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This Application Form is a PUBLIC RECORD under Chapter 119, Florida Statutes, and is open to public inspection.
Street Address (No P.O. Boxes)
Please include highest level achieved and any degrees earned as well as any professional licenses or vocational certificates, etc.
Note: Members of the Planning & Zoning Commission/Land Planning Agency Board and the Police Officers’ & Firefighters’ Pension Board of Trustees Board are REQUIRED to file detailed Financial Disclosure Forms annually.
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By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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