Historic Preservation Ad Hoc Com. Application •
CITY OF BOYNTON BEACH
HISTORIC PRESERVATION AD HOC COMMITTEE APPLICATION
Thank you for your interest in serving on the City's Historic Preservation Ad Hoc Committee and for taking the time to fill
out this form. Please print or type all answers clearly. If instructions are not followed or the application is not filled out
in its entirety,the form will be returned for clarification.
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Name
Address
City State FL- j Zip Code
E-mail Address •
Current occupation, or, if retired, prior occupation
How long did you work at this occupation?
Please indicate your area of expertise, experience and/or education:
Do you reside within the Boynton Beach city limits? C` Yes C• No
Do you own/manage a business within the Boynton Beach city limits? r Yes C No
If"yes", name of business:
Have you ever served on a City of Boynton Beach Advisory Board? C;Yes C No
If"yes",what board? •
What dates did you serve on the board?
Please list any professional memberships:
*You may attach your most current resume to this application*
Completed applications can be sent to:
City of Boynton Beach .
CITY CLERK'S OFFICE -
100 E. Boynton Beach Blvd.
Boynton Beach, FL 33435
E-mail to: prainitoj@bbfl.us 2
mak;: CITY OF BOYNTON BEACH
HISTORIC PRESERVATION AD HOC COMMITTEE
470
At the July 21, 2009 Boynton Beach City Commission meeting, members of the Commission voted
unanimously to begin the process of creating a Historical Preservation Ordinance and program by
establishing a Commission appointed Ad Hoc Committee.
The purpose and responsibilities of the Ad Hoc Committee would be to:
* Identify and update historic resources within the city boundaries of Boynton Beach.
* Identify funding sources.
* Complete the application process for a Certified Local Government.
* Organize public workshops to secure public input for the creation of a
Historic Preservation Ordinance.
* Work with city staff liaison.
All applications will be presented to the City Commission for review and appointments to
the Historic Preservation Ad Hoc Committee will be placed on the October 20, 2009
City Commission meeting agenda.
DEADLINE FOR SUBMITTING APPLICATION:
OCTOBER 9, 2009 @ 5:00 P.M.
OPTIONS FOR SUBMITTING COMPLETED APPLICATION:
Email: 1. Fill out and save the application (pdf file)to your computer.
2. Email an attached copy of your saved application to: prainitoj@bbfl.us
Standard mail: send a printed hardcopy to,
City of Boynton Beach
CITY CLERK'S OFFICE
100 E. Boynton Beach Blvd.
Boynton Beach, FL 33435
In person: deliver a printed hardcopy to,
City Hall
City Clerk's Office
100 E. Boynton Beach Blvd.
Boynton Beach, Florida
Hours: Monday-Thursday, 7:00 a.m. to 6:00 p.m.
For questions or additional information please contact:
Carisse LeJeune, Assistant to the City Manager
Ph: 561-742-6012
Fx: 561-742-6011
lejeunec@bbfl.us
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