Application for Board of Adjustments

Application for Board of Adjustment

Planning & Zoning
THIS APPLICATION MUST BE COMPLETED BY APPLICANTS FOR THE FOLLOWING BOARD AND COMMITTEES:

PLANNING & ZONING BOARD

Please complete all information with legible printing and/or typing application must be signed and dated.

Applications will be submitted to the City Commission for consideration of appointment.

A resume, letters or other pertinent information may be attached to this application and all information will be forwarded to the members of the city Commision.
Applicant Name

First NameLast Name
Email
example@example.com
Applicant City Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Occupation/ Position
Employer
Education
Training/ Experience
Professional Organizations
PLEASE INDICATE ANY CONTACT MADE WITH CITY COMMISION MEMBERS CONCERNING THIS APPLICATION: (phone call, meeting, fax, etc.)
Commissioners
District
Please indicate which district you reside
Are you a relative of a member of the city commission?
Section 112.3135, Florida Statutes defines "relative" as "an individual who is related to the public official as father, mother, son, daughter, sister, brother, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother, or half sister.
Preferred Term Length
Since we are filling all seats on the Planning & Zoning Board,please indicate your preferred term length. We’ll do our best to accommodate preferences, but all term lengthsare subject to board needs.
Signature

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Date of Application

MonthDayYear
Date
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