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Home My WebLink About2006-05-23 Appointment ~ ~ NOTICE THE CITY COUNCIL OF IOWA CITY is CONSIDERING APPOiNTMENT TO THE FOLLOWING COMMISSION: HISTORIC PRESERVATION COMMISSION Two Vacancies - Three-yr Terms (1) Woodlawn Representative (1) College Green Representative March 29, 2006 - March 29, 2009 Duties of the Historic Preservation Commission include: conducting studies for the id~ntification and designation of Historic Districts; reviewing and acting upon all applications for Certificate of Appropriateness; cooperating with properly 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, May 10, 2006. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered shouid 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 Historic Preservation Commission should be directed to Sunil T erdalkar, Urban Planner at 356-5243. 4/26/2006 ~m Historic PtllSeNatiOn Commission Attendance Record 2006 Tenn Name Expires 01/19 0219 02122 03118 04113 04/27 E. Baker 3129/09 -- -- -- X M. Brennan 3/29/08 X X O/E DIE X X R.Carlson 3129107 X X X X X X J. Enloe 3/29106 X X DIE DIE -- M.Gun" 3/29/07 X X X X X X M. Maharry 3129/08 X X X X X X M. McCallum 3/29/06 X X X X - -- J. Pardekooper 3129107 X X X 0 ---- ---- J_ Ponto 3/29/07 X X X X X X M. Schatteman 3/29109 .. -- X J. Welumllle! 3/29/06 0 0 0 0 -- ---- T. Weitzel 3129/08 X X X X X X Key: X = Present 0 = Absent OlE = Absent/Excused 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: 6 Females: 2 Council Announcement Date: January 23, 2006; February 28, 2006; March 21, 2006; April 18, 2006; May 2, 2006 Application Deadline: Wednesday, 5:00 p.m., May 10,2006 Council Appointment Date: May 23, 2006 HISTORIC PRESERVATION COMMISSION Two Vacancies - Three Year Terms March 29, 2006 - March 29, 2009 (1) Woodlawn District Representative Term expires for Jan Weissmiller Ginalie Swaim l2$] 1024 Woodlawn (1) College Green District Representative Term expires for Mark McCallum Pam Michaud l2$] 109 S Johnson l2$] Denotes applicant completed the Confidential page of the application. CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM I ~ 1 -.... = -~... !~~;!:~ ~... "'''1'''- ................ CiTY OF IOWA CiTY 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. 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 CONSIDERI;O FOR ~Y VACANCY DURING THAT TIME. 9 0' :::: 0 ~ -,-, 1'.:.:::'\ 7J \ I Tt;t<M: 1" -::: \' ~: ..... , 1\ Youth Advisory Commission, Age on the date offiling:D Age 15 to 17 (or) QA~: 18:!i! 21,-4 ._<, - ,_J r:>::::~::. _ ':2:/'- ~ y ADVISORY BOARD/COMMISSION NAME Signature of parenVguardian if Age 15 to 17: tr 52'~f5 ZIP Is your home address (listed above) within the corporate limits of Iowa City? JZI Yes D No How long have you been a reside~t of Iowa yity? ( q 7 3 'J" OCCUPATION hi sfc l' I (OJ: 9(~ l-fCY . EMPLOYER Stcctl 1-1 (ST (J V' {(! ( .' PHONE NUMBER: HOME :=j=)'7 -q?(~ &- BUSINEss3-S5 '-3f3ZS'ocl~ df EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: :u:.' vJQ( -.:t (}J'\fY\.., Q bvVl e d 1..-,,) (( e;v vY\... 0. ([ \ s riJZ. . \. 'S 'S\ ') ~ e lQ'754- ~\A\je '\;;"Q..'J..i'J'& G-v\... 1000/\ c~. ~\u'=:""v') (yy~", - ~( t. l);JYo..: 't G"\ \;-\I::)+o-''1L- ffJ,<j, (~\tr{\ 1,\I:sls1 <:hL ,)~e\6v ()rn.~ , ", \ \ r >4-\. \ \O'/\A~ " Q & ~ t' V'l t'/f)(:)'.s ~) ~i \ l-^{ ~~~\:1~~~ mQ[(t()~~~pr/vtJf\o ,?Q J<) OT J <L h\S+~ {Jfl'\J, cbtuJ&.. 'lAME (:;- r'!l ({ J ; L ,)c() n J ) 1L HOME ADDRESS /0 :} t vt) (IOJ ! C\ U/ )1 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 November 2005 Page 1 of7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOA .J ( Yo il Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. n 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 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 of Section 362.5 is attached (see page 6). ~ Q ~ If you are uncertain whether a potential conflict of interest exists or have questions ~t S~on ~.5 of j,e'", of I~., pi.." coma" ~, el, Attomoy'"ffire " 356-5030~; ~ 8 I IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes D No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? DYes [ZlNO (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 November 2005 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING I ~ 1 --= -~... ~~~;!:~ -,;:;:.... ......" ...,....I.L- CITY OF IOWA CITY Name of City } I ..~,' ^ ,V" _,' ,II' i ,,4; , )\ Board/Commission 1:1 \ ) Tc '1 L<2.. 'J. (... '\J~\. LV C'\' , Date /' , C".,. Name \<"--J f\ elll ~ ~ V''vU; ) 1 ( t:.('- ...x-. ,t -. /' ,"--,~' Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a memberof a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 isaUached (see page 6). List all businesses in which you or your spouse/domestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation'sstockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS )( I /\ ^ t-- = = c= /\Jlll'J '-- ~O po y ! ;0 _..:J "",,- C'> : , .' , -.........:- -0 :'-~~ - ri: ~:)~J '.~ ~ . - :;:; U1 NOTE: A new form must be completed if the above inform?tion changes or an ownership interestis acquired in an additional business. (, ,. , "-- / /. (] /cL//~'LQj+i:jC./\LC (', c . \ L' vLA) /" 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 November 2005 Page 30f7 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION \.PPLlCATION FORM I ~ 1 !;~~~*t~ -=.. ....~~ --......a..L. ""'\J CiTY OF IOWA CiTY 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. 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 NAME ~fi fu r/tI_ P{'~S ei/'va.-hm Youth Advisory Commission, Age on the date of filing:D Age 15 to 17 (or) 0 Age 18 to 21 ~(MVc""""--l TERM. Q1 Signature of parenVguardian if Age 15 to 17: HOME ADDRESS ~1 ; ~MJ /07 S;\.hAn-sDIl ZIP S8~Y 0 [EJ Yes D No "JAME rtA.-I1VI Is your home address (listed above) within the corporate limits of Iowa City? How long have you been a resident of Iowa City? 'S''1) V-eO/<. OCCUPATION It.( rvi loaf! / EMPLOYER 5<-/1- "" u g PHONE NUMBER: HOME 3.3 '7- /~ YfJ BUSINESS :2: 0 ~ J-.... j v EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS fCGS1~f1~ -_.~; .-....-. fre vi ou.slfP cplI\fY\1ss ;0/1 1Y\.c.Y1'\j,~1f' fi\ /.1 I i1'tJ!s ;~ ~ '-.-1-;" _ /S Ve,t(';"' .re5r'J-en.1- lJl] t2011~ 0.r-een ~{k sf'. ~ 111 Ih",0'h I. '1, U ( f'I Ii / jh' 4;; , J e.:r,c-u(:-(.uf Or/lf ~'^-I rf.~f, (Ion hir L-ll OL;J/^'E'Cf'"1 S r/~ -D/S.-f-rl e;g d esr Hco/l, il 11 ~ \......,./ 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 November 2005 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? rre-vtolfs .->4 I v (f2- 3~Ar 5rri/f& '\.~ ~fhe s 9--.6A r^ /l ?"I f'(I HP eti~~'t-r;~~ 1 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? I ~/'eJ -ivD ~rt';':'hi~'1Iv{j'scs. ttt1d ~o{J..J '" Cl\tt/k^!5 or ('eW4.i'"lJ yt1.1..5 rfrescnfs, ~ :r 10 iH!- fY\ Y (V:J(I'I fr\ L( "1 Hy 9" n-e / c" 1, NS. ,f C) ~ : ,Tj 'f-'-i -0 ,"--1 :3: ',___../ o <c' <::0 )..~=! C):::.~:..:.: </' )> N N ....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. n 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 alsoknowthatSection 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 of Section 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. 1&n.Jlbf'cf, 1>'U11 c9./"lt!/.(s~ ;1\ C!<>lfeo-0/''2-I€.4f'\ /f-;sDd-f; IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? DYes iiJ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? DYes 0NO (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 November 2005 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING I! 1 -.....= -..:,... !~W~'"t. "-.... "'lIIIlm~ ......&L CITY OF IOWA CITY Name of City Board/Commission Name PI+ f)\ jJ-7 s-f.o r r' (1. fr 1'",-<'" e ,,/ti.il ; Ii a I ( <!-1i1HA-1\ Date jl~~~. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a memberof a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 isattached (see page 6). List all businesses in which you or your spouse/domestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation'sstockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS {l II /' n LJ... sC" /b/'<.. c:. (07f> II_e0J4 U j, ,,~l A. I,n,~ V U c-.> 0 ~-:::r 0-> "';'~ ". v C-'-) -< ~. . .~ N - ..-~~ C'j co .-." ~/ ,~,.- [~r, -u ""0-, .'-;- - . ::JI: ~.^ N ;t> "-, NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional business. Applicant Signature P ~ .4; V1'L d CL//" Signature of parent/guardian if ze 15 to 17: Address /0 7 ~/~ so/{ 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 November 2005 Page 3 of 7