Please fill out the form as best as you can. If you have no answer, please write "Not Applicable".
Check below the Committees or Boards you are willing to serve on:
Economic Development Advisory Committee
Planning and Zoning Board
Parks and Recreation Advisory Board
Police Pension Board
Tree and Beautification Advisory Committee
List three references that the Town may contact (excluding Town employees) - name, address and phone number:
I will attend meetings in accordance with the adopted policies of the Town. If at any time my business or professional interests conflict with interests of the board or committee, I will not participate in such deliberations of the board or committee.
Please note: You may be required to fill out a financial disclosure form.
By submitting this form I certify the information I provided is true and accurate to the best of my knowledge.
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409 Fennell Boulevard
Lady Lake, FL. 32159
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