2022-12-20 VI. G. Exhibit 7 Exhibit 7
12/20/2022
•
MEMORANDUM
TO: Mayor Watford & City Council DATE: December 12, 2022
FROM: City Clerk GamioterQ SUBJECT:Appointments to the Planning Board,
the Board of Adjustment, and
the Design Review Board
Mr. David McAuley has resigned his appointment from the Planning Board, the Board of
Adjustment, and the Design Review Board due to his successful election as a City Council
Member. The resignation was effective December 6, 2022.
Attached are applications we have received, from Mr. Dale Burk and Mr. Jon Folbrecht, both of
whom are City residents for you to be able to complete the attached Citizen Board and
Committee Selection Matrix Form and return to me at the December 20th City Council
Meeting.
At the meeting the total points will be announced for each applicant and will provide which one
will be selected as the new appointee. The Council will then need to determine:
1. Will the new appointee be appointed as a Regular Member (replacing Mr. McAuley1); or
2. As an Alternate Member?
a. If as an Alternate Member, then Council would need to first determine which current
Alternate Member (Mr. Jim Shaw2 or Mr. Butch Berlin3) will be moved to the Regular
Member position.
> When making your motion(s), include the appropriate dates of terms based on who
is being replaced/appointed:
• 1If replacing Mr. McAuley, term will be December 21, 2022 through April 30, 2023;
• 21f replacing Mr. Jim Shaw, term will be December 21, 2022 through April 30, 2024;
• 31f Mr. Butch Berlin is replaced, term will be December 21, 2022 through April 30, 2023.
This list of current Members and their terms are available on the website on the Boards &
Committees page.
We do not have a set requirement that Members be first appointed as Alternates, nor that a
Alternates are always moved to Regular positions as they become vacant, nor a set
attendance requirement. The Council has the authority to make appointments, remove
appointees, and/or change member positions as they see fit and for what is necessary to
ensure the Members of these Boards are actively participating in all matters, understanding
their responsibilities under the various scopes of authority for the separate Boards, and
regularly attending meetings (or if absent, that it is with consent).
Please call me with any questions.
Citizen Board Selection Matrix
Individual Ranking Sheet
Board Appointment: Planning Board/Board of Adjustment/Design Review Board
Ranker Name:
Point System is reflected as follows: The Point System is based on
1st Selection = 2 Points the number of applicants.
2nd Selection = 1 Point
Applicant Name Points NOTE: The same procedure
will be utilized to select a
Burk, Donald "Dale" winner in the event of a tie.
Folbrecht, Jon
Created:Jan.27,2021-BJ
CITY OF OKEECHOBEE
55 Southeast 3rd Avenue, Okeechobee, Florida 34974 Phone: (863) 763-3372
APPLICATION FOR CITY CITIZEN BOARD/COMMITTEE APPOINTMENT
Please print or type all information. The information from this application will be used by the City
Council when considering action on your appointment. The application MUST BE COMPLETED IN
FULL. Answer"None" "Not Applicable"or"N/A" where appropriate.
CHECK THE BOARD(S) OF INTEREST TO YOU N° Al 12 PM�
A COPY OF EACH BOARD'S DUTIES, MEETING DATES, AND TIMES ARE ATT'' .'_D L
RECEIVED
���
❑Planning Board/Board of Adjustment&Appeals/Design Review Board `��; 1,4
❑Okeechobee Utility Authority Board of Directors(City Residents Only) �*( NOV 1 6 P02
❑Police Officers' Pension, Firefighters' Pension, or General Employees' Retirement System Boar Trustees 0
(City Resident Trustee: 0 OR Fifth Member Trustee: ❑ )
0 Other: Type here or choose from drop down list \wb Zl
APPLICANT'S FULL NAME: Donald Dale Burk
NAME COMMONLY USED: Dale
RESIDENCE ADDRESS: 402 SW 11th Avenue
HOW LONG AT ADDRESS: Years: 46 Is this in the City Limits? 0Yes ❑No
MAILING ADDRESS: 402 SW 11th Avenue
TELEPHONE/CELL: 863-697-1621
EMAIL: chobeeap@gmail.com
ARE YOU A US CITIZEN? 0Yes ❑No, explain: —
FLORIDA REGISTERED VOTER? 0 Yes County Registered in: Okeechobee
❑No
High School Name(s)8 Location(s) Year Graduated
EDUCATION: Okeechobee High School 1967
College Name(st Certdicate/Degree(s)Awarded Date(s)Attended
POST SECONDARY EDUCATION: Indian River JC AA 1967-69
Oral Roberts Univ. BA 1969-72
Branch(es) Dates of Service Discharge Date(s)
MILITARY SERVICE:
CURRENT OR MOST RECENT EMPLOYER: Okeechobee County School Board
JOB TITLE/DESCRIPTION: Teacher/Administrator/Bus Driver-Retired
WORK ADDRESS: 700 SW Second Avenue
IWORK TELEPHONE: 863-462-5000
Page 1 of 5 Last Name&First Initial Burk, D
ARE YOU CURRENTLY EMPLOYED AS: ❑General Contractor ❑Business Person ❑Architect
(CHECK ALL THAT APPLY) ❑Engineer ❑Sub-Contractor ❑Realtor
❑Attorney ❑Doctor ❑Surveyor
❑Lay Person 0 Urban Planner 0 Landscape Architect
Have you ever been appointed to, or do you currently serve on, a citizen or community board for any other agency or
government? ❑No ❑Yes*, and list: *If you are currently serving on another Board that the State deems an "office,"your
application cannot be considered. Each Board will have to be reviewed and verified.
AGENCY BOARD NAME POSITION DATE(S)
Are you now, or have you ever been, elected or appointed to any public office? El No ❑Yes, and list:
LEVEL OF GOVERNMENT OFFICE TITLE DATE OF ELECTION TERM(S)
Do you work with or have any association with a current member of the board/committee to which you are requesting
appointment? 0 No ❑Yes, and list:
NAME OF BOARD/COMMITTEE MEMBERjS1 RELATIONSHIP/ASSOCIATION
Are you related to, or employed by, any City of Okeechobee employees or elected officials? 0 No ❑Yes,and list:
NAME OF EMPLOYEE/ELECTED OFFICIAL RELATIONSHIP/ASSOCIATION
Have you ever been found to be in violation of Florida Statutes Chapter 112, Part Ill, Code of Ethics for Public Officers
and Employees? 0 No ❑Yes,and list:
DATES) NATURE OF VIOLATION
Have you ever been convicted of a FELONY, plead guilty or no contest, or entered into an agreement setting forth the
terms leading to the reduction or dismissal of the charges? 0 No ❑Yes,and list:
DATE(S) VIOLATION CITY AND STATE
Page 2 of 5 Last Name&First Initial Burk, D
ALL INFORMATION PROVIDED ON THIS FORM IS A PUBLIC RECORD. Information for certain individuals with a
specific public records exemption can be withheld. In order to claim the exemption, complete the following:
Are you a current or former, the spouse of a current or former, or the child of a current or former sworn or civilian law
enforcement personnel, certified firefighter, EMT, paramedic, code enforcement officer, or other covered employee who
is exempt from public records disclosure under Florida Statute 119.071? Review list of other covered employees before
responding. El No ❑Yes, and list:
JOB TITLE OR COVERED POSITION TITLE RELATIONSHIP
Describe any skills, experiences, interests and/or background information about yourself that would be helpful to the
Board you wish to serve on. Include personal accomplishments that qualify you for the appointment.
if more space is needed.please attach an additional page.
I previously served on the Okeechobee City Planning and Zoning board as both a member and its
chairman a number of years ago. Unfortunately I don't remember the specific years or exactly how
long I served on that board. The details of this should be in the city records.
During my years as an administrator at the school level I was responsible for supervising the
upkeep of the school site facilities. In that role, I had to work with the custodians and maintenance
personnel to insure that the facilities were operational and met applicable local and state
standards. Periodically, I had to engage with other personnel doing health and safety inspections
and if needed arrange to have any issues addressed by the custodians, maintenance personnel or
outside vendors.
Over the years, I have engaged in numerous DIY projects and usually handle repair or upgrade
issues at my own home or assist other family or friends with their projects.
Page 3 of 5 Last Name&First Initialeu rI O
THE FOLLOWING iNFORMATION is USED WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL
ORIGIN, AGE, DISABILITY, OR MARITAL STATUS. HOWEVER, THE FEDERAL AND STATE GOVERNMENTS
REQUIRE THE CITY TO PROVIDE STATISTICS ON THE NUMBER OF WOMEN, MINORITIES, VETERANS, AND
DISABLED PERSONS THAT ARE APPOINTED TO BOARDS. INFORMATION WILL BE USED FOR STATISTICAL
PURPOSES ONLY AND HAVE NO BEARING ON YOUR APPOINTMENT:
SEX: ['MALE ❑FEMALE
ETHNIC GROUP: 0CAUCASIAN 0 BLACK ❑SPANISH HERITAGE 0 NATIVE AMERICAN
❑ASIAN OR PACIFIC ISLANDER ❑OTHER(specify):
CHECK ALL THAT APPLY: 0 WARTIME PERIOD VETERAN 0 DISABLED VETERAN ❑VIETNAM VETERAN
HANDICAPPED STATUS: ONO OYES,AND LIST THE HANDICAP:
STATEMENT OF APPLICANT: I certify that the answers are true and complete to the best of my knowledge. I authorize
investigation of all statements contained in this application. I hereby release all companies, schools, or persons from all
liability for any damage for issuing this information. I understand that the City may request a copy of my driver's license.
have the right to request that the City completely and accurately disclose to me the contents of any investigation or reports
upon request to the Office of the City Clerk. I further understand all information provided becomes a matter of public record.
CERTIFICATION: I understand that falsification, omission, misleading statements, or misrepresentation is cause for
rejection of this application. I understand that this application is a Public Record and is subject to the provisions of Florida
Statutes Chapter'119.
FINANCIAL DISCLOSURE REPORTING: I understand that should I be appointed to a City of Okeechobee citizen board I
am required to complete and file a State of Florida Financial Disclosure Form 'I upon my appointment, annually and a
Financial Disclosure Form 1-Final upon my resignation/sunset of term.
PUBLIC RECORDS/OPEN MEETINGS LAWS: I understand and agree that should I be appointed to a citizen
board/committee for the City of Okeechobee, I will comply with all State Statutes, Florida Administrative Code, and State
Constitution regarding public records, records retention, public record requests, and the open public meeting requirements.
I hereby acknowledge that I have read and understand each of the above statements.
Signature of Applicant /491ae 4• Date: 11/16/2022
1.The City Code Book Sec. 70-151,70-171,70-19170-211 read: ....membership of the board, where possible, shall consist of any of
the following: architect, engineer, surveyor, urban planner, landscape architect, general contractor, realtor, business person, and lay
persons."
2. Other covered jobs include current or former, their spouse, and children: correctional and correctional probation officers; juvenile
probation officers, supervisors, detention superintendents and assistants; Department of Juvenile Justice: detention officers I and II,
detention office supervisors, residential officers, residential officer supervisors I and II, counselors and supervisors, human services
counselor administrators, senior human services counselor administrators, rehabilitation therapists, and social services counselors;
certain personnel of: the Department of Children and Families; the Department of Health;the Department of Financial Services; and the
Department of Revenue or local governments whose responsibilities include revenue collection and enforcement or child support
enforcement; investigators or inspectors of the Department of Business and Professional Regulation;the Office of the Inspector General
or internal audit department;justices of the Supreme Court;judges of the district court of appeals, circuit court, and county court; general
and special magistrates,judges of compensation claims,administrative law judges of the Divisions of Administrative Hearings, and child
support enforcement hearing officers; state attorneys and assistants, statewide prosecutors and assistants; public defenders and
assistants,criminal conflict and civil regional counsel and assistants;guardians ad litem; human resource,labor relations,or employee
relations directors and assistants,managers or assistant managers of any local government agency or water management district whose
duties include hiring and firing employees, labor contract negotiations, administration, or other personnel-related duties; tax collectors;
certain impaired practitioners and consultants; [see '119.071, Florida Statutes].
Page 4 of 5 Last Name&First Initial Burk, D
PLEASE RETURN COMPLETED APPLICATION TO:
CITY OF OKEECHOBEE
OFFICE OF THE CITY CLERK
55 SE 3RD AVENUE, ROOM 100
OKEECHOBEE, FLORIDA 34974
CITY CLERK'S OFFICE USE ONLY
Boards Applicant is appointed to: Verified State's consideration as an"Office":
#1 #1
#2 #2
#3 #3
APPOINTED TO:
CITY COUNCIL INITIAL TERM NOTIFICATION RE-APPOINTED TERM RE-APPOINTMENT RESIGNED/TERM CERTIFICATE OF
MEETING: DATES: SENT; DATES: NOTIFICATION SENT: SUNSET: APPRECIATION PRESENTED:
Page 5 of 5 Last Name&First Initial B"rk,D
•
CITY OF OKEECHOBEE _
55 Southeast 3rd Avenue, Okeechobee, Florida 34974 Phone: (863) 763-3372
APPLICATION FOR CITY CITIZEN BOARD/COMMITTEE APPOINTMENT
Please print or type all information. The information from this application will be used by the City
Council when considering action on your appointment. The application MUST BE COMPLETED IN
FULL. Answer"None""Not Applicable"or"N/A"where appropriate.
CHECK THE BOARD(S) OF INTEREST TO YOU 5 6 7 e
A COPY OF EACH BOARD'S DUTIES, MEETING DATES,AND TIMES ARE AT -Cry ' 9 to
O Planning Board/Board of Adjustment&Appeals%Design Review Board RECEIVED a
EOkeechobee Utility Authority Board of Directors(City Residents Only) NOV 17 1021 >
O Police Officers'Pension,Firefighters'Pension,or General Employees'Retirement System d of Trustee a
(City Resident Trustee: El OR Fifth Member Trustee: 0 )
❑Other:_Type here or choose from drop down list ``0 s.
68L959
APPLICANT'S FULL NAME: Jon Folbrecht
NAME COMMONLY USED:
,
RESIDENCE ADDRESS: (Protected FSS 1 1 9.071
HOW LONG AT ADDRESS: Years: 1.5 Is this in the City Limits? DYes ❑No
MAIL''ING ADDRESS: {• E r ._._
TELEPHONE/CELL: T•L �,E�n{�.-1-
EMAIL: jon4okeechobee@gmail.com
ARE YOU A US CITIZEN? ElYes DNo,explain:
FLORIDA REGISTERED VOTER? El Yes County Registered in: Okeechobee
❑No
4, }ligh School Name(s)&location(o) Year Graduated
EDUCATION: Indian River State College 1998
College Name(s) Certiricate/Degree(s)Awarded DateNAttended
POST SECONDARY EDUCATION: Indian Ricer Stale Collage Law Enforcement 2003-2022
Branch(est Dates of Service Discharge DateN
MILITARY SERVICE: Army 1999-2002 Honorable
CURRENT OR MOST RECENT EMPLOYER: Ccc Building Group.IICI Jupiter Inlet Colony Police Department/Indian River Slate College
JOB TITLE/DESCRIPTION: Chief Operating Officer/Police Officer/Adjunct Instructor
WORK ADDRESS: "
CXenikpi-
WORK TELEPHONE: Evirnio
D...... 1 ..CC r—„a•r--.._ 0 r:__a r_a:_r Fnlhrcrhf I
ARE YOU CURRENTLY EMPLOYED AS: ❑General Contractor ['Business Person ❑Architect
(CHECK ALL THAT APPLY) ['Engineer ❑Sub-Contractor ['Realtor
❑Attorney ['Doctor ['Surveyor
❑Lay Person ['Urban Planner 0 Landscape Architect
Have you ever been appointed to, or do you currently serve on, a citizen or community board for any other agency or
government? p No ❑Yes*, and list: `If you are currently serving on another Board that the State deems an"office,"your
application cannot be considered. Each Board will have to be reviewed and verified.
AGENCY BOARD NAME POSITION DATE(S)
Are you now, or have you ever been, elected or appointed to any public office? El No ❑Yes, and list:
LEVEL OF GOVERNMENT OFFICE TITLE DATE OF ELECTION TERM(S)
Do you work with or have any association with a current member of the board/committee to which you are requesting
appointment? El No ❑Yes,and list:
NAME OF BOARD/COMMITTEE MEMBERjS} RELATIONSHIP/ASSOCIATION
Are you related to, or employed by,any City of Okeechobee employees or elected officials? ElNo ❑Yes,and list:
NAME OF EMPLOYEE/ELECTED OFFICIAL RELATIONSHIP/ASSOCIATION
Have you ever been found to be in violation of Florida Statutes Chapter 112, Part III, Code of Ethics for Public Officers
and Employees? El No ❑Yes,and list:
DATE(S) NATURE OF VIOLATION
Have you ever been convicted of a FELONY, plead guilty or no contest,or entered into an agreement setting forth the
terms leading to the reduction or dismissal of the charges? El No ❑Yes,and list:
DATE(S) VIOLATION GITY AND STATE
Page 2 of 5 Last Name&First Initial_Fo)hi-'(ht)i )
ALL INFORMATION PROVIDED ON THIS FORM IS A PUBLIC RECORD. Information for certain individuals with a
specific public records exemption can be withheld. In order to claim the exemption, complete the following:
Are you a current or former, the spouse of a current or former, or the child of a current or former sworn or civilian law
enforcement personnel, certified firefighter, EMT, paramedic, code enforcement officer, or other covered employee who
is exempt from public records disclosure under Florida Statute 119.071?Review list of other covered employees before
responding. ❑No CI Yes, and list:
JOB TITLE OR COVERED POSITION TITLE RELATIONSHIP
Police Officer Self
Describe any skills, experiences, interests and/or background information about yourself that would be helpful to the
Board you wish to serve on. Include personal accomplishments that qualify you for the appointment.
If ore space is nee please attach n additional page.
gave over% years of government experience from the military to law enforcement. I have held
'exucuttveievet pasitions trr law et iforeemerlt:fialsa-tTave-private-seetar experience and euiientlyt—
am-the'Otrivf-Operating-Offiwr fur CEA Building Group which-is-a custom luxurytiume-truilder.
Partvftmy-resposiLiliies-is-workirrg with-aidiileut5-arid-sriyitleurs-to-prspareplar is farpenrrit
sat rr nissicat-t arrrresponbilrte-fcn-bubrrlittirrg-aH-permits-fore ojects-witlr-tlre-Lul npdfly.
Page 3 of 5 Last Name&First Initial Fol br echt,J
THE FOLLOWING INFORMATION IS USED WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL
ORIGIN, AGE, DISABILITY, OR MARITAL STATUS. HOWEVER, THE FEDERAL AND STATE GOVERNMENTS
REQUIRE THE CITY TO PROVIDE STATISTICS ON THE NUMBER OF WOMEN, MINORITIES, VETERANS, AND
DISABLED PERSONS THAT ARE APPOINTED TO BOARDS. INFORMATION WILL BE USED FOR STATISTICAL
PURPOSES ONLY AND HAVE NO BEARING ON YOUR APPOINTMENT:
SEX: CIMALE ❑FEMALE
ETHNIC GROUP: 0CAUCASIAN ❑BLACK ❑SPANISH HERITAGE ❑NATIVE AMERICAN
0 ASIAN OR PACIFIC ISLANDER ❑OTHER(specify): _
CHECK ALL THAT APPLY: ❑WARTIME PERIOD VETERAN O DISABLED VETERAN ❑VIETNAM VETERAN
HANDICAPPED STATUS: ONO OYES,AND LIST THE HANDICAP:
STATEMENT OF APPLICANT: I certify that the answers are true and complete to the best of my knowledge. I authorize
investigation of all statements contained in this application. I hereby release all companies, schools, or persons from all
liability for any damage for issuing this information. I understand that the City may request a copy of my driver's license. I
have the right to request that the City completely and accurately disclose to me the contents of any investigation or reports
upon request to the Office of the City Clerk. I further understand all information provided becomes a matter of public record.
CERTIFICATION: I understand that falsification, omission, misleading statements, or misrepresentation is cause for
rejection of this application. I understand that this application is a Public Record and is subject to the provisions of Florida
Statutes Chapter 119.
FINANCIAL DISCLOSURE REPORTING: I understand that should I be appointed to a City of Okeechobee citizen board
am required to complete and file a State of Florida Financial Disclosure Form 1 upon my appointment, annually and a
Financial Disclosure Form 1-Final upon my resignation/sunset of term.
PUBLIC RECORDS/OPEN MEETINGS LAWS: I understand and agree that should I be appointed to a citizen
board/committee for the City of Okeechobee, I will comply with all State Statutes, Florida Administrative Code, and State
Constitution regarding public records, records retention,public record requests,and the open public meeting requirements.
I hereby acknowledge that I have r �d a d • sta c'�"each of the above statements.
Signature of Applicant: �_:.- `�` Date: 11/17/2022
77‘ _
1.The City Code Book Sec.70-1.. 1,70-171,70-19170-211 read: ....membership of the board,where possible,shall consist of any of
the following: architect, engineer, surveyor, urban planner, landscape architect, general contractor, realtor, business person, and lay
persons."
2. Other covered jobs include current or former, their spouse, and children: correctional and correctional probation officers; juvenile
probation officers, supervisors, detention superintendents and assistants; Department of Juvenile Justice: detention officers I and II,
detention office supervisors, residential officers, residential officer supervisors I and II, counselors and supervisors, human services
counselor administrators, senior human services counselor administrators, rehabilitation therapists, and social services counselors;
certain personnel of:the Department of Children and Families;the Department of Health;the Department of Financial Services; and the
Department of Revenue or local governments whose responsibilities include revenue collection and enforcement or child support
enforcement;investigators or inspectors of the Department of Business and Professional Regulation;the Office of the Inspector General
or internal audit department;justices of the Supreme Court;judges of the district court of appeals, circuit court,and county court;general
and special magistrates,judges of compensation claims,administrative law judges of the Divisions of Administrative Hearings,and child
support enforcement hearing officers; state attorneys and assistants, statewide prosecutors and assistants; public defenders and
assistants,criminal conflict and civil regional counsel and assistants;guardians ad!item; human resource, labor relations,or employee
relations directors and assistants,managers or assistant managers of any local government agency or water management district whose
duties include hiring and firing employees, labor contract negotiations, administration,or other personnel-related duties;tax collectors;
certain impaired practitioners and consultants; [see '119.071,Florida Statutes].
Page 4 of 5 Last Name&First Initial___FOI,hrechf j _
PLEASE RETURN COMPLETED APPLICATION TO:
CITY OF OKEECHOBEE
OFFICE OF THE CITY CLERK
55 SE 3RD AVENUE, ROOM 100
OKEECHOBEE, FLORIDA 34974
CITY CLERK'S OFFICE USE ONLY
Boards Applicant is appointed to: Verified State's consideration as an"Office":
#1 #1
#2 #2
#3 #3
APPOINTED TO:
CITY COUNCIL INITIAL TERM NOTIFICATION RE-APPOINTED TERM RE-APPOINTMENT RESIGNEDITERM CERTIFICATE OF
MEETING: DATES: SENT: DATES: NOTIFICATION SENT: SUNSET: APPRECIATION PRESENTED:
I I
Page 5 of 5 Last Name&First Initial_' rrJl Oir6.111-
Citizen Board Selection Matri•
Tally Sheet
Board Appointment: Planning Board/Board of Adjustment/Design Review Board
Point System is reflected as follows: The Point System is based on
1st Selection = 2 Points the number of applicants.
2nd Selection = 1 Point
Mayor Council Council Council Council
Applicant Name Watford Member Member Member Member Total
Chandler Clark Jarriel Keefe
Burke, Donald "Dale" - 1 I = I '1
Folbrecht, Jon A- 1 <,? .6t j •
Created:Jan.27,2021-BJ
•
Citizen Board Selection Matrix
Individual Ranking Sheet
Board Appointment: Planning Board/Board of Adjustment/Design Review Board
Ranker Name: % >�%��`/� = G i'-{''` �J c '
Point System is reflected as follows: The Point System is based on
1st Selection = 2 Points the number of applicants.
2nd Selection = 1 Point
Applicant Name Points NOTE: The same procedure
\ will be utilized to select a
Burk, Donald "Dale" winner in the event of a tie.
Folbrecht, Jon
Created:Jan.27,2021-8J
•
Citizen Board Selection Matrix
Individual Ranking Sheet
Board Appointment: Planning Board/Board of Adjustment/Design Review Board
Ranker Name: Mc 4-11 c//fA
Point System is reflected as follows: The Point System is based on
1st Selection = 2 Points the number of applicants.
2nd Selection = 1 Point
Applicant Name Points NOTE: The same procedure
will be utilized to select a
Burk, Donald "Dale" winner in the event of a tie.
Folbrecht, Jon I
Created:Jan.27,2021-8J
Citizen Board Selection Matrix
Individual Ranking Sheet
Board Appointment: Planning Board/Board of Adjustment/Design Review Board
I_ //C�
Ranker Name: 606h - %Q
Point System is reflected as follows: The Point System is based on
1st Selection = 2 Points the number of applicants.
2nd Selection = 1 Point
Applicant Name Points NOTE: The same procedure
will be utilized to select a
Burk, Donald "Dale" winner in the event of a tie.
Folbrecht, Jon (\
Created:Jan.27,2021-BJ
•
Citizen Board Selection Matrix
Individual Ranking Sheet
Board Appointment: Planning Board/Board of Adjustment/Design Review Board
Ranker Name: '
Point System is reflected as follows: The Point System is based on
1st Selection = 2 Points the number of applicants.
2nd Selection = 1 Point
Applicant Name Points NOTE: The same procedure
will be utilized to select a
Burk, Donald "Dale" 6 ' - winner in the event of a tie.
Folbrecht, Jon EMI
Created:Jan.27,2021-BJ
Citizen Board Selection Matrix
Individual Ranking Sheet
Board Appointment: Planning Board/Board of Adjustment/Design Review Board
Ranker Name: 410 i iA CCt e (CWV___
Point System is reflected as follows: The Point System is based on
1st Selection = 2 Points the number of applicants.
2nd Selection = 1 Point
Applicant Name Points NOTE: The same procedure
will be utilized to select a
Burk, Donald "Dale" winner in the event of a tie.
Folbrecht, Jon 09-
Created:Jan.27,2021-8J