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HomeMy WebLinkAbout2009-02-24 Appointment16a NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy -Unexpired + 5-yr Term Ending December 31, 2011 The powers and duties of the Airport Zoning Board of Adjustment are: 1. To hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by an administrative official in the enforcement of the Airport Zoning Chapter. 2. To hear and decide special exceptions to the terms of the Airport Zoning Chapter upon which such board is required to pass under the Airport Zoning Chapter. 3. To authorize upon appeal in specific cases such variance from the terms of the Airport Zoning Chapter as will not be contrary to the public interest, where owing to special conditions a literal enforcement of the provisions of the Airport Zoning Chapter will result in unnecessary hardship, and so that the spirit of the Airport Zoning Chapter shall be observed and substantial justice done. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets at the call of the Chairperson. Applications must be received by 5:00 p.m., Wednesday, February 18, 2009. The City Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on .the City website at www.icgov.org. Questions about the Johnson County/Iowa City Airport Zoning Board of Adjustment should be directed to Michael Tharp, Airport Operations Specialist at 356-5045. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step-mother, step- child, aunt, or uncle. (Resolution 85-354) Males: 3 Females: 0 Council Announcement Date: June 13, 2006; August 1, 20.06; September 5, 2006; September 19, 2006; November 14, 2006; December 12, 2006; January 9, 2007; February 20, 2007; March 20, 2007; May 1, 2007; June 5, 2007; July 24, 2007; September 18, 2007; November 5, 2007; December 11, 2007; January 29, 2008; March 11, 2008; April 14, 2008; May 13, 2008; June 17, 2008; July 15, 2008; August 26, 2008; October 6, 2008; November 18, 2008; January 6, 2009 Application Deadline: Wednesday, 5:OOp.m., February 18, 2009 Council Appointment Date: February 24, 2009 AIRPORT ZONING BOARD OF ADJUSTMENT One Vacancy -Unexpired + 5-yr Term Ending December 31, 2011 Carl Williams resigned No applications as of Wednesday, 5:OOp.m., February 18, 2009 Denotes applicant completed the Confidential page of the application. 16b NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING COMMISSION One vacancy -Six-yr Term January 1, 2006 -December 31, 2011 Duties of the Airport Zoning Commission are: 1. To recommend amendments to the current Iowa City Airport Zoning regulations, including the repeal thereof. 2. To recommend the adoption of new Airport Zoning regulations. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets as required. Applications must be received by 5:00 p.m., Wednesday, February. 18, 2009. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Airport Zoning Commission should be directed to Michael Tharp, Airport Operations Specialist at 356-5045. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step-mother, step- child, aunt, or uncle. (Resolution 85-354) Males: 4 Females: 0 Council Announcement Date: September 20, 2005; November 1, 2005; December 13, 2005; January 23, 2006; February 28, 2006; March 21, 2006; April 18, 2006; June 13, 2006; August 1, 2006; September 5, 2006; September 19, 2006; November 14, 2006; December 12, 2006; January 9, 2007; February 20, 2007; March 20, 2007; May 1, 2007; June 5, 2007; July 24, 2007; September 18, 2007; November 5, 2007; December 11, 2007; January 29, 2008; March 11, 2008; April 14, 2008; May 13, 2008; June 17, 2008; July 15, 2008; August 26, 2008; October 6, 2008; November 18, 2008; January 6, 2009 Application Deadline: Wednesday, 5:OOp.m., February 18, 2009 Council Appointment Date: February 24, 2009 AIRPORT ZONING COMMISSION One Vacancy -Six-year Term January 1, 2006 -December 31, 2011 Term expires for Mark Anderson No applications as of Wednesday, 5:OOp.m., February 18, 2009 D Denotes applicant completed the Confidential page of the application. u~-z4-ua 16c NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF APPEALS One Vacancy- Five-Year Term January 1, 2009 -December 31, 2013 It is the duty of members of the Board of Appeals to hold appeal hearings on matters concerning the Uniform Building Code, Uniform Plumbing Code, National Electric Code, Uniform Mechanical Code, Uniform Fire Code, the Dangerous Building Code, and the Iowa City Housing Code. Members must be qualified by experience and training to pass upon matters pertaining to building construction. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the first Monday of each month at 4:30 p.m. or at the call of the Building Official. Applications must be received by 5:00 p.m., Wednesday, February 18, 2009. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions regarding the Board of Appeals should be directed to Tim Hennes, Sr Building Inspector at 356-5122. NAME Steve Buckman Andrea French John Roffman AI Gerard Scott McDonough KEY X =present O =absent O/E = absent/excused NM = No meeting = not a member Board of Appeals Attendance Record 20Q ~ TERM EXPIRES Jan-09 Feb-09 12/31 /2011 12/31/2012 12/31 /2007 12/31/2010 12/31 /2011 Mar-09 Apr-09 Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 4 Females: Council Announcement Date: January 12, 2009 Application Deadline: Wednesday, 5:00 p.m., February 18, 2009 Council Appointment Date: February 24, 2009 BOARD OF APPEALS One vacancy -Five-year Term Jauary 1, 2009 - Decemeber 31, 2013 Denny Henderson resigned y' Chad Campion ~ (Previously served unexpired term) 3015 Pinecrest Rd John Calacci ~ 671 Barrington Rd ~ Denotes applicant completed the Confidential page of the application. City of Iowa City ~~ r Advisor Board/Co-mmission/Committee ~~='' ''~~ .,~plication Form -~-~- CITY OF IOWA CITY Individuals serving on Boards/Commissions/Committees play an important role in advising the Council on matters of interest to our community and -its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL RECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name AOO~At~.S Term Ob ~ / Z Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: 'VIE ~~ C~.r~vN? ~0~1 HOME ADDRESS "30 tS 'P~N~cc.fL~ Q.e ZIP 3'LZ'"/ ~' Is your home address (listed above) within the corporate limits of Iowa City? v~es ~ No How long have you been a resident of Iowa City? 1~1 bA.~ OCCUPATION ~U~"Q..1 GAn~ EMPLOYER l~~ttq~tcA~ wCCLIt~.S Y~ PHONE NUMBER: HOME 3 td1.33'1 •'a3'?~ BUSINESS °~ `~` EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSjTION: - °_~'~: v C'.uaa•ra.~t be~L4 ~~0~ °~; -_ ~Ayl~l~.ll~-ft.IT~ W R'M g~ll`{~ING C~~S ": f` .. ~_,tl A~twern.ov~o w ~.a~+ ~ers.+~s-~ ._ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail o answer all the questions, Council may not consider your application. General Application December 2008 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WiAh. A~OwK,~ or bv~~a~~a oaF~~.~ w~M~++Mae-er+s aF coo~^~t - O~CTO1.wu+u ~R ON..~+~ (hblb~ro01 OO ~Ye+A.V~w•1 A~ Sa~t+#~d WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? MA-JL rul~~rKh+~ bC~+-rt. 4lANe off' Q.ulLrtrs~' 1yof~-A,O ~ S Q.~nw Fir. 'T~ GcsafTr~~c~+~~ 'Tt~OGS~ ~.Jw~c.~+- Gti~~i A gr,~+o~p Ia~~ 00 t~~w~tas ~ y -z r~~.~L ~?'t~ ~1.IA.I~M Mt MAC , 3 'i . :"=T .. -y . ~ ,~ _ .` ~-, ~.., .-- /r ~•~ POTENTIAL CONFLICTS OF INTEREST ~ ~..,F, Please identify any potential conflicts between membership on the advisory board and your personal interests,including financial interests and your duties to an employer. articular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency.Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also knowthat Section 362.5 ofthe Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes /~'l~lo (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail o answer all the questions, Council may not consider your application. General Application December 2008 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee ~ f Pu~-~.S Name ~-~~'k~ C.AMPtt-~ ~~ r '' "''r'®~~~ -~a.ai_ CITY OF IOWA CITY Date ~ ~' ~~ ' °~ Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 6). List all businesses in which you, your spouse/domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS --- ~-, --, a :, _~ _' .~ ,, NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional,business. ,---._ Applicant Signature Signature of parent/guardian (Youth Advisory Commission only): Address ~t~' r?~a~tcL~l~-t 'P.O ~,DrJA C..i't'~l S'tZ~,s' Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail :o answer all the questions, Council may not consider your application. General Application December 2008 Page 3 of 7 City of Iowa City _ fi r 1 Adviso Board/CommissionlCommittee ~~~~`"~~ rY '~®~~~ application Form ~~-~-- CITY OF IOWA CITY Individuals serving on Boards/Commissions/Committees play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF}. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL RECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name ~~~D ~~ ~f'P~~-° 5-~'erm - , Youth Adviso Commission shall not be more than 18 ears of a eat the time of a lieation ' ~ rY ( Y 9 P p ) .~~n: Name of Iowa City High School or high school equivalent: ~ ~ '~' -~ I Signature of parent/guardian: ~ ~ ~ =' "~I 4M E c ~1-1- ~1 3 • 1.~4 ~-4C. C Vii. -r, ~~ ~~~ ;..~ ~~ HOME ADDRESS ~~ ~ ~'~-~--`~T~r~1 ~c7 ZIP ~ZZ-~--t Is your home address (listed above) within the corporate limits of Iowa City? Yes ~ No How long have yo/u be~en~ a resident of Iowa City? ~ c~tiz~ OCCUPATION ~---~f~~-7'~~ EMPLOYER c.~ ~~-~ PHONE NUMBER: HOME ~l~J. 887- ~0~7 ~ BUSINESS ~ ~~/. 3Z-./, ~ ~I17 EXPERIENCE ANDlOR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: --- ~lDU~ ~ ~/ ~~ G9-ec»~~ .~ /~~9-vim r:-~~3N ~}- 77zR~i~S ~ ~'`/I ~~1~ ~ --I~ ! Cscw ~ ~-}^ Ez eZ / n tl~ c~t2 L~vt-I-~z ~ ~ ~~ wo ~ ~ ~-~-~,~~~o~~ ~ia~~-~ 1~ -l.a-.~~4. t.~ ~ 71-tt, ~ t~G ~ ~~~~ ~ ~~ ~ U wi C £~ tl~~ Gv5 1~oJ cam: ~ ~-~ ~ ~ E t~-~ vt~l~.,-F*t-U ~~ r Lc-~ v~,t i~r~~,r~ ~~~ > Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application December 2008 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? 3v ~ ~- ~7 ~ ~~~ G.7-7 ~3c_pg / ~fGS ~~~D ~ P U~~~ ~ 5 7~~ ~d~j'~ e ai ~ C~ c -r~~ p ~~ [,~ r~~ 1 '.t lZe~i o t. ~v c NCB ~ I'll ~ '~ ° ~J t~ev ~~t WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? ~'~'1 (~~Joc-~~~3DGe~f~c.~T ~~ ~r~~'Lr7 dip r3LL-c~./~ ~/l~t y ~ ~ TD ~ ~`.-.-+e.~ r,~ vvt c ~y-r7 t~*j A-rI D l ~/ TZ~ ~'~T ~r~ `; `~'~ . 1~l1! ~ Ca < N 61 ~-.-tr~~ E ~`-~--1 j-~c~zc c3~ c-~-~-T. ___ ;~, ..,. -- __ p, ~~a -, ti..~ _- ,; -' ~_i,! t'J POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership. on the advisory board and your personal interests,including financial interests and your duties to an employer. particular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency.Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also knowthat Section 362.5 ofthe Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy ofSection 362.5 is attached (see page 6}. If you are uncertain whether a potential conflict of interest exists or. have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application December 2008 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING ~:.~®a'1 -~~ :::III~~,~ -~.ai~ CITY OF IOWA CITY Name of City Board/Commission/Committee ~~ ~-~ D~'= ~~/~~c.5 ~ Date ~< Z~ ~~9 Name ~ (71,-k~ ~. C...~~a-ccr Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 6). List all businesses in which you, your spouse/domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS ~4 L4Cc.1 O t-15 - ~ ~ ~ M L . D • ~oX ~ C/ D~ ~G Cv~~ uLr~ ~/ ~ zv,o 5.4-r~ ~ ~, ~u-~ u_...~ ~' ~~ ;,. .:,~, ~~ ~~ ~~ NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an add Applicant Sign al business. r (,w ~~ Signature of p ent/guar ian (Youth Advisory Commission only): Address ~7/ ~id~a2~~ ~~, 7c~,~ ~oRt~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application December 2008 Page 3 of 7 16d NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: CIVIL SERVICE COMMISSION One Vacancy -Four-year Term April 6, 2009 -April 1, 2013 Duties: Approve all entrance and promotional examinations used by the City of Iowa City; holds hearings involving employee discharge or reduction in rank or compensation and ascertains to the best of its ability the facts of the case. After weighing all evidence, takes action as provided in Chapter 400 of the Code of Iowa. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. Members of the Civil Service Commission must be residents of the City of Iowa City preceding their appointment. The Commission meets when deemed necessary. Applications must be received by 5:00 p.m., Wednesday, February 18, 2009. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Civil Service Commission should be directed to Karen Jennings, Personnel Administrator at 356-5025. BoardlCommission: ~i~115ervice Commission ATTENDANCE RECORD YEAR 2008 NAME TERM EXPIRES OM09108 L ra Dickerson 415/10 X Bill Cook 4!6/09 X Elizabeth Cummins 4/4/12 KEY: X = Present O = Absent OIE = AbsentlExcused NM = No Meeting ___ Not a Member Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 0 Females: 2 Council Announcement Date: January 12, 2009 Application Deadline: Wednesday, 5:00 p.m., February 18, 2009 Council Appointment Date: February 24, 2009 CIVIL SERVICE COMMISSION One Vacancy -Four-Year Term April 6, 2009 -April 1, 2013 Term expires for William Cook 4 William M. Cook ~ (Currently serving 1S` 4-yr term) 45 Edgewood Circle ~ Denotes applicant completed the Confidential page of the application. City of Iowa City - r j Advisory Board/Commission/Committee ~' ~ ~;~'~~ ~~ Application Form -~-~-- CITY OF IOWA CITY Individuals serving on Boards/Commissions/Committees play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL RECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name Iowa City Ci vi 1 Service Commi si on Term 4/09 - 4-13 Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME Wi 11 i am M. Cook . HOME ADDRESS 45 Edgewood Circle ZIP 52245 Is your home address (listed above) within the corporate limits of Iowa City? a Yes ~ No How long have you been a resident of Iowa City? OCCUPATION Retired Police Sgt. PHONE NUMBER: HOME 338-2455 1963 to Present EMPLOYER City of Iowa City BUSINESS N/A EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Police Officer 1967 - 1988 Para-Legal Iowa City Attorney Office 1990 - 1994 ~'.~_`~.SOiQ?~- Private Investigator 1994 - 2001 ~. Civil Service Commissoner 11/04 -Reappointed 4/05 to 4/09 FEB 1 8 2~~J9 City Clerk ~o~Y°,;. Ci~j ,Iowa Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application December 2008 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? The Iowa City Civil Service Commission approves all Police/Fire entrance and promotional examinations used by the City of Iowa City; holds hearings involving employee discipline, discharge or reduction in rank or compensation and ascertains to the best of its ability the facts of the case. After weighing all evidence, takes WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? Broad background of employment and experience allows me to perform the duties of a Commissioner. POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests,including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency.Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also knowthatSection 362.5 ofthe Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. '~~ ~_~_ _'a~~!,~ FEB 1~ Z~,~J ~~~~ ~ ~ City Cl°tk ~.c~w;: CiG~, Iowa IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? X^ Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes ~ No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application December 2008 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Iowa City Civil Service Commission Name ~~.~®a~' -~.as.._ CITY OF IOWA CITY Date 18 Feb 2009 Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 6). List all businesses in which you, your spouse/domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS FEB tc~va City, lowa NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional business. Applicant Signature .+G~=~~ Signature of parent/guardian (Youth Advisory Commission only): Address 45 Edgewood Circle, Iowa City, IA 52245 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application December 2008 Page 3 of 7 16e NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HISTORIC PRESERVATION COMMISSION Four Vacancies -Three-Year Terms March 29, 2009 -March 29, 2012 (1) At-Large (1) Woodlawn District Representative (1) College Green District Representative (1) East College St District Representative Duties of the Historic Preservation Commission include: conducting studies for the identification and designation of Historic Districts; reviewing and acting upon all applications for Certificate of Appropriateness; .cooperating with property owners and city agencies regarding remedy of dangerous conditions; furthering the efforts of historic preservation in the City. by making recommendations on preservation issues, when appropriate, by encouraging the historical, architectural or cultural value, and by encouraging persons and organizations to become involved in preservation activities. This Commission meets the second Thursday of each month at 5:30 p.m and, if necessary, the fourth Thursday of each month at 5:30 p.m. Iowa City appointed members of the boards and commissions must be eligible electors of the City of Iowa City. Applications must be received by 5:00 p.m., Wednesday, February 18, 2009. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at vrww.icgov.org. Questions about the Iowa City Historic Preservation Commission should be directed to Christina Kuecker, Associate Planner at 356-5243. 1/13/2009 Historic Preservation Commission Attendance Record 2009 Name Term Expires 1108 Baldridge 3/29!11 X Baker 3!29!09 X Downing Eubanks 3/29!10 3!29!11 X X Hirschman 3129!11 -- -- Michaud 3/29!09 X Ponto 3/29/10 X Swaim 3/29!09 X Trimble 3129!10 X Wa ner 3/29/09 X Key. X =Present O =Absent O/E = AbsenUExcused Historic Preservation Commission Attendance Record 2008 Name Baldridge Baker Term Expires 3129111 3129/09 1110 -- -- X 2128 -- -- X 3/13 -- -- X 4/10 X O/E 518 O/E X 5122 X X 6112 X X 7110 X X 7124 X X 8114 X X 8128 X O/E 9H 1 X X 1019 OIE X 1113 X X 11113 X O/E 12111 X O/E Brennan 3!29/08 X O/E O/E -- -- IE '- -- X -' -- X -- -- X -- -- O/E -- -- X -- - X _ -- OIE -- -- O/E Downing 3/29110 X X X OIE X X 0/E O X X Eubanks 3/29/11 O/E X X X X X X O!E X X X X X X X O/E X Michaud 3129!09 X X X X O/E OIE X X X X X X X Ponto 3!29!10 X X O/E X X X X X O/E X O/E X OIE X X X Swaim 3!29!09 X O/E X OIE X O/E OIE X X X X O/E X X X OIE Ticny 3rz9/11 -- -- O/E X OIE O/E 0/E O/E O/E OIE 0 0 -- -- -- -- -- -- Toomey 3/29!09 X O/E X X X X X X X -- -- X -- -' O/E -' - X -- -- X -- '- X -- -- X X Trimble 3/29/10 x O/E X X X X OIE X X -- -- -- -- -- -- -- -- -- -- -- -- -- X X X X Wagner 3!29!09 -- -- -- -- -- -- -- -- -- -- -- -- Weitzel 3/29/08 O/E X X -- -- '- -- -- -- -- -- -- - -- Key: X =Present O =Absent O/E = AbsenUExcused Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 4 Females: 2 Council Announcement Date: January 12, 2009 Application Deadline: Wednesday, 5:00 p.m., February 18, 2009 Council Appointment Date: February 24, 2009 HISTORIC PRESERVATION COMMISSION Four Vacancies -Three Year Terms March 29, 2009 -March 29, 2012 (1) At-Large, (1) Woodlawn, (1) College Green, (1) East College St Term expires for Frank Wagner, Ginalie Swaim, Pam Michaud, Esther Baker (1) At-Large Frank Wagner ~ 1104 Muscatine Ave, (1) East College St Esther E. Baker ~ 1022 E. College St. (1) Woodlawn Ginalie Swaim ~ 1024 Woodlawn (1) College Green (Currently serving unexpired term) (Currently serving 1St 3-yr term) (Currently serving unexpired term) No applications as of Wednesday, 5:OOp.m., February 18, 2009 ODenotes applicant completed the Confidential page of the application. City of Iowa City ~ r ,~1y ^ ~ ~ (~`fr p ~' Advisory Board/Commission/Committee ~,,.~,~~~ Application Form ~-~-- CITY OF IOWA CITY Individuals serving on Boards/Commissions/Committees play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL RECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name Historic Preservation Commision Term 3 years Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME Frank F. Wagner HOME ADDRESS 1104 Muscatine Avenue ZIP 52240 Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes ~ No How long have you been a resident of Iowa City? 30+ years OCCUPATION Contractor EMPLOYER self-employed PHONE NUMBER: HOME 319.321.7910 BUSINESS 319.321.7910 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: For over 30 years I have been a supporter of the many dimensions of Historic Preseration in the places of my residency (Iowa City, St. Louis, Washington, DC, and Germany). Specificaly I am a contractor who specializes in the restoration and historically-appropriate repair and renovationof older homes. I have completed projects in such historically sensitive locales as St. Louis' Central West End, Georgetown, DC and Alexandria, Virginia, to name but a few. I have a solid knowledge of the proper materials and constructions techniques that should be used to carry out such projectss in an historically compliant manner. ~~ ~ ~`~ 3 . ~-tS P . nn , FEB 17 ?~~J9 o« ~ c,.~ , i~~~ Misrepresentations on this application will constitute just cause for remova~ o~ an appointee. If you fail to answer all the questions, Council may not consider your application. General Application December 2008 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I am currently an at-large member of the Historic Preservation Commision, having finished out the remaining 7 .months of a vacancy left by a member who resigned from the commission. I have very solid understanding of the ',responsibilities and duties of this commission. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? As a contractor who specializes in the restoration and historically-appropriate repair and renovation of older homes using appropriate materials and techniques, I believe I can advise the commision in this specific area. Moreover, I am a strong advocate of the mission and goals of the Historic Preservation Commision and firmly believe that historic preservation plays an important role in the greater good and enhancement of a community. POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests,including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency.Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also knowthat Section 362.5 ofthe Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of r~n~ Inec;oae OT IOWA, please contact the ~.ny r~u~i ncy s vuwc a~ aw-ww. F9 17 ~nng City Clerk Iowa. C'i. , lvva IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? a Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes ~ No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) ~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application December 2008 Page 2 of 7 ~i~+®~' BOARD, COMMISSION AND COMMITTEES ~:,,`~~ ~~~'~ BUSINESS LISTING ~.,~_ CITY OF IOWA CITY Name of City Board/Commission/Committe~iistoric Preservation Commision Dat@2/15/2009 Nam€rank F Wagner Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 6). List all businesses in which you, your spouse/domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. r BUSINESS NAME BUSINESS ADDRESS I Wagner Bros. LLC 1104 Muscatine Ave. Iowa City Iowa 52240 3;`+5 P•m ct-`~~ [cwa 1' NOTE: A new form m~ u b~ complet if the above information changes or an ownership interestis acquired in an addit'o al:busine~s i , Applicant Signature__~ ~/~_~j~ Signature of parent/gu rdian (Youth Advisory ssion only): Address 1104 Muscatine Avenue / ~ ~ZY~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application December 2008 Page 3 of 7 City of Iowa City ~,~ r 1 Adviso Board/Commission/Committee ~; ~'' ~'~~ rY ,~®~~~ Application Form -~-~-- CITY OF IOWA CITY Individuals serving on Boards/Commissions/Committees play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name Historic Preservation Commission Term 2009-2011 Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME Esther M. Baker HOME ADDRESS 1022 E. College Street ZIP 52240 Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes ~ No How long have you been a resident of Iowa City? 5 years OCCUPATION IA Tobacco Research Center deputy director EMPLOYER University of Iowa PHONE NUMBER: HOME 354-1483 BUSINESS 384-4845 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have served on the Historic Preservation Commission for the past three years. I have a strong interest in historic architecture, having owned, lived in and worked to preserve several older homes of various periods over the course of the past 20 years. ~:,s ~. ~ ~cl..'~~ ~n~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application December 2008 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Have served the previous term on this commission. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? I have served on the Historic Preservation Commission for the past term, and have gained significant knowlege regarding historic preservation and administering the city's guidelines. I have also owned, lived in and worked to preserve several older homes of various periods over the course of the past 20 years. I would like to continue to use this knowlege and passion for historic architecture on behalf of the Historic Preservation Commissian to help preserve the historic resources of the city of Iowa City. ~~ Ij`~ M. FE° 1 7 ~nn~ is ~~ <: ~..y , i,. era POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests,including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency.Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also knowthat Section 362.5 ofthe Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes ~ No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application December 2008 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committed-listoric Preservation Commission Nam€sther M. Baker Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 6). List all businesses in which you, your spouse/domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS =~~~~n z;tse,,,. ---~~^- ~~:... ~::~. ~~:e NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional business y Applicant Signature ,~S ~, Signature of parent/guardian (Youth Advisory Commission only): Address 1022E College Street Misrepresentations on this application will constitute just cause for. removal of an appointee. If you fail to answer all the questions, Council may not consider your application. ~~ r i -~.as._ CITY OF IOWA CITY Dat@2/16/2009 General Application December 2008 Page 3 of 7 City of Iowa City i r j ~~~~r Advisory Board/Commission/Committee ~; ~"'~'~~ ,~®~•~ Application Form CITY of IOWA CITY Individuals serving on Boards/Commissions/Committees play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name Historic Preservation Commission Term 3 yrs/2009-12 Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME Ginalie Swaim HOME ADDRESS 1024 Woodlawn, Iowa City, IA ZIP 52245 Is your home address (listed above) within the corporate limits of Iowa City? /~ Yes ~ No How long have you been a resident of Iowa City? 36 years OCCUPATION Historical Editor PHONE NUMBER: HOME 337-9828 EMPLOYER State Historical Society of Iowa BUSINESS 335-3932 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Two terms on historic preservation commission (one term in 1990s; second term, 2006-current). Twenty-five years as editor of Iowa history magazine. Presented information in that magazine on preservation and historic properties across the state. Owner of home in historic district since 1984. (In 1991 met with commission for approval of work on our home.) One term on Friends of Historic Preservation (produced newsletter). Prepared and presented historic tours of neighborhood ~; ~ ~-*~-~ Assisted in salvage operations of buildings to be demolished ~; 47 PM 5 F FEB 18 ?~~~ .;.~ , owa Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application December 2008 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Having served two terms on the commission, I understand the role of the commission in approving applications from property owners, educating the public about preservation, encouraging stewardship of the built environment, and upholding the Secretary of the Interior's standards. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? I believe I keep an open mind concerning both the needs of the property owner and the mission and mandate of the commission. Twenty-plus years as an editor of Iowa history have given me a rich understanding of what the built environment can tell us about the past, and a deep desire to educate the public about the importance and advantages of preservation. During my years in Iowa City-as a student, renter, and property owner-I have developed an affection for the town's older neighborhoods and a respect for the delicate ba-ance between preservation and change. _ ~' ~~_,~~ ~:a7 PM SF FEB 18 2~J~J9 laity CIerk io~ti a Ci'• , lv~~a POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests,including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency.Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. I am currently freelancing as an editor on a report prepared by Tallgrass Historians, a business that has occasionally applied for funding from the commission. If that situation were to arise, I would abstain. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes /~ No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application December 2008 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee#-listoric Preservation Commission Nam~inalie Swaim Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 6). List all businesses in which you, your spouse/domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS NONE ~:o? Pnt ~ Cl^rk NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additi9rra~ business. ~~ / Applicant Signature V Signature of parent/gu rdia (Youth Advisory Commission only): Address 1024 Woodlawn; by(a City, IA Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. ,,W,®„°~ -~a.a~_ CITY OF IOWA CITY Dat@2/18/2009 General Application December 2008 Page 3 of 7 16f NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: TELECOMMUNICATIONS COMMISSION Two Vacancies -Three Year Terms March 13, 2009 -March 13, 2012 The duties of the Telecommunications Commission include serving as a review board to resolve disputes between any subscriber or potential subscriber and the cablevision company; reviewing and auditing reports by the cablevision company to the City as required by the Cable Television Ordinance; working with the public, the media, the City, and the cablevision company for the purpose of making recommendations on various issues; engaging in other activities pursuant to the effective monitoring and evaluation of the CATV system in the City. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Telecommunications Commission meets the fourth Monday of each month at 5:30 p.m. Applications must be received by 5:00 p.m., Wednesday, February 18, 2009. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Telecommunications Commission should be directed to Drew Shaffer, Cable Television Administrator at 356-5046. 1/13/2009 Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 3 Females: 0 Council Announcement Date: January 12, 2009 Application Deadline: Wednesday, 5:00 p.m., February 18, 2009 Council Appointment Date: February 24, 2009 TELECOMMUNICATIONS COMMISSION Two Vacancies -Three-year Terms March 13, 2009 -March 13, 2012 Term expires for Brett Gordon, Saul Mekies No applications as of Wednesday, S:OOp.m., February 18, 2009 ..Denotes applicant completed the Confidential page of the application.