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HomeMy WebLinkAbout2011-02-15 Appointment18a NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF ADJUSTMENT One vacancy -Unexpired Term Effective Upon Appointment -Ending January 1, 2012 Duties: In appropriate cases and subject to appropriate conditions and safeguards, the Board may make special exceptions to the terms of the Zoning Chapter in harmony with the general purpose and intent of the ordinance and in accordance with general or specific rules contained therein. The Board may grant variances to the Zoning Chapter only in the case of "unnecessary hardship." The hardship must be substantial, serious, real, and of compelling force, as distinguished from reasons of convenience, maximization of profit or caprice. The Board may also hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by a City official in the enforcement of the Zoning Chapter. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the second Wednesday of each month at 5:00 p.m. Applications must be received by 5:00 p.m., Wednesday, February 9, 2011. 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 Board of Adjustment Commission should be directed to Sarah Walz, Associate Planner at 356-5239. ~; 3OOX ZZDD~ 0 0 ~~m a ~ > > ; 3m ~"^ ~ ~' X 3~ ~ ~ m '^ n. 3 m m ~. s u (~ N ~;~ a a ~~ 00 T 0 s a 0 a 0 ~' m a v A n ~ W o D o ~ ~ > >• cc ~ ~ Z -~ A 3 ~' D a s ~ ~ ~ ~ A ~ ~ ~ A O ~ ~ ~ ~ ~ 0 0 0 0 o m ~ 0 0 `o o `o "o A - ~ - w In ~A N ~^ X X X m X w N X m X X X Q X X X X X = 0 A X X X X X X m X X X N X X X X X X ~ x ~ m m 0 X X m X X o ~o ~ X X X X m 0 X X X X X W m X X X 0 0 N a A n a N O O W 0 w a .iy~ a `c' Spouses and relatives of City Council Members and members of comparable County Boards and certain 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: January 10, 2011 Application Deadline: Wednesday, 5:00 p.m., February 9, 2011 Council Appointment Date: February 15, 2011 After 04/10/11 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. BOARD OF ADJUSTMENT One Vacancy -Unexpired Term Effective Upon Appointment -January 1, 2012 (Robert Anderson resigned) Gender Balance Requirement: None (M) Adam Plagge ~ 212 E Bloomington, Apt 5 ~ Denotes a completed application has been filed. City of Iowa City ~ r 1 .~.:.®~ Advisory Board/Commission/Committee ~' -"' ~~ .~,®~wi ~plication Form CITY OF IO~NA CITY 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. Advisorv Board/Commission/Committee Name Board of Adjustments Term 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 Adam Plagge HOME ADDRESS ~1 ~ F Bloomington AAnt 5 I__~__nwa City 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? 1 vear Gender: Male ~ Female OCCUPATION ^- ~ ~*~ c+~„~ont EMPLOYER Toyota Financial Services PHONE NUMBER: HOME 515-343-7424 BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~" • credentials are as a student of business and urban planning. With concentrations in land use, transportation, and ,sing I am familiar with several areas of potential tension and conflict. I'm also presently employed as a negotiator for loan modifications at Toyota Financial and have experience in reviewing leniency requests. ,... ~ ,.T .n ar,~ ~r~ r~ocecw~T t[AI/l1A/I Frl(:F (1F THIS 017V150RY FjUAKU-! VVI'7H1 IJ ivuR rr~~s~.~. ~ ..~.v..~~.r...... - ------- -- I understand the role The Board of Adjustments plays in making recommendations to the Council regarding special exceptions and variances to the zoning code. Furthermore, I have kept abreast with recent decisions and requests for building additions, certificates for appropriateness, and setbacks exemptions. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVI5C7RY t3uAKU KtAavrv rVrct-rr~i uv I have extensively studied Iowa City's Comprehensive Plan and Zoning Code. Combined with my bac~"ground in business, a bachelors in business administration, Ican offer a balanced view between indivual's need~nd the community's interests. D n z .`~. LIST POTENTIAL CONFLICTS OF INTEREST: See a e 1 for information re ardin Conflict of Intere ~ ~ "' d N• 0 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 nt ham haPn Council oolicv not to permit an individual to serve on two Boards or Commissions at the same time.) .,_..~: .~ .~_.~~ . H ..~..~~. .~...~: ~~..:.~_ _:..._ _....w.._.~ _.. _........ ._..~_.. P .. ......... w.....__.~ Misre resentations 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 June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Board of Adjustments Name Adam Pla i ~ --~ -~i ~~~ ~~~ ®~~~ -.~.~ CITY OF IOWA CITY Date ~~~tdt1 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 7). List all businesses in which you, your spouse/domestic partner, or parent if Youth Advisory Commission a licant, 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 cv~ N O ~ .-i N CT1~C n ~ ~~ O ~"i o, NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature, y~ `tiyy Signature of parent/guardian (Youth Advisory Commission only): Address 212 E Bloomington Apt 5 Iowa City 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 June 2010 Page 3 of 8 18b 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 Effective Upon Appointment, 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 9, 2011. 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: 1 Females: 1 Council Announcement Date: 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; February 24, 2009; March 24, 2009; May 19, 2009; June 16, 2009; July 28, 2009; September 15, 2009; October 20, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010; June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011 Application Deadline: Wednesday, 5:OOp.m., February 9, 2011 Council Appointment Date: February 15, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT ZONING BOARD OF ADJUSTMENT One Vacancy -Unexpired + 5-yr Term Ending December 31, 2011 Carl Williams resigned Gender Balance Requirement: None No applications as of Wednesday, S:OOp.m., February 9, 2011 Denotes applicant completed the Confidential page of the application. 18c NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy -Five-Year Term January 1, 2009 -December 31, 2013 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 9, 2011. 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: 1 Females: 1 Council Announcement Date: September 23, 2008; November 3, 2008; December 16, 2008; February 10, 2009; March 10, 2009; April 6, 2009; May 19, 2009; June 16, 2009; July 28, 2009; September 15, 2009; October 20, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010; June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011 Application Deadline: Wednesday, 5:OOp.m., February 9, 2011 Council Appointment Date: February 15, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT ZONING BOARD OF ADJUSTMENT One Vacancy -Five-Year Term January 1, 2009 -December 31, 2013 Term expires for Dennis Keitel Gender Balance Requirement: None No applications as of Wednesday, S:OOp.m., February 9, 2011 D Denotes applicant completed the Confidential page of the application. u~--i a--i -i 18d NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING COMMISSION One vacancy -Six-Year 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 9, 2011. 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: 1 Females: 1 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; February 24, 2009; March 24, 2009; May 19, 2009; June 16, 2009; July 28, 2009; September 15, 2009; October 20, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010; June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011 Application Deadline: Wednesday, 5:OOp.m., February 9, 2011 Council Appointment Date: February 15, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT ZONING COMMISSION One Vacancy -Six-year Term January 1, 2006 -December 31, 2011 Term expires for Mark Anderson Gender Balance Requirement: None No applications as of Wednesday, 5:OOp.m., February 9, 2011 ~ Denotes applicant completed the Confidential page of the application. 18e NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING COMMISSION One vacancy -Six-yr Term January 1, 2010 -December 31, 2015 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 9, 2011. 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: 1 Females: 1 Council Announcement Date: September 15, 2009; November 2, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011 Application Deadline: Wednesday, 5:OOp.m., February 9, 2011 Council Appointment Date: February 15, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT ZONING COMMISSION One Vacancy -Six-year Term January 1, 2010 -December 31, 2015 Term expires for Brian Sponcil Gender Balance Requirement: None No applications as of Wednesday, 5:OOp.m., February 9, 2011 D Denotes applicant completed the Confidential page of the application. 18f 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 One (1) Mechanical Professional It is the duty of members of the Board of Appeals to hold appeal hearings on matters concerning the International Building Code, International Residential Code, Uniform Plumbing Code, National Electric Code, International Mechanical Code, International Fire 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 4:00 p.m. or at the call of the Building Official. Applications must be received by 5:00 p.m., Wednesday, February 9, 2011. 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. 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: Council Announcement Date: September 23, 2008; November 3, 2008; December 16, 2008; February 10, 2009; March 10, 2009; April 6, 2009; May 19, 2009; June 16, 2009; July 28, 2009; September 15, 2009; October 20, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010; June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011 Application Deadline: Wednesday, 5:OOp.m., February 9, 2011 Council Appointment Date: February 15, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. BOARD OF APPEALS One vacancy -Five-Year Term (1) One Mechanical Professional January 1, 2009 -December 31, 2013 Term expires for Tim Fehr (Mechanical Professional) Gender Balance Requirement: None No applications as of Wednesday, S:OOp.m., February 9, 2011 D Denotes applicant completed the Confidential page of the application. 18 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF APPEALS One Vacancy- Unexpired Term Effective Upon Appointment -December 31, 2014 One (1) Building Design Professional It is the duty of members of the Board of Appeals to hold appeal hearings on matters concerning the International Building Code, International Residential Code, Uniform Plumbing Code, National Electric Code, International Mechanical Code, International Fire 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 4:00 p.m. or at the call of the Building Official. Applications must be received by 5:00 p.m., Wednesday, February 9, 2011. 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. Spouses and relatives of City Council Members and members of comparable County Boards and certain 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 10, 2011 Application Deadline: Wednesday, 5:00 p.m., February 9, 2011 Council Appointment Date: February 15, 2011 After 04/10/11 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. BOARD OF APPEALS One Vacancy -Unexpired Term Building Design Professional Effective Upon Appointment -December 31, 2014 (Unexpired term for Stephen Buckman) Gender Balance Requirement: Female No applications as of Wednesday, 5:OOp.m., February 9, 2011 ~ Denotes a completed application has been filed. 18h NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF APPEALS One Vacancy -Five-Year Term January 1, 2011 -December 31, 2015 One (1) Licensed Electrician It is the duty of members of the Board of Appeals to hold appeal hearings on matters concerning the International Building Code, International Residential Code, Uniform Plumbing Code, National Electric Code, International Mechanical Code, International Fire 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 4:00 p.m. or at the call of the Building Official. Applications must be received by 5:00 p.m., Wednesday, February 9, 2011. 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. Z O O X ~ ~ n ~ n o ~ N u ~ m ~~ ~~ ~ ~ nSi a o ~ 3 °- < ~ ~ ~~ ~~ ~ ~ Z ~ ~ v ~ ~ ~ ~ (D c ~ 0 ~ ~ W Z 3 ~ ~ ~ ~ ~. ~ ~ 3 ~ ~ a 3 ~ ~ ~ ~ s o ~ ~ v m c n ~ 3 c m n ~ w > w ~ w ~ w ~ w ~ w rn ~ N ~ N ~ N ~ N ~ N ~ N X ~ 0 O 0 W 0 ~ 0 ~I 0 N 0 -~ _ ~ rn z ~' ~ ' 0 Z ~ ~ ~ 0 3 z ~ ~ ~ 0 a - 0 3 X O X X X X 0 z ~ ~ ' 0 c X X X X X X 0 D Z ~ ~ m J 0 Z ~ 0 Z ~ (~ J Z Z c ~p O ~ ~ ~ fl. ~ ~ n D ~D ~ ~ ~D ~ C! ~ O ~ fl. N v z~ ~~ 0 Spouses and relatives of City Council Members and members of comparable County Boards and certain 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: Council Announcement Date: September 7, 2010; October 26, 2010; December 7, 2010; January 10, 2011 Application Deadline: Wednesday, 5:00 p.m., February 9, 2011 Council Appointment Date: February 15, 2011 After 12/06/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. BOARD OF APPEALS One Vacancy -Five-Year Term Licensed Electrician January 1, 2011 -December 31, 2015 (Term expires for Matt Neumiller) Gender Balance Requirement: None (M) Matt Neumiller ~ (Previously served unexpired term) 25 Sumac Ct D Denotes a completed application has been filed. City of Iowa City ~ Advisory hoard/Commiss~onlCommittee ~,,~w,~~ Appfication.f=orm ""`~~~ CITY OF IOWA CITY 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 AUTOMATICALLYC,~ONSIDERED FOR ANY VACA/NCY DURING THAT TIME. Advisory Board/Commission/Committee Name ~'~ ~~~~C-a-~T Term ` ~~ Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School ar high school equivalent: Signature of parent/guardian: NAM E /'~a f ~ N~~• 1 ~ HOME ADDRESS ~,_~~~//''I 4~-~ G"t~ Is your home address (listed above) within the corporate limits of owa City? ~ Yes ~ No ~~ EXPERIENCE ANDIOR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR TWIS POSITION: How long have you been a resident of Iowa City? ~/'''~~' s Gender: Male~Female~ OCCUPATION ~/,~ ~ ~/'• G~ a~ EMPLOYER ~/UCa-"~~l/G~ ~/~ta~~'L, ~~ PHONE NUMBER: HOME ill ~- G3/-/~'~ ~ BUSINESS., ~/°~ ~ S~ ~6 ~-° ~ Q,ti .t /,•c,~„<,,~~ ~,as,lcr e.%c~~.ti.: ti-- .~.;/G .c 6..s.'..c.c s ._ JL• 3 an~-- . ~ tia..w l~~ /Ls ~vr~;.~ss .•~G. ~-,~c~,.-s ,:. vG.cL T~~ ~ad0.~~-=/ G 9~/,,e%~',~..s~p ~eiu nT ie vn~ io aocec~iT uNnWl Frlr:~ [1F TN1S ADVISORY BOARD? WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYINGI" ~! / -- z . CJi t 3' `sa ICJ LIST POTENTIAL CONFLICTS OF INTEREST• See pa, e 7 for information regarding Conflict of Interest - ~ ~- IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes [~ No r 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 applica#ion 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 June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING ~.-.j~~~ ~~ ;~~ C[TY OF IOVNA CITY Name of City ~ ~ff~ ~f Board/Commission/Committee • /3~ °~ Date ~ a~` /a Name /~a ~~ /l~ti+r~ /1*~ 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 7). Lis# 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 ~~ ~ Aw-•~L~ D~~~'.c.r'S ei~-... a 2a. ~ ~ ~ ' s~ . /\ ~_J NOTE: A new form must be acquired in an additions! bu Applicant Signature if the above information changes or an ownership interest is Signature of parentiguardian (Youth Advisory Commission only): Address ~S` ~/~ ~ ~ ~.-.. ~ ~~' Misrepresentations on this application will constitute just cause for removal of an appointee. If you fai! to answer all the questions, Council may not consider your application. General Application June 2070 Page 3 of 8 U1-15-11 18i NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: YOUTH ADVISORY COMMISSION One Vacancy -Two-Year Term January 1, 2011 -December 31, 2012 One (1) person -Tate High The mission of the Youth Advisory Commission is to promote understanding and awareness of Iowa City among Iowa City youth, allow a select group of youth to help make decisions concerning them and their peers, enable youth members to utilize and expand on their leadership abilities, to serve as a mechanism for communication between youth and adults in Iowa City and create a bridge whereon youth and adults can develop partnerships. Membership shall consist of seven [7] members appointed by the City Council currently enrolled in an Iowa City high school or high school equivalent. Four members shall represent City, Regina, Tate, and West high schools. The three remaining members shall be at large. All ages shall be calculated on the date of the filing of applications, and shall not be more than 18 years of age at the time of application. All members shall be residents of Iowa City. Applications must be received by 5:00 p.m., Wednesday, February 9, 2011. 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.orq. Questions about the Iowa City Youth Advisory Commission should be directed to Marian Karr, City Clerk at 356-5041. 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: 3 Council Announcement Date: October 26, 2010; December 7, 2010; January 10, 2011 Application Deadline: Wednesday, 5:OOp.m., February 9, 2011 Council Appointment Date: February 15, 2011 (Recommendations to be made by Council liaison) After 01/24/11 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. YOUTH ADVISORY COMMISSION One Vacancy -Two Year Term January 1, 2011 -December 31, 2012 One (1) person -Tate High Gender Balance Requirement: 1 Female (F) No applications as of Wednesday, 5:OOp.m., February 9, 2011 D Denotes applicant completed the Confidential page of the application.