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HomeMy WebLinkAbout2005-04-05 Appointment NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy - Unexpired Term Ending December 3'1,2006 The powers and duties of the Airport Zoning Board of Adjustment are: 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, March 30, 2005. The City Iowa City encourages diversity !n 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 Randy Hartwig, Airport Commission Chair at 337-2101. 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: March 16, 2004; May 4, 2004; June 15, 2004; August 3, 2004; September 14, 2004; November 2, 2004; December 7, 2004; January 18, 2005, March 1, 2005 Application Deadline: Wednesday, 5:00p.m., March 30, 2005 Council Appointment Date: April 5, 2005 AIRPORT ZONING BOARD OF ADJUSTMENT One Vacancy - Unexpired Term Ending December 31, 2006 Carl Williams resigned No applications as of 5:00 p.m., Wednesday, March 30, 2005 [] Denotes applicant completed the Confidential page of the application. NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: PLANNING AND ZONING COMMISSION Two Vacancies - Five-year Terms May 1,2005- May 1,2010 The duties of the Planning and Zoning Commission members include making (or causing to be made) surveys, studies, maps, plans, or charts of the whole or any portion of the municipality and any land outside which--in the opinion of the Commission-bears relation to a comprehensive plan; also include recommending to the City Council from time-to-time amendments, supplements, changes, and modifications to the Zoning Ordinance. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. This Commission conducts formal meetings the first and third Thursdays of each month at 7:30 p.m. (Informal workshops are held the preceding Mondays at 7:30 p.m.) Applications must be received by 5:00 p.m., Wednesday, March 30, 2005. 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 Planning and Zoning Commission should be directed to Robert Miklo, Sr Urban Planner at 356-5240. 2/7/2005 Planning and Zoning Commission February 3, 2005 Page 8 of 8 Iowa City Planning & Zoning Commission Attendance Record 2005 FORMAL MEETING Term Name Expires 1/6 1/20 2/3 2/17 3/3 3117 4/7 4/21 5t5 5/19 6/2 6/16 7/7 7/21 8/4 8/18 9/1 9/15 10/6 10/20 11/3 11/17 12/1 12/15 D. Anciaux 05/06 X X X B. Brooks 05/05 × X X B. Chait 05/06 X O X A. Freergs 05/08 X X X J, Hanscn 05/05 X X X E. Koppes 05/07 O/E X X D. Shannon 05/08 X X X INFORMAL MEETING Name Expires 1/3 2/14 2/28 3/14 4/I 4/18 5/2 5/16 5/30 6/13 7/4 7/18 8/1 8/15 8/29 9/12 10/3 10/17 10/31 11/14 11/28 12112 D. Anciaux 05/06 CW B. Brooke 05/05 CW B. Chair 05/06 CW A, Freerks 05/08 CW J. Hansen 05/05 CW E. Koppes 05/07 CW D. Shannon 05/08 CW Key: X = Present 0 - Absent O/E = Absent/Excused N?M= No Meeting ..... Note Member CW - Cancelled due 1o Weather 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: 2 Females: 2 'Council Announcement Date: February 15, 2005 Application Deadline: Wednesday, 5:00 p.m., March 30, 2005 Council Appointment Date: April 4, 2005 PLANNING AND ZONING COMMISSION Two vacancies - Five-year Terms May 1, 2005 - May 1, 2010 Term expires for Jerry Hansen, Robert Brooks Michael Christians [] 4419 Berkley Lane Carl Hirschman [] 935 E Bloomington St Robert Brooks [] (Currently serving unexpired term) 1620 Quincent St Jeffrey Knox [] ·1012 Tower Court Jerry Hansen [] (Currently serving 1st 5-year term) 1239 Burns Avenue Elizabeth Ford [] 10 Forest Gin James Ehrmann [] 630 N Dubuque St Wally Plahutnik [] 430 N Gilbert [] Denotes applicant completed the Confidential page of the application. CITY OF IOWA CITY ADVISORY BOARD/COMMISSION ,APPLICATION FORM .... Individuals serving on Boards/Commissions play an important role in advisi,q"~)thi~..C~)~C dn m ers 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. PLEASE USE A BLACK INK PEN. 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 BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORYBOARD/COMMISSION NAME ~/O,r~c~,~ 4 ~or~,~5 TERM '-~ NAME ~"'~ t ,". ¼ ,'~ ?.1 ~ ~, ~ ~.s HOME ADDRESS ~q~ ~l~ Is your home address (listed above) within the corporate limits of Iowa Ci~? ~es __. No How long have you been a resident of Iowa Ci~? )~ ~ ~ ~ OCCUPATION ~c¢~ ~5~ EMPLOYER ~c~t ~ONENUMBER: HOME ~- ~Z~-~I BUSINESS ~l~- ~i~ ~1~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~ o- WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~ ~t~4 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer ~11 the questions, Council will not consider your application. General Application (1) February 2005 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR POTENTIAL CONFLICTS OF INTEREST Please identi~ any potential conflicts be~een membership on the advisow board and your personal interests, including financial interests and your duties to an employer. In padicular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of Ci~ funds, please list any present a~liations you have with agencies that apply for funding from the City. "A~liation" includes being a board member or employee of the agency. Other types of a~liations must be examined on a case by case basis by the City A~orney's o~ce. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with cedain impodant exceptions, a member of a ci~ Board o¢ Commission from having an interest in a city contract. A copy of Section 362.5 is attached. you are uncedain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code of Iowa, please contact the City A~orney's o~ce at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~YES NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CI~ BOARD OR COMMISSION? YES JNO (It has been Council policy not to permit an individual to se~e on ~o Boards or Commissions at the same time.) If you fail to answer all the questions, Council will not consider your application. General Application (2) February 2005 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING ',~i CITY OFIOWA CITY Name of City Board/Commission 9/rxn~ n~( ~o,~,'~ ~ Date ~[-~ /o$ Name ~'~ \ C,¼ ~,&[ List all businesses in which you or your spouse/domestic partner 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 NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Signature Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (3) February 2005 March 7, 2005 Members of the Iowa City Council 410 East Washington Street Iowa City, Iowa 52240 Dear Council Members: Please accept this letter of interest for the current vacancy on the Iowa City Planning and Zoning Commission. In addition, I have submitted an official "Advisory Board/ Commission Application Form" as of today to the City Clerk's office. I have been a resident of Iowa City for 10 months. Prior to establishing residency at 4419 Berkeley Lane in June 2004, I have been a resident of North Liberty, Iowa and Coralville, Iowa. During my tenure in the Johnson County area, I have been employed by both Iowa State Bank and Trust Company and Commercial Federal Bank. In the various capacities in which I have operated at each of these institutions, I have had the opportunity to work individually with many of the fine residents and small business owners of Iowa City. I have also been active in many community activities such as serving as a volunteer classroom instructor for Junior Achievement, coaching little league baseball, and participating in Chamber of Commerce luncheons and business exchanges. With these strong bonds to the community, I feel as though my professional talents of open communication, active listening, and proactive problem solving could be put to good use as a member of the Planning and Zoning Conunission. While my familiarity with Planning and Zoning is limited, I assure you that my candidacy provides the Commission with a motivated self-starter eager to address new challenges and accept new responsibilities in an effort to serve the greater good of the Iowa City community. Thank you for your time and consideration. Sincerely, Michael R. Christians 4419 Berkeley Lane Iowa City, Iowa 52245 319.325.1171 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION PPLICATION FORM ' ." Individuals serving on Boards/Commissions play an important role in advising the Council on matters of nterest to our~' community and its futura. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications dudng the work session. The alSPOi~]~aent is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. 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 BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ~::b'~(3~'lt'~::)~- ~ ~t~F~ ~Zzo ~ ;~ TERM~:~ Is your home address (listed above) within the m~mte Iimi~ of Iowa Ci~ X Yes ~ No How long have y~ ~n a resident of Iowa Ci~? ~ ~/~ ~ao rX PHONE NUMBER: HOME ~ '~5~.-i~O BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~' ;~ ID? r' WHAT IS YOUR PRESENT KNOWLEDGE OF ~IS ADVISORY BOARD? ~[~0.~5 ~ ~0 ~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (1) February 2005 'HAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? '5 ~.',~3f~ I1'~/~.. C,, ~O~l~O ~[~.~J ~ ~ (',~ POTENTIAL CONFLICT8 OF ~NT[RE8~ ~ ~ _..., -- Please identi~ any potential ~nflicts be~een membersh~n the advisow board and your personal interests, including financial interests and your duties to an employer. In pa~icular, if you am applying to be a member of a ~ard or ~mmission which makes m~mmendations to the Council about the all~tion of CiN ~nds, please list any present a~liations you have with agencies that apply for funding from the CiN. "A~liation" includes being a board member or employee of the agency. Other Wpes of a~liations must be examined on a ~se by ~se basis by the CiN A~orney's o~ce. You should also know that S~ion 362.5 of the C~e of Iowa generally prohibits, with ~in im~nt ex~ptions, a mem~r of a ciN Board or Commi~ion from having an interest in a ciN ~ntra~. A ~py of S~ion 362.5 is aEached. If you are unchain whether a potential ~nflict of interest exists or have questions a~ut Se~ion 362.5 of the C~e , ~ Iowa, please ~nta~ the CiW Aaorney's o~ce at a5~50ao. 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 will not consider your application. General Application (2) February 2005 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions 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. PLEASE USE A BLACK INK PEN. 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 BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ~;~/~l¥,.~d-'t~ ~ ~1~.~ TERM NAME t~-'O~:',~Z-T ,.~, ~~ HOME ADDRESS ~ ~~T is your home address (listed above) within the ~rporate limits of Iowa Ci~? ~ Yes ~ No How long have you been a resident of Iowa Ci~? ]~ ~ OCCUPATION ~~ ~~ EMPLOYER ~'~ HONE NUMBER: HOME ~ ~- ~ l- '~ 4 ~ ~ BUSINESS ~ [~- ~ - ~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~ ,c~.,Y'O¢.~ ~"lr'~. i,¥~t, IFOFT '~,t,[O Misrepresentations on this application will constitute just cause for removal of an appomtee¥ ' If you fail to answer all the questions, Council will not consider your application. ~--J' ~ ~, General Application (1) February 2005 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR POTENTIAL CONFLICTS OF INTEREST Please identi~ any potential conflicts between membership on the advisow board and your personal interests, including financial interests and your duties to an employer. In padicular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of City funds, please list any present a~liations you have with agencies that apply for funding from the City. "A~liation" 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 A~orney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with cedain impodant exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is a~ached. you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code 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 CI~ BOARD OR COMMISSION? YES (It has been Council policy not to permit an individual to se~e on ~o Boards or Commissions at ~ same~e.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (2) February 2005 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING , CITY OF I0 WA CITY Board/Commission OLti~t~ f~& ~ 'Z~D~tlRO, Date ~ ~'~ 0~' ....j · Name List all businesses in which you or your spouse/domestic partner have an ownership interest (for example, sole proprietor, padner, 5% or more of corporation's stockholdin§s). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Signat~ ~'~~_ IMisrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the ~uestions, Council will not consider your application. General Application (3) February 2005 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION PPLICATION FORM Individuals serving on Boards/Commissions 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. PLEASE USE A BLACK INK PEN. 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 BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME P!O,V~,v\,,~ ~ '2~vK...~ TERM ~--~--~O,,"' NAME J~CE1 ~. ~o~ HOME ADDRESS IOt~ ~o~e¢ ~O~+ Is your home address (listed above) within the ~rporate limits of Iowa City? X Yes __ No How long have you been a resident of Iowa Ci~ ~ t ~ ~ ~ ~ ~ OCCUPATION ~¢eeok~L~¢~u%e P~%O~O~,%'~ EMPLOYER ~~4 F.~ONENUMBER: HOME ~%~-2~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I[ M isrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answor all the quostions, Council will not considor your application. General Application (1) February 2005 WILIAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR ~ L.) Uu-- 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 to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that 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 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 ~ ~.hed. If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code 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 will not consider your application. General Application (2) February 2005 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING CITY OF IOWA CITY Name of City Board/Commission i'3~°'¢~'~ I ~.~w, ~..~ Date :~-;~ -o~'- Name ,_J¢__ ~r~i~_~, I/Ar, ~'~v~-o ~ I List all businesses in which you or your spouse/domestic partner 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 NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Address lO t~ "~(~tL.~.~ ~O ~ IMisrepresentations on this application will constitute just cause for removal of an appointee. ~f you fail to answer all the questions, Council will not consider your application. General App!ication (3) February 2005 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION P DPLICATION FORM Individuals serving on Boards/Commissions 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. PLEASE USE A BLACK INK PEN. 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 BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME >//~,"7/I '~ & '=¢'" Zd?? ;,'1~ TERM NAME JC---P~,~' Z, ,,~/'/..~,,,~.~.'/ HOME ADDRESS /,;~-3~' ,~r.¢,~,/.~' ,'~--~'~. Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes How long have you been a resident of Iowa City? ~ ~ OCCUPATION ~/~ r~ ~ ~~ EMPLOYER F,.JNE NUMBER: HOME ~/~'~ ~-~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: / WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISOR* BOARD? Z I M isrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (1) February 2005 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? /2"/¢y' I~l..l~/ul~r-17~__,,~l"' i'/) ,J~pt.,q-~ /'.5,.,~¢~.,.s' tg-w-j~/ ,,¢~r~u';T/'~- 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 to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that 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 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 ~ ;hed. If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code 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 x~ 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 will not consider your application. General Application (2) February 2005 BOARD, COMMISSION, & COMMITTEES ~~ BUSINESS LISTING ., - CITY OF IOWA CITY Name of City Board/Commission /~/~,,~,-2~:,-')~ /'~?c~/ ~_~.?-/;,~ ~ Date Name J~ ~'. / List all businesses in which you or your spouse/domestic partner 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 NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Address }~ ~ .~. ~A ~;~, ~. ~40 Misrepresentations on this application will constitute just cause for removal of an appointee. ~f you fail to answer all the questions. Council will not consider your application. General Application (3) February 2005 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION /kPPLICATION FORM Individuals serving on Boards/Commissions 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. PLEASE USE A BLACK INK PEN. 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 BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ?t~,." ~ {,Hi t3~ ~)lrt~lrt~ ~:) ~ ~; S~t~TERM NAME ~~ ~ ~O~ HOME ADDRESS lO Is your home address (listed above) within the ~rporate limits of Iowa City? ~ Yes ~ No How long have you been a resident of Iowa Ci~? ~ ~ ~ OCCUPATION ~(~ ~r~6o~ L%A~'t ~0~) EMPLOYER ~q, -.. ~..3NE NUMBER: HOME - BUSINESS ~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITIQ~: WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Z 6~ ,~re I[Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (1) February 2005 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts be~een membership on the adviso~ board and your personal interests, including financial interests and your duties to an employer. In pa~icular, if you am applying to be a member of a board or commission which makes recommendations to the City Council about the allo~tion of City funds, please list any present a~liations you have with agencies that apply for funding from the City. ~A~liation" includes bein0 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 cedain impoAant exceptions, a member of a ci~ Board or Commission from having an interest in a ci~ ~ntract. A copy of Section 362.5 is ~ ched~ If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code of Iowa, please contact the City Attorney's office at 356-5030. ,~'--,,~-- ~: · IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ES NO DO YO~ CUSR[~IkY SERV[ O~ A~OTHE8 IOWA Cl~ BOARD OR COMMISSIOn? Y[S ~O (It has been COuncil policy not to permit an individual to se~o on ~o Boards or Commissions at the same time.) ~1 Misrepresentations on this application will constitute just cause for removal of an appointee. I 'lf you fail to answer all the questions, Council will not consider application. your General Application (2) February 2005 BOARD, COMMISSION, & COMMITTEES ~ BUSINESS LISTING CITY OF IOWA CITY Name of City Board/Commission ~t,O,~.~%~ ~'¢l~ "/.o~ Date~ ~0.~'¢_.~ 'OS Name ~.~(~) ¢~'~1 '~v~ T~'~ 0~ List all businesses in which you or your spouse/domestic partner 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 NOTE: A new form must be completed if the aboVe information changes or an ownership interest is acquired in an additional business. MisrepresentatiOns on this application will constitute just cause for removal of an appointee. if you fail to answer all the questions, Council will not consider your application. General App!ication (3) February 2005 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION .PPLICATION FORM Individuals serving on Boards/Commissions 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. PLEASE USE A BLACK INK PEN. 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 BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORYBOARD/COMMISSION NAME ?/~ln./~ ~.~/ ~_._,~.,'~ 9 TERM O"J/Zoo¢- NAME ~ ~ ~~-~ HOME ADDRESS ~O ~- b~~ ~- Is your home address (listed above) within the corporate limits of Iowa CiW? ~ Yes No How long have you been a resident of Iowa CiW? ~ ~ ~ ~ ~ -- 5 OCCUPATION ~ ~ ~z ~ ~ EMPLOYER ~,~w~' ~-~~ ONE NUMBER: HOME ~b~ ) ~ fi0 ~ ~ H 7 BUSINESS ~-- : r,~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POS T ONe5 ~ ~ ~. ~ ' ~r,~5 ~ ~,'~ ~,'~/ ~ ,~ /or,'~¥,. ~ ~ ~ /,~s~'p WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~'~ ¢~c~( ~ f~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Oouncil will not consider your application. General Application (1) February 2005 ,.. tAt CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR 'POTENTIAL CONFLICTS OF INTEREST Please identi~ any potential conflicts be~een membership on the adviso~ board and your personal interests, including financial interests and your duties to an employer. In padicular, if you are applying to be a member of a board or commission which makes recommendations to the Ci~ Council about the allocation of Ci~ funds, please list any present a~liations you have with agencies that apply for funding from the Ci~. "A~liation" includes being a board member or employee of the agency. Other ~pes of a~liations must be examined on a case by case basis by the City ABorney's o~ce. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with cedain impoAant exceptions, a member of a ci~ Board or Commission from having an interest in a ci~ contract. A copy of Section 362.5 is a~ached. ~u are unceAain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code ot Iowa, please contact the City A~orney's o~ce at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? / YES NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CI~ BOARD OR COMMISSION? YES ~NO (It has been Council policy not to permit an individual to se~e on ~o 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 will not consider your application. General Application (2) February 2005 BOARD, COMMISSION, & COMMITTEES -~ BUSINESS LISTING , ~,,~. __ CITY OFIOWA CITY Name of City Board/Commission [' [~nrc,'rl~ ~d' Zo~-~,~ ~, ~a, ~ Date ~ / ~ /~ Name ~<~ List all businesses in which you or your spouse/domestic partner 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 NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Signature ~.~- -- Address (¢ '~ /J~r-~-/~. ~-g,-~-~..,.~-~ %~¢"-¢t, Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (3) February 2005 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION '.PPLICATION FORM Individuals serving on Boards/Commissions 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. PLEASE USE A BLACK INK PEN. 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 BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Is your home address (listed above) within the corporate limits of Iowa City? ~/"~es __ Nd How long have you been a resident of Iowa City? ~__ ~,~-- ~/C q ~' 'ONE NUMBER: HOME ..'.oJp -3 o 4 o BUS,NESS $? 7 ~A'i ~ "J EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? / Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (1) February 2005 ,~AT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR POTENTIAL CONFLICTS OF INTEREST Please identi~ any potential conflicts be~een membership on the adviso~ board and your personal interests, including financial interests and your duties to an employer. In padicular, if you are applying to be a member of a board or commission which makes recommendations to the City Gouncil about the allocation of Gi~ funds, please list any present a~liations you have with agencies that apply for funding from the Ci~. "A~liation" includes being a board member or employee of the agency. Other ~pes of a~liations must be examined on a case by case basis by the Gi~ Attorney's o~ce. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with ce~ain impodant exceptions, a member of a city Board or Gommission from having an interest in a ci~ contract. A copy of Section 362.5 is a~ached. 'ou am unce~ain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code o~ Iowa, please contact the Gity A~orney's o~ce at 356-5030. __ IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ES ' NO --:~ iii ;:'~ DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same-Ii'me.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (2) February 2005 BOARD, COMMISSION, & COMMITTEES /~ '~'~\ BUSINESS LISTING CITY OF I0 WA CITY / , , Board/Commission . '//~ g-- ~ ~/~ Date Ust all businessos in which you or your spouso/domestic pawnor havo an ownorship intorost (for oxample, sole proprietor, pa~ner, 5% or moro of corporation's stockholdin~s). Pleaso indicate if thore are none. BUSINESS NAME BUSINESS ADDRESS NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Signature ~---~f?)~y /f~"~ Address /.~_.~7~- //~, ~' ,' /z.~ e//'T'' ~'""~, Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (3) February 2005 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: TELECOMMUNICATIONS COMMISSION One Vacancy - Three-Year Term March 13, 2005- March 13, 2008 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, March 30, 2005. 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. 3/2/2005 TELECOMMUNICATIONS COMMISSION 12 MONTH ATTENDANCE RECORD 01/01/03 to CURRENT Meeting Date Kiml~e~l¥ Saul Meikes BrettCastillo Terry Smith Jim Pusack Thrower 6/2/03 x x x x x 7/28/03 x x x x x 8/25/03 x x x x o/c 9/22/03 x x x x o/c 10/27/03 x x x x o/c 11/24/03 x x o/c x x 12/15/03 o/c o/c x x x 1/2/04 x o/c x x x 1/26/04 x x x x x 2/23/04 x o/c x o/c x 3/22/04 x x x x x 4/26/04 x x x x O/C 5/24/04 x x O/C x x 6/28/04 x x x o/c x 7126/04 O/C X x x x 8/26/04 did not meet did not meet did not meet did not meet did not meet 9/27/04 X X X X X 10/25/04 X X 11J04 Did not meet Did not meet Did not meet Did not meet Did not meet X X X X X 12/20/04 1/24/05 X X X X X (X) = Present (0) = Absent (O/C) = Absent/Called (Excused) 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: 1 Council Announcement Date: January 18, 2005, March 1, 2005 Application Deadline: Wednesday, 5:00 p.m., March 30, 2005 Council Appointment Date: April 5, 2005 TELECOMMUNICATIONS COMMISSION One Vacancy - Three Year Term March 13, 2005-March 13, 2008 Term expires for Terry Smith Terry Smith [] 2220 Balsam Court [] Denotes applicant completed the Confidential page of the application. CITY OF IOWA CITY ADVISORY BOARD/COMMISSION / PPLICATION FORM Individuals serving on Boards/Commissions 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. PLEASE USE A BLACK INK PEN. 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 BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. / Is your homo address (listed above) within the corporate limits of Iowa City? _~es __ No How long have you been a resident of Iowa City? ~ i/~r.x.. OCCUPATION /Y~c.,~ ~,~ ~ r '/ EMPLOYER F .)NE NUMBER: HOME ~'"J~/~ -.3~_/_~-i~t"_/~J~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAI IS YOUR ~RfiSfi~l K~OWkfiDG[ OF IHIS ADVISORY BOARD? IMisrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (1) February 2004 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR POTENTIAL CONFLICTS OF INTEREST ' ~ ~ ! Please identify any potential conflicts between membership on the advisory board and you~ersona_~Finterests, 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 to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that 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 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. If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code ( ,wa, please contact the City Attorney's office at 356-5030. ' / ' 7 , IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~YES NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CI~ BOARD OR COMMISSION? YES ~NO (It has been Council policy not to permit an individual to se~e on ~o 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 will not consider your application. General Application (2) February 2004 Marian Karr From: Daniel Clay [daniel-clay@uiowa.edu] Sent: Wednesday, March 23, 2005 3:51 PM To: marian-karr@iowa-city.org; Sue Dulek Cc: rdhartwig@hartw[g motors.com Subject: Resignation Dear Marian and Sue, As you know, my family is moving to a new residence located at 629 Fairway Lane, which is outside the Iowa City city limits. Consequently, I will be unable to continue to serve on the airport commission as of May 1, 2005. The purpose if this communication is to submit my resignation from the Airport Commission effective May 1, 2005. I have enjoyed working with the commission and hope to continue in some capacity after my resignation. Please feel free to contact me if you have any questions or need further information. Sincerely, Daniel L. Clay (319) 335-5639 work (319) 341-1654 home