ~ , ( :r~ --t e~ )t.t:t- --\J ~ 1.0..... em. f~u/ll.."" i I nr.//",J..P.> / CZ>Jt--tlr~.c-to'v-. 1k9a.\r't,u..<u:~' ~d'U~A--'.V- oP / v- / !<'\fJ) (..od~ Th t?"l>~T. 7:~",lvs-fv-lt01 J'Vla111, lylt~ / Are you employed by the City?~Do you hold public office? /tJ 0 At the present time, do you serve on any other Boards or committees? /U () If so, list each: Have you ever served on any boards or committees? J:) lJ t ( h V" t v S" (/-c..... C6 ft If SO, list each: zk,~~-fl/"-( '.wl -r"'sf<t-C~+DY" - cPvl~.ie;t.. C:tl.Jv.ie:<- .pI (BOARD AND COMMITfEE MEMBERS MAY BE REQUIRED TO FILE WITH TIlE STATE, FINANCIAL DISCLOSURE FORMS EACH YEAR) PLEASE INDICATE THE BOARDS OR COMMITfEES YOU WOULD LIKE TO SERVE ON AND RANK TIlEM 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..~PLANNING & ZONING BOARD _FIREFIGHTERS PENSION BOARD _POLICE PENSION BOARD _VETERANS PARK ADV. COMMITTEE =';;'ED~f"/~:r~ 1- 0." 6'1/01D7 MUll' I. LVVI I.LlrlYl 0CIiIU\IC IV o. 't/~q- r. iJfOc; APPLICATION FOR APPOINTMENT TO CITY BOARDS AND COMMITTEES N.M:Ia{l)() ~uX~ro fYl Adm." 3D 20 VUI~ ~ mCR.J) Ecirrwa fer Fe 8214-/ ~~hon.38(Q:i3IL/=--t(t.f'-13 Busm""Phnne . - -1 - )415' ,I. . Occupation C HetL/ t:sfak fl + ~ -eOW!c /iOrn~~J. - a../al& ~ Are you a registered voter? YE::S Voting District ~ \Jp;:-c' ?-JY~' (h~ ~~~~O Are you II resident of Edge water? ~ How long? ~L/ " ~~\J~ro~ ~ ~ "- , \~~\ Is your principal pl.ace of employment in Edgewater? , At the present time, do you senrt: on any other Boards or committees? If so, list each: l-Iave you ever served on any boards or committeeS?~ If so, list each; (BOARD AND COMMITfEE MEMBERS MAY BE REQUIRED TO FILE WITH THE STATE, FINANCIAL DISCLOSURE FORMS EACH YEAR) l"LEASE INDICATE TlJE BOARDS OR COMMITTEES YOU WOULD LIKE TO SERVE ON AND RANI<. 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 _ VE1'ERANS PARK ADV. COMMITTEE Date~ {Di-- APPLICATION FOR APPOINTMENT TO CITY BOARDS AND COMMITTEES 07-30-07 P09:09 IN NameKO\?€.fZ.1" (. ~ ~ ~'\O~ \-\ ~ R. Address a-q ~ I S A t;~ L Q AL..M rJ fL. Home Phone ~-c...\:~~ -OC::CC:O~ Business Phone ~eb - ~d...I- ~~ Occupation ~E'l~l L \)\ 'Sl1t..1 ~~nR- b\'1 G,\JiT~1 ~~1 f4T)~'0 Are you a registered voter? Y 6 s V oting District ~ 3 Are you a resident of Edgewater? Y:c:s How long? ~ 1:,yRJ;... <R I'f) ~h ~l Is your principal place of employment in Edgewater? 'Y~ If yes how long? ~~O 'Yt::.*S Briefly state your interest in serving on a City board or committee: . fuftlP~ ~~ Q~f\u1'i 'Of lU=G FO~\l~ ~~"\lJ)~.J ~ND ~tTIZ~~ State your experience/qualifications I \ '/i2 > 'f~ tl ni.~1~\e\'- ~ YR-b ~\J i...l >>J a-~ Q~~v .J - I "'" 0 t..:hI t:.4L n \~ y~ ~l ~ tv') "~M~€"\. ) RIbV'.."M;9..CC k1Sa~ I~T)J-)^'b~.1)C;. .) F"OJI'IIO\.~ r: ~~. T ~lrJl~b \~ f'u..t\-E:1tI.W.t\QhlJrI~r<.r-F140~pr UlclJ Llft~~9'l~ DAU I H\~\t ~~\)lP. . Are you employed by the City? N ~ Do you hold public office? f\)<.::) At the present time, do you serve on any other Boards or committees? tv ~ If so, list each: \ Have you ever served on any boards or committees? \j e~ Ifso,listeach: V(DuJ~IA ~L)rtr'l B~J.l"t\X.f Cb>>t"/S,Slh) bl9f.VAreo.f~. 1~<Q(,\7~l4.cc, J (BOARD AND COMMITTEE MEMBERS MAYBE 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 CITIZEN CODE ENFORCEMENT BOARD GENERAL EMPLOYEES PENSION BOARD LffiRARY BOARD _CONSTRUCTION REGULATION BOARD XECONOMIC DEVELOPMENT BOARD _FIREFIGHTERS PENSION BOARD RECREATION & CULTURAL SERVICES POLICE PENSION BOARD Signamro ~~~~~~& (REVISED -10-04) VETERANS PARK ADV. COMMITTEE Date~~~u)~7 .' . . . THE CITY OF ED'GEWATER . POST OFFICE BOX 1 OO-EDGEWATER, 'PLORIDA32132-01 00 . .APPLIcATION ~FOR APPOIm'MEN'1'~ CITY BOAIU>S OR. COMMITTEES, NAME' $) ;ckG<-\ ,~,'0~ J ADDRESS \~\:" ~"'.~~\ .' H~ PHONE ~ \ I.S-(<JG:LS- ..' BUSINESS PHONE ~ .'/ . . OCCUPATION e . Areyot;l a resident of Edgewater~Howlong Is your principal "place ofempl~~~Yt ih Edgew?ter? if yes how long? Bri,efly state your interest in serving on a"City board or COIimittee:~ \19 W~'c-,~o ~~j~ state your experience/qualifications ri;;::;& ~ () . . '" . , ....~~"$ ~\\\PJ\ C& ..' .' . Are. you' a r~gister~d 'voter? . \.-v', \" b., " .Are: yo.u eJP.ployedhy thei' City? rl D~ you 'ho14.p~blic office? .At tfie preseht t;ime~. dQ.you: serve on any other Boards or coinmittee.s? N . ~f so, list ea'ch: Have you eve list each:: or corruni ttees? lfso, . (BQARD AND CoMMITTEE MEMBERS MAY BE. REQU!REO TO FILE . WITH THE STATE, FINANCIAL pISCL9S~FORMs'nCH YEAR) '. . . ." PLEASE. INOI~TE BOARDS OR COMMITTEES YOU . WoULD LIKE. TO SERVE ON AND RANK THEM ACCORDING. TO caOICE BY NUMBER ~CITIZEN'CODE ENFORCEMENT BOARD ~NSTRUCTION. REGULAT.~,6N BOARD ~ECONOMI~ DEVELOPMENT BOARD . . . . --:--FIREFIGHT~S PERO~c RD 0 SIGNATURE~~..1 _ SEE REVERSE SIDE FOR BOARD AND COMMITTE~S LISTINGS . . . . ~GENERAL EMPLOYEES PENStON B9ARD" '.. .' ~l1ARY' BOA.RD' .' . ::%:REATIoN& Cti~;URAL SERVICES. . : . PLANNING & ZONING BOARD '., . . ~POLICE PENSION ~OARD .~ v/' B ic.'{c/~ /PeJ )}J,j, Cu_~:I-}e<.. /1'-0 ~ANlMAL 'CONTROL BOARD _____VETE~$,PARK ADV. COMMITTEE DATE: (2-10-:-03) . fty t~). (1 c)1 APPLICATION FOR APPOINTMENT TO CITY BOARDS AND COMMITTEES Name-:t)ft~1V10I'Jb -T. 131A-ck. S2. 05-14-07All :58 RCVD Address 33.;l..'1 U^';+1~Et? J)a.lflE Ed.;twlt+b~ HomePhone 3g<e-t./-'J.7- 3,350 Business Phone '3~" - ;;1.7)..4>- '-I<<.f/3 Occupation 'EItN It:. ;t{ fhv A GEl!- - fSltN/c.. 0 r=- ~E1t;<"4 Are you a registered voter? ~E5> Voting District Lf Are you a resident of Edgewater? '\.{r;5 How long? y ~EA-RS Is your principal place of employment in Edgewater? fit 0 If yes how long? Briefly state your interest in serving on a City board or committee: tlJ BE"" ?~_f o~ ,Gr(}IAJ"\-~ (1,".,..,/ /h'-p EF~X.5 jnV~YPRa:.~~'lVq State your experience/qualifications OF,crt-'EJZ) 13 tf,./k 0;::::' ,/In. "".-?"'~-4 / Hrlv~ ~,c./ ~rJ 3 -~ /3&/i-iI2.d~ ~o J41\-v€ '13FF,vI YEA-/ ~(/ee'lfZ~v/c... , il1.J c;;,Ol(/f\.y-~ -r /lIHh)uj dt:J,y-d p,e fl $&'T)-EtZ- t)€'7AM'2~ ,. /7' Are you employed by the CitY?~Do you hold public office? NO At the present time, do you serve on any other Boards or committees? Ifso, list each: /Jo,VE S~Ate.;ral {JFtJ'fG'e , ('c/C(?4 . VIt-tlle'lE Have you ever served on any boards or committees? If so, list each: (BOARD AND COMMITTEE MEMBERS MAY BE REQUIRED TO FILE WITH THE STATE, FINANCIAL DISCLOSURE FORMS EACH YEAR) PLEASE INDICATE THE BOARDS OR COMMITTEES YOU WOULD LIKE TO SERVE ON AND RANK THEM ACCORDING TO CHOICE BY NUMBER _ANIMAL CONTROL BOARD LCITIZEN CODE ENFORCEMENT BOARD _GENERAL EMPLOYEES PENSION BOARD _ LIBRARY BOARD _CONSTRUCTION REGULATION BOARD ~ECONOMIC DEVELOPMENT BOARD _RECREATION & CULTURAL SERVICES ~PLANNING & ZONING BOARD _FIREFIGHTERS PENSION BOARD _POLICE PENSION BOARD .~ ,Q . . . ' _VETERANS PARK ADV. COMMITTEE S--/o-o:;L. Date APPLICATION FOR APPOINTMENT TO cuilDZ AVG 19 BOARDS, AGENCIES OR COMMITTEES . '-. NAME p; ~c1,€(l t'(!)( A. ( M.I1 r ') (Y7 OcSCJ fA. ADDRESS I(at? Ic~ ~~ ee~ . ;;:-~ 't""LJ~ HOME PHONE'.' 38(;;,) <..(~ t:,- t, ?_<;-..s- BUSINESS PHONE OCCUPATION C)Wt-1 (Idud/'c..<.d,oQ,A.< ro~f'a ~ Are you a resident of Edgewater y I"" 5 How long .tP y~,,:S;1 Is your principal place of employment in Edgewater? ~~~ if yes how long? /'R(,r" 'Briefly state your interest in se~vi~g on a City board," agency or commi ttee: 7::'i-~'e!> tOl'ow<1-4 I ,. ~., Mf ~r'~' Dl~ f)/u.$ , ~dU&u(Og)dA t/ b'r"'(/-Ak,pwt/!?l1Y- . Are you a registered voter? y F 7 '. ,. Are you employed by the 'City?;~j.~;/:~ou hold public office? ~ At the present time, do yoU serve <:iq'any other I30~rds, Agencies / or committees? ,Va If so,list.:eacli1'" Have you ever serv~d ,b.u;'any{'boardS, ageniie's/~r commit~ees?~' If so, list each: ,. ". .,;:r~~~~~'~;;, .., ," " .:.~. . ':. ( . .. ~ : '. :',T ..<:,. .~'"i ..<,' ..-fo.~?, o.;(!-" (BOARD / AGENCY ANDC"C~,!!TF;E ~Eit:~$~"'~~E ~Qui~ TO FILE WITH THE STATE, FINANCIALbISC~6suRE FoRMs'. ~C,H"YEA.R) 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 ~ONSTRUCTION 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 '# fi 4~ >> SEE ~fRSE SIDE FOR LISTING OF BOARDS, DATE: 8-/~'a.~ AGENCIES AND COMMITTEES>- (~V 1-02) :;1h-:'1.~ ;:~' ~ !- ;h": " .,,-. .. 'I,"", J. " ""1.11" -0: '.. "' "1" "i':'.. ~. \ ;~:r_:,~, ... '...'f.,.-'i'J. ~~ It ~ r. ./ ~L.~ (:,,,,., .' " , "",' 'n. "" ~ . , . THE CITYOFED'GEWATER .POST OFFICE BOX 1 OO-EDGEWATER, FLORIDA '32132-0100' . .APPLIcATIQN:F.OR APPOINTMENT ~O'CITY . BOAlIDS OR'COMMIT1'EES..' . A;?A?9..... NA/tl Y' N'~E.8"o/ J /. / .. ~~~aJ....9~-;;e ilnDRESS . 7'ClS' -:rL"'<:H.g~/?/. ~.6'~V'.:b/7-'./ H~ i?HO~..f~- ~~d:.2~~9:. BUSINESS PHOm:- /~E7/A?CZ)., OCCUPATION ~ftt'~ .'S?rCMec~ ~~~~ Are you a resl.de t of Edgewater Y~.g' How long . .:// y~S . '. ,/:. 9 ~ NAME . Is your principal :place of 'empl~yment ih Edgew~ter? . . if yes how long?" state yorir interest. in ~~rvihg 6na'~ity board or ., .~. - Bri,eflY your experiepoe/qualific' ~re', you a n~gistered voter? Y Fq . '. .Are. you el]1ployed by th~' CitY?~Do you -hold .p~blic 'office? . Yet>. .At the' present ~ime~ dQ.you: serve on any 6ther Boards or committee~?, - . If so; list eci'ch: ..-- '. - Have you eve1;'served on any boards,. ., .'list. 'each:~ . e~,.' or Cd~ittees?~~ If so, /9.;{SZ/ "'~ (B~' COMMITTEE. ~ERS MAY BE. ItEQU REO. ,~ITH TEtE STATE, FINANCIAL DISCLOSURE 'FORMs:".nCH UlAR) . . : . .' '" ,PLEASE nlolCATE BOiws o~ COMMITTEES YOU ,. WoULD LIKE TO SE~vE' ON AND'RANK 'THEMACCORPING. TO CaOICE BY NUMBER. .:'. Ci) . ~.c:::s>AIU'iw. 'CONTROL. BOARD .... . ~CI~IZEN'CODE ENFORCEMENT BOARD ~CON'STRUCTION REGULATi.6N BOARD ~ECONOMI~ DEVELOPMENT BOARD ~FIREFIGHTERS 'PENSioN'BO~D . . . _GENERAL. EMPLOYEES PENSION. B~ARD' . . ,.. ~LIBI\ARY . BOARD . RECREATION. & CULTURAL SERVICES ;,~.<V~i?mmg:N.G"~[j\wNma~~~A$) .. . ---:...POLICE PENSION ~QARD COMMITTEE . DATE:. (2-10~03) . .y ?/~. ./ . '. , .1 2 - 05 - 6 5 P 1 2.: 5 9 F I L E . . 'l ,.. :.. 07-1B-05P02:~O RCVD~ ..... ". THE CITY OF EDGEWATER POST OFFICE BOX 100-EDGEWATER, FLORIDA 32132-0100 NAME Mfc"htJel APPLICATION FOR APPOINTMENT TO CITY BOARDS, AGENCIES OR COMMITTEES VI S C. 0 NT I 3J~ ftlU6 f3~e.(31-e 42.7 5/ 7 B R F.-Ti ~ I=- C> () 'R. ADDRESS HOME PHONE BUSINESS PHONE OCCUPATION Are you a resident of Edgewater '/ E.!, How long /3 y'&4~.$,. , Is your principal place of employment in Edgewater? if yes how long? Briefly state your interest in s~rving on a City board, agency or commi ttee: W 0 () ~~";i:.':~t~f"i~!:~:~':~~~~~~:\',;,::~,~;~, ~ C II i () W.- l3u/,,". 7'14,,<)1 ' BZ;;;4.."..J/..lrJ..fttMC/.,:f.?:P 6- k 0 cv,)) 1// /:.w c ~.ii;:T;~~',f~,:'i:i{~!,.! . , L.q t.t D ;"'ij~op<~6i~i:~;\.j;,. P!-,I(}.;V S ~:,:?r'- ":!,~.:.l ....~.j. .:.EJ~~ i.A::::'~-r;;. ~.' .~... . '~1." ... .~~~." h 0 v L :.' Ji.."('/~;~fl .(~ ,,,:.:;:')~. '.' 'r.. '. ~ . .':'S!'i'/,.':. : .". .' :~ . ~.' . .... boards..,. agencies or cornxliixtei.es?_ . .~. ........ ".. ...., l' ' . . 'S" d)&1b"""/-'?'9''1''-'''' ...<C- J4:!t~ (~_() "' iH.. .":. .:~.i~~t'..r" .:-..~' .:~. f3 b J4. ~;. ~;;;~'" , ",<, p soli & I 13/(. Ii. .'; /,y' ~~"~," ':'\"~).".~.:>\..':.'~:'.'. ::'-;.'~..~.~:.:'.'\':';-. ....... ." ~ ..:.:....,." . , ..,...~:;o.I_i .,\...; ""'J'~'/~; '" "'\'" ,::'?~'.f.' .. "" (BOARD, AGENi~~Am> ,COWITTEE MEMBERS MAY B~L:Jt~ci\t:Iii~p':TO FILE WITH THE STATE, FI:NANCI~ P~~CkOSURE FORMS~;~H' 1('E~Uf),,:~ +;;'\':i~.. ....,.-; ./'~;i'" :>:. '1'~v<'4<"~~;"~~l'.:V!;~a"i:~~~""~~f'(,,~: ?' ~~(.x,:::j..'f;~' PLEASE- '~m>o&,CArlJ Bb'ARpl!, :1'GEliC~S o'ii. C9,.I;l!'riT'~EES YOU WOULD LIKE ~O SERvE,.:tl~,~ Rkm<; ~T~ AC::9-g~.ril&~o CHOICE BY NUMBER . ....)~:..,..~..: :': ',~'. ';:.....~,'.:: ';.-;.':'/:!r.~"" . ,.?b;:~~ c; - ~?~.. ." .~;- ..;{ _ANIMAL CONTROL BOARD _____GENERAL EMPLOYEES PENSION BOARD -X-LAND DEVELOPMENT & REG. AGENCY _BEAUTIFICATION & TREE COMMITTEE _CITIZEN CODE ENFORCEMENT BOARD _____LIBRARY BOARD _CONSTRUCTION REGULATION BOARD _____PARKS & RECREATION BOARD _ECONOMIC DEVELOPMENT BOARD _____POLICE PENSION BOARD _FIREFIGHTERS PENSION BOARD _____VETERANS PARK ADV. COMMITTEE SIGNATURE~ ~. DATE: '7/1'1/ o...J' I / .. SEE REVERSE SIDE FOR LIS~I~G OF BOARDS, AGENCIES AND COMMI~TEES.. , ~" ',';' THE CITY OF EDGE WATER POST OFFICE BOX 100-EDGEWATER, FLORIDA.;, ~32-01 00 , , 'IUD JUN 3U \'\'\ TL. , , ' , APPLICATION FOR APPoINTMENT, TO CITY BOARDS I AGENCIES OR COMMITTEES ' \ NAME ~F<Y ~, Ro13E.R'TS ADDRESS~ t I PtNEf.. ,-R-E.E. pe.\\/E- HOME PHONE 4~ 8 - 7B3? BUSINESS PHONE OCCUPATION 'E3>u I LI/ II\J~ P E514 /'J. €..f?- Are you a resident of Edgewater YP'~ How long 17 y~es Is your principal place of employment in Edgewater? ~~~ if yes how long? I,? Y~t:::5 Briefly state your interest in serving on a City board, agency or \;~ " . (~'e? JJb 'f!~' }7 ._, . cies'~ or :.\~;~;~~~ h~. ','I ~.. .1" ~; " ~ ~.il'~ ,,': l rds, agen~ or cort(tt;!t'?':::(g:2 '~l* ifl'" O'l' ~ ...40~ f/tt-),. ft'!' 5 - :JT:4' " \~" .~r~' .... f.:JJ, ,,""""~~"~ ~, I, '$'t, iii ~.,. (BOARD, AqENCY AND COMMITTEE./!r~~~1f<BE-'"REQUIRED TO FILE WITH THE STATE, FINANCIAL DISCLOSURE FORMS EACH YEAR)' committee: PLEASE nmrCAn: BOJUU)S, AGENCIES OR COHKI~rEl!:S YOU WOULD LntII: TO SERVE ON AND RANK ~HEM ACCOlU>ING ~O CHO:Ia BY NOMBI!:R _ANIMAL CONTROL BOARD _GENERAL EMPLOYEES PENSION BOARD _LIBRARY BOARD RECREATION & ,CULTURAL SERVICES $PLANNING & ZONING BOARD _POLICE PENSION BOARD _VETERANS PARK AnV. CO~ITTEE DATE: ~-.370 - ~ AGENC:Il!:S AND COMMI~rEl!:S.. (REV 1-11-00) _CITIZEN CODE ENFORCEMENT BOARD _CONSTRUCTION REGULATION BOARD _ECONOMIC DEVELOPMENT BOARD" SIGNATURE h SEI!: REVERSE S E BOARDS, \' Cl3-dJJ~\ ); /. D S _ ~~~\"v."'- <6' \1..~ 04-05-02All :48 RCYD A Si-ill il'\.~s~ " ~~~.w " -f<of3E:.rz,-s . :RE"'S J DE.NTtAL-' J/eSI~".u=g ~24 t I " p.tI--JE.1'"laJ::e.: 'Delve "e.~E~Te.~,) F'-~'DA ..... .. '-42~ ",7.sS? Rf!,~ :P'LA.NNI~ z\: ~N,kJ~ ~OARD ,'(Q.~L I FI ~TIC>N$ ,'tf. ~.pE.1'S' E t-JoC e. · .. :5E:l-P-EMPLoYJ:::O BUIL.DJ~, Df.SJ~WE..~ ~ B,~ \J.-O'N.~ r;>E:S'~/lJefZ.? P~JC:CT MA~EJ2.. C 2. YEA~)- ,w/ ~Bft.~ T ~". l-lDhJAgp A~c..l-II T"'E.c::::r, I /..1C,. eN. / P: L _ If -STATE' CER.TI F"U:::D aUI LDINc, LotJT~TO~ Cc>MH~~JAL if- ~E~IOe:.NT'IAL Dr::Ve:.L-PP"'1~~T .... V DLU6JA c.oUJ--JTY HOM~' 13u I LDE:.I2..? ' A:5::S'oC.IA TloloJ "BOAJ<,.D 0 F ',D I ~e:c:.. TORS c:::rr 6 - C) c=t, _ · C\TY COUNC.ILt:"\A~1 c.ITY',OF E.~e~A-n=..~ ~7~'9'9 ~ --t<\E.~BER OF=- Fr''''ONOt.....,l~ OE:.VE,.L-DPt..tlEt-JT ' B~R.D '. '. CITY of E.174.E:v-JATE.~ 9Co -q7 y : 130Ag.,[/ fV'\ 1:f-t-<1 B-E:.e:. J ' f-...l - 5.. B.. AN ~ LJAL ~ gAg fry B>.:A..L.L -.FUl'-JP J<AISINc;, C-C>HH,ITTE-t::. (.C::UJZ.~E..NT) ~p,A.J2..rJl:::'1 PANT Jt--I l..-Oc:::ALFU"-lD SZAI'S!~ Fo.g ~AM E..J2.J~AN z~c:::eR -:Soc, E..,.-y' $ VDLUNTE.-E.12. H-DME Pr:::~l~ NEJ2 FD~ 'SourHt::A5T--VOLtJ ~IA.. '-..'--H.4...edTA.r.-,F6g..HUMA~ IT'(, _, .. -~UT4E.A.."'5r VbwJ'~IA C--I-4AH ~tUZ. bF', CDM M E-12L::.e::. Fe.e~NAL t7ATA. ~ e:~r=.hJATe:.e.' .gJ5'5IPcl-JI 'S/~1<1g3 ~1e.t:7.1 :3 ~4-!lt..OJ2f;:N ) '2 LiI2ANOc..HILOg-e:.N ~e.. ...,..5. " ' , :5HoI:='A,N IN <::::::::H'Ne:5~ K~t-Jpo,l VOL-ut.JTTfJ!12. IN~T.e:.UCTC>R APPLICATION FOR APPOINTMENT 10 CITY BOARDS, AGENCIES OR COMMITTEES NAME---0- ~(\ Gis: GO ~. ~; a.."t.. Tl I -:-- -p () l30K "1.:13 tJ e......J ST"-l.{rY'c...) FI ""3", fO ADDRESS " "3-z..~ Tco.yele/s '"?Gt.(~ Or, 'GJJ"eu/a ~r, f I HOME PHONE t/'2,)"'0S'/{, BUSINESS PHONE :!>co6 - ~4h - /LI/ b OCCUPATION .5tu~ t,- "~~ ;"2 '""3{! 1 ..... "0.. S ;:~. "~.. .r...~~ .. Are you a resident of Edgewater ~ (: ":)" long If "(eG-rS Is y~ur principal place of employment in Edgewater? ;J 0 if yes how long? Briefly state your interest in serving on a City board, agency or committee: r;, o.H;:€r Gl... How ci \Je. 0....,. ~er fOUlf i.Ad "CD~ 0....-1. €'coytOJ!M;c ... YOVV'-d 7ers.crr 5 ko..J<"'f1. ~\ State your experience/qualifications '20D I Ma.;-1 'CLYte:! P--i'jk ~cit!)a / Cr~~"c~) ~cs C<.... J11o..jol'; A~ '''1 (P,MfiJ~ S'c... ~/I(-e a,.f"\.! :CV\~r~ -t1 0"" -r;cl..rD 105 '(, /"1'1-e.~ I".e r \/0 Ivs1c.. ~Vt'lt:lf J)ev"u:~ro.. -(:1(... 6Y:~6Jf::Jl.J{: (f)~f'Vl; -t~e.. Are you a registered voter? Ye.::; Are you employed by the City? ,J 0 Do you hold public office? ,J D At the present time, do you serve on any other Boards, Agencies, or committees? W!...<;,f so, list each: '\1<0 r \X,., ; a.. -oe~ oc. ( ~ kJc. ~ 4? C!.. u-t7 J ( ( D m f'Y\ l-tce~ AA a+= Have you ever served on any boards, agencies, or committees? NO If so, list each: (BOARD, AGENCY AND COMMITTEE MEMBERS MAY BE REQUIRED TO FILE WITH THE STATE, FINANCIAL DISCLOSURE FORMS EACH YEAR) PLEASE INDICATE BOARDS, AGENCIES OR COMMITTEES YOU WOULD LIKE TO SERVE ON AND RANK THEM ACCORDING TO CHOICE BY NUMBER :LAN I MAL CONTROL BOARD 2.CITIZEN CODE ENFORCEMENT BOARD ~CONSTRUCTION REQULATION BOARD -I-ECONOMIC DEVELOPMENT BOARD LFIREFIGHTERS PENSION BOARD I~GENERAL EMPLOYEES PENSION BOARD 'Z-L1BRA"Y BOARD f.RECREATION & CULTURAL SERVICES 2.PLANNfNG & ZONING BOARD !LPOLlCE PENSION BOARD ~VETERANS PARKADV. COMMIlTEE 4-11 .:L--/U ~03- ~o-- ~ ': THE CITY OF EDGEWATER POST OFFICE BOX 1 OO-EDGEWATER, FLORIDA 32132-0100 zon IIPR -4 APPLICATION FOR APPOINTMENT TO CITY ~ BOARDs, AGENCIES OR COMMITTEES UAVlll /I ~Af ~0,2J tJ;U()W WI( Oti. HOME PHONE '/23- S"8Y2 OCCUPATION M ~o Are you a resident of AM 8: 27 NAME ADDRESS 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 BUSINESS PHONE .2~s: Jcf~ How long WI I I a",;.JtJNftt!::. .Jt(A~, ~ "''r . r t: '7,-mlv 'i;J1 ffl .J1.- 1i . , . .' .. I~ ,'O~~-rrUR -,t.:"rJC?(f.!t, 6vr cd;J' ~,}'t.:, ". . . , ~,f-~ [ ( l /1. ~. Ih/C h T" foc,qlk ' '~~;<~: .:~~ State your experi~iic,e/cntalifications "f~ /J' ),~\.' "?- 'c" ~~(~~f!ttr((...,~ FI?J,' (l#f( :.t,'J . ....~ :',j1~~. ~'\J Are you a registered ~ofer? cOmmittee: / R,~),cIo,C/ ,", '{ , ~::"$ YF.f , .~iflf.;, Are you employed by the:City?-MQDo At the present'i~itii'~tdO~ouserv~~oz{ commi ttees?Nci),'~\~.f:':'sO;J'illst each: you hold public office? NO any o~~er Boards, Agencies, or "'j'r,v .y,. "t-, " (.'-~" 'tA~.. :_:~~~'. Have you ever serv,ed on~a.ny -':J"',_,_' ,,~.. If so, list eac~:_...','::(), "!. "<':-1'~'.' boards, j:'s agenct~s, or committees?____ '. . ;"\..:'. ":;'c<:.. .' . ."." -.'.. .;... . ';'0' :'+" <:~)~ ,-,:tJ ~:. 'j~", . t-O.,. "i'~,~, .,; :'~~. )~:)' (BOARD, AGENCY AND COMMITTEE MEMBERs MAY BE"'REQUlRED TO FILE WITH THE STATE, FINANCIAL DISCLOSURE FORMs EACH YEAR) PLEAsE DlDI~ BOARDs, AGENCIES OR COMMI~!rEES YOU WOULD LIlO!; 1'0 SERVE ON AND RANK ~HEM ACCORDING ~O CHOICE BY NOMBER _ANIMAL CONTROL BOARD _CITIZEN CODE ENFORCEMENT BOARD _GENERAL EMPLOYEES PENSION BOARD _LIBRARY BOARD ~RECREATION & CULTURAL SERVICES ~ING & ZONING BOARD _CONSTRUCTION REGULATION BOARD _ECONOMIC DEVELOPMENT BOARD _POLICE PENSION BOARD --1-FIREFIGHI'''ZPE.'\''OH ,B':!'J'D ,/ '-1 ~VElERAH, ""'" ADV. cO,,",TIE. SIGNATURE ~;.PXt " .!LL/,...ru..-,. DATE: 0) Cb ** SEE REVERsE SIDE FOR LIS~ING OF BOARDs, AGENCIES AND COMMI~!rEEs** (REV 1-11-00) 6 -I 2..Q~ -.flit rr.~~r .;\ 04-05-02All :'47 RCVD I Q -f.t- fY'...l.. S So o.(r'<- THE CITY OF EDGEWATEit18 RCVo , , POST OFFICE BOX 1 OO-EDGEWATER, 'PLORIDA32132-01 00 , ,APPLICATION' FOR APPOINTMENT .~ CITY BOARDS OR' COMMITTEES. . <]n t-//VCO~f)E if< 0 ,ADDRESS ~)/(~ p/iVe-mEf .of!. " HOME PHONE, //;)7- 96~/ OCCUPATION i< E. Ii RED ,Are you a resident of, Ectgewater yeS How long /,?y.,eS / .. , , ,R.E:1"/~el'1E.vT'. .' ' Is your principal place of 'employment ih Edgew~ter? if y~s how long? ,~r~~fly state your interest in $~rvihg on a'~ity boaid NAME ,. ,BUSINESS PHONE , , commi ttee: j /i-l{Jve Mdl/E f) PRo I'V} 5"ocT7# FL-;CJ" 1)0'7"' I()...J-L- , J11Y" /hdJ./~y /-u r;.:.'Ht'fOre ,1fE",oP, A-AJ'lJ' - /t.oJl}-/'l./fIn' l-hELfJ M 1!)K~ '/'7':1/,..... C ~?7. A- '~RJ~~..,.. P Z-rJ.-C'P '7?7 L/ul:. State your experlence/qual1.flcatJ..ons / LUJ9.S, rr;lA/lurJ;(JA/: /)..j . I1"IITM/~dl).:, LcJC~L ')";~(}.b--r70 '(/A//rtA/" /=i::tR.' '7' ;Y..!2r)', . / 8lz.LI.e v E . ( ij~ ,l..:/ IS 227M J C Q' J1!) .vJo A...I <S' E -</.r e 79-1V2J ' ~~ I C7}.1\/ Are you a reglstered voter? 7-PS' "#&:").:..11 .eJ)G-et.v;:+.rl?R.., . -Are you employed by th~ City? Vc?Do you 'ho14 .p~blic 'office? }./ 0 ,At the present t,ime~ do you: serve on any other Boards or coiruni tte~.s? -'-If so, list each: '~ Have you eve~ served on any boards, ag~ncies, or committees? ~O If so, list each:' ------..... ' , (BOARD AND CoMMITTEE MEMBERS MAY BE REQUIRED, TO FILE ,WITH THE, STATE, FINANCIAL DISCL9S~FORMs:EACH YEAR) , , ," PLEASE INDIC!LTE BOARDS O~ COMMITTEES YOU , WOULD LIKE, TO SE~VE ON AND RANK THEM ACCORPING, TO CHOICE BY NUMBE~ , , _____ANIMAL 'CONTROL BOARD ~CITIZEN'CODE ENFORCEMENT BOARD ~CONSTRUCTION REGULATLbN BOARD _ECONOMI9 DEVELOPMENT BOARD _____FIREFIGHTERS 'PENSION'BOARD _GENERAL EMPLOYEES PENSION., BOARD ',~LIB~RY' BOARD' RECREATION, & CULTURAL SERVICES ,~~ING & ,ZONI~G BOARD _POLICE PENiHON BOARD ' _VETE~S PARK ADV. COMMITTEE SIGNATURE SEE REVERSE , DATE: (2-10-03) //-/7-00-- APPLICATION FOR APPOINTMENT TO CITY BOARDS AND COMMfITEES Name (Y\ a\-i~ l. t>o...rl.s Address \ 5 0 3 ~ () u. 0...\ ~c.t \ Vy\ ""'bY'; \J e.. - ,t '"1 ~ uXA- -t-e '(-) t:' ~ 3.2.l"3 ,;) ~ ' Home Phone '3 '?(L .. It ~ 7... (J S ? q Business Phone fIJ If\- Occupation ~~+: Il'-ecl 1( PC i ~ -t-e \r ~ D U....-5 i? o Are you a registered voter? ~ -eg V oUng District Are you a resident of Edgewater? ~e ~ Is your principal place of employment in Edgewater? If yes how long? f':\ A Briefly state your interest in serving on a City board or committee: I\.fe~(..()a.';to lo e.eli\ h, \e.v-t' <t>+eA ; '" ~ QOmmWM~ O-'<'I~ ~V\.~ "rl-;~~ 40-. ~o~ CZ,\~ ,LUa.~-\-~ ke~p Clc.'+~ve~.l ~bt..)1:., Q\so\nn\te '""t"\.o."" {\\"\\\?'J e.'\{~e...nQ'l\C~<;" o-~ 6.e(L~/i*'DW\. ---\o\,e...v.<:u..e.. '\-{^~~ \V'd-ev'C's.\ State your experience/qualifications' Lt').-,r-ke1a<; ~ A~\"Y\.l\'5S\l1a.\I\.+ ~ n CL W\ 9ta'~"P "'" o..,~~.-to..l ~oy- GlRX>~~.!L'1 ~ ~~II~e o..Q..~\e\r\~O-.. e~\r"~(!.. h~ v...v-s. TCCY\-\~'i\u..e::Ll.0oirkt"-'\ I,L\. -Q.. ~ G ,- \r . .. . ,\ l~ ",,-t O~"\6cc\'Cjt\A.\ \~.\.~~~\~ ~\<.-,\\ 0.. ~V~I\)~"c~ ~ecL~~Cl","\-\o~ --6CL~Q/.(se :-,': .: r.-. Are'you employed by the City?--MLDo you hold public office? 00 . ~ r":. ..-.;.J:~'.' At the present time, do you serve on any other Boards or committees? If so, list each: 'Im Y\6t- ~u.\r~ ',C ~()W (J! \'"' 02.. a,~~\:<~"I\ f'l~ DV\\"~ (' ~{..-l~ ~D(.Lr-A't.} bLV-t- Have you ever served on any boards or conimittees? Y. ~s - -:r \--t'1' II e ~e"'\1 (Oct Q S Q.. lJ..\r\ I D'I'\. ~-es';J E?",--t C>~ ~~S~~f Fol.- to 'ealrS Q"",..L a 1M. CH,J...v-Il-e..~~\~ 0- "be.\?+ .6~ \==1- F\~eC\. ~co~~m{or- If so, list each: 0 I \ . ' \ , ," '0U.\r're~ . o.V1cl.. se..ve..-a...\ o\-V\Q{l- b~~:c-e <3 ll~ ~ A IYI. $. e It .Pt wx. \oorh D1 s-t-. nJ... l...coa...l. 6 (BOARD AND COMMITfEE MEMBERS MAY BE REQUIRED TO FILE WITH THE STATE, FINANCIAL DISCLOSURE FORMS EACH YEAR) PLEASE INDICATE THE BOARDS OR COMMIITEES YOU WOULD LIKE TO SERVE ON AND RANK THEM ACCORDING TO CHOICE BY NUMBER _ANIMAL CONTROL BOARD -LCITIZEN CODE ENFORCEMENT BOARD _CONSTRUCTION REGULATION BOARD _ECONOMIC DEVELOPMENT BOARD _FIREFIGHTERS PENSION BOARD Signature 'rY1 fD ru'Q.. ~p(} niAV (REVISED (2-1O~4) , _GENERAL EMPLOYEES PENSION BOARD LIBRARY BOARD _RECREATION & CULTURAL SERVICES ~PLANNING & ZONING BOARD _POLICE PENSION BOARD _VETERANS PARK ADV. COMMITIEE Date~ - c1'7 - C> I .... APPLICA nON FOR APPOINTMENT TO CITY BOARDS AND COMMITTEES 04-11-07Al0:18 RCVD Name f\- S~~ct~( l . \'\Ie/( c.t V- U~' 5 J ?J~La~~O lfLf1 ~ Business Phone 8 , Se J ( {? ANtp I ()W~ \JU S\ iV.JS 5> \~e <) Voting District .\=" L 't~ <; Address Home Phone Are you a resident of Edgewater? How long? wO~ S~IS 51(\('0 qq ~et:q-- Occupation Are you a registered voter? If yes how long? d "'iJ,~ \ '5 '-{-e~ Is your principal place of employment in Edgewater? Briefly state your interest in serving on a City board or committee: l.rJ ~ak +0 "oJt \ (\ vO \vc:J 'A w~ \ ~ ~ d\~ 00 State your experience/qualifications.-:r ctM a. r,e'1.., \ .R~'=)tevk t V\ve6tnr -h'(~"J \0 d.MA U.f ~~ 0(.",,\ M^ Ice ~Q: I <.,rn ~ 0. &,dR VI \.e (hr ~1 aU r:J i 0 \ ~<;2A p.<1 bfLa Are you employed by the City? 00 Do you hold public office? 10 0 At the present time, do you serve on any other Boards or committees? Jr.o, list each jJ () ~ se~ \0 'J Have you ever served on any boards or committees? \ fV\.t:l.u S ~). V \"'\..Q..{r,,^b.e-~ ~ t I ~ __ _ Ifso,listeach: .90, ()....Ley.) .v\~a~~ .. S vo\un..~ -C,r l)l~~~l I \'" 'DB. (BOARD AND COMMITTEE MEMBERS MAY BE REQUIRED TO FILE WITn 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 0CONOMIC DEVELOPMENT BOARD _FIREFIGHTERS PENSION BOARD _RECREATION & CULTURAL ~ERVICES -- _POLICE PENSION BOARD _VETERANS PARK ADV. COMMITTEE Signmure ~LO,t~~A .(REVISED (2-10-04) . Date :3 -14--01