HomeMy WebLinkAboutDowning Application 10-5-874. Office Address: \k`4".'1 c'?ck(Ce C".si\c‘i C71. '7-,alcA. (t4__cAA (cat CO'"
5. Brief Resume of Education and Experience:
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6. Are you a registered Voter? Yes ,// No
7. Resident of City for 12 months or longer? Yes ,,•/- No
8. Do you hold a public office? Yes No
9. Are you employed by the City? Yes No (77'
10. At the present time, do you serve on a City Board? Yes No
11. N
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e of City Board You Are Interested In Serving On: (Specify Preference)
(ist, 2nd, 3rd, etc.)
Beautification Board
Board of Adjustment*
Code Enforcement Board*
Library Board
Planning and Zoning Board*
Recreation Board
12. Qualifications to serve on this Board:
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2. Home Address: 2,1\ CcooVv\e, S\•
3. Business: /VcASeA
CITY OF CAPE CANAVERAL
QUALIFICATIONS FOR SERVING ON CITY BOARDS
Home Telephone:
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Business Telephone: gc.-7-36/.49
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13. Would you consider serving on another Board other than the one you
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selected above?
Signature:
Yes
No
Date icig?
NOTE: (1) Application effective f. one year from date of completion.
(2) If you have any questi on the above, please call the
office of City Clerk, Telephone 783-1100
*Financial Disclosure Form must be completed each year, prior to July 15,
by members of these Boards.
FOR OFFICE USE ONLY:
Appointed to Board on
Term to Expire
(Date)
(Date)