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Home My WebLink AboutAgenda - 06-03-2003 - 9-e-6ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: June 3, 2003 Action Agenda Item No. 9 - ~-( SUBJECT: Hillsborough Board of Adjustment DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover Membership Roster Memo from Margaret Hauth, Hillsborough Planning Director Letter from Donna Armbrister, Town Clerk to John Link, County Manager Resolution Requesting an Appointment to an Extraterritorial Jurisdiction Seat Applications/Resumes of Those Being Recommended Interest List Applications/Resumes of Interested Citizens INFORMATION CONTACT: Clerk's Office, ext. 2130, 2125, 2126, 2129 TELEPHONE NUMBERS: Hillsborough 245-2130 Chapel Hill 968-4501 Durham 688-7331 Mebane 336-227-2031 PURPOSE: To consider appointments to the Hillsborough Board of Adjustment. BACKGROUND: There are three Extraterritorial Jurisdiction seats on the Hillsborough Board of Adjustment, two of them Regular and one, Atternate. Regrettably, Mr. James G. King, Chair, passed away on May 4, 2003, and Mr. O.B. Hollins finished his second term in March of this year. This leaves two Regular vacant seats. In addition, Mr. Bill Crowther, serving as an Alternate ETJ member, has requested to be moved to a Regular position. The Town of Hillsborough has notified the Clerk's office that -the Town Board adopted, on May 12, 2003 a "Resolution Requesting an Appointment to an Extraterritorial Jurisdiction Seat on the Hillsborough Board of Adjustment." The Town is thereby recommending 'the appointment of Mr. Richard L. Silverman, 205 Saponi Drive, Hillsborough, N.C. 27278 to a Regular. ETJ seat. FINANCIAL IMPACT: None. RECOMMENDATION(S): Consider appointments to the Hillsborough Board of Adjustment as follows: consider moving Mr. Bill Crowther from his current Alternate ETJ seat to a Regular ETJ seat, with term expiration date of March 31, 2006; and consider appointing one member to a Regular Extraterritorial Jurisdiction seat, as the Board may decide. Board and Commission Members And Vacant Positions HillsBorough Board of Adjustment Meeting Times: 6:30 p.m. second Wednesday of each month Terms: 2 Contact Person: Margaret Hauth, Planning Director, Meeting Place: the Hillsborough Bam Positions: 7 Length: 3 years Contact Phone: 9t9-732-1270 x73 Description: The Board of Commissioners appoints three County representatives to positions on this board. This board reviews non-residential building projects, variance requests and appeals. Mr. Jeff Hopper Day Phone: Sex: Male I 120 N. Wake Street Evening Phone: Race: Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: Resid. Require: Town of H'borough Special Repr: br-Town Mr. Brian Lowen Day Phone: 919-563-8372 Sex: Male 2 635-A North Churton Street Evening Phone: 919-644-1427 Race; African American Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: l-owenb(a3madisonriver.net Resid. Requite: Town of H'borough Special Repr:ln-Town Mt'. Larry Carroll Day Phone: Sex: 3 221 St.Mary's Rd. Evening Phone: Race: Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: Resid. Require: Town of H'borough Special Repr: In-Town First Appointed: 09/01/2001 Current Appointment: 09/01/2001 Expiration: 10/01 /2003 Number of Terms: 0 First Appointed: t 1/15/1999 Current Appointment: t 1/15/1999 Expiration: 11 /01/2003 Number of Terms: First Appointed: 03/09/1996 Current Appointment: 02/01/1998 Expiration: 02/28/2004 Number of Terms: 2 Ms. Cannie Bacon Lloyd Day Phone: 919-732-7227 4 606 Victoria Drive Evening Phone: 919-732-6239 Hillsborough NC 27278 FAX: E-mail: ~~ ~~ VACANT \ ~ ~~ ,., (~~ Day Phone: 5 ~G\ V`-~ ~~l~~ClEvenmg Phone: G~t1 ,~('~ FAX: ~~ ,p~ E-mail: ~~ ~ Sex: Female First Appointed: 05/15/1999 Race: Caucasian Current Appointment: 06/27/2002 Township: Hillsborough Expiration: 06/30/2005 Resid. Require: Town of H'borough Number of Terms: 2 Special Repr: Town-Planning Board Rep. Sex: First Appointed: Race: Current Appointment: Township: Expiration: 06/01/2004 Resid. Require: ExtrateRitorial Iurisd Number of Terms: Special Repr: County 1 v Friday, May 23, 2003 Page 1. ' Board and Commission Members _ __ _ And Vacant Positions Hillsborough Board of Adjustment Meeting Times: 6:30 p.m. second Wednesday of each month Terms: 2 Contact Person: Margaret Hauth, Planning Director, Meeting Place: the Hillsborough Barn Positions: 7 Length: 3 years Contact Phone: 919-732-1270 x73 Description: The Board of Commissioners appoints three County representatives to positions on this board. This board reviews non-residential building projects, variance requests and appeals. ~ ~~ ~ Mr. ~. B. Holli ~~~Day Phone: 919-732-2713 Sex: Male First Appointed: 08/20/1996 ~2-~ Evening Phone: 919-732-2713 908 O e Hi h Sch Rd Race: Caucasian Current Appointment: 10/03/2000 g ~i~ 6 borough NC 27278 FAX: Township: Hillsborough Expiration: 03/31/2003 E-mail: Resid. Require: Extraterritorial Jurisd Number of Terms: 2 Special Repr: County Mr. William Crowther Day Phone: 919-732-6886 Sex: Male First Appointed: 12/11/2001 7 372 St. Marys Rd. Evening Phone: 919-732-7537 Race: Caucasian Current Appointment: (2/11/2001 Hillsborough NC 27278 ~ FAX: 919-732-4524 Township: Hillsborough Expiration: 09/30/2004 ~~ E-mail: t Resid. Require: Extraterritorial Jurisd Number of Terms: t ^/~ `~ I t Special Repr: County-Alternate ~~, ~~~v ~ ~"~ 5 Friday, May 23, 2003 Page 2 Clancy Glover RE Boards and Commissions REAPPOINTMENTS 9 From: "Margaret A. Hauth" <margaret.hauth@hillsboroughnc.org> To: "Nancy Glover" <ncglover@co.orange.nc.us> Date: 5/16/03 11:22AM Subject: RE: Boards and Commissions -REAPPOINTMENTS Nancy, I'm not aware that I have any more re-appointments for the calendar year. It did come up at the BOA meeting this week however, that Bill Crowther is most likely in an "alternate" seat. In years past the BOCC has always when a vacancy came member is the alternate. How ao we Margaret 05/15/2003 15:14 r ~OWII of gills ~~ May 13, 2003 919644239@ Mr. John Link Orange County Manager P.O.Bax 8181 Hillsborough, NC 27278 Dear Mr. Link: TOWN HALL PAGE 01 ~~~ The Hillsborough Towm Board, at it May 12 meeting, sdoptted the attached resolution requesting that Richard Silverman bE appointiad to an Extraterritorial Plaanirrg Jurisdiction seat on the Hillsborough Board of Adjustment This aippointttn~e~d is na:esaa~y to fill an unexpired teen of am ETJ seat on the l~illsborough Board of Adjustment with a term expiring Jur-e 30, 2004. We would appreciate your submitting this resolution to the County Comimissioners for consideration. Sincclzly, llonna F. Armbrister Town Clerk Enclosures: Rssolutivn Application fi~ow ltichsrd Silverman (o RESOLUTION REQUESTING AN APPOINTMENT TO AN EXTRATERRITORIAL JURISDICTION SEAT ON THE HILLSBOROUGH BOARD OF ADJUSTMENT WHEREAS, as a result of the end of a Lem, it is noces.4aty W appoint a person to a seat reserved on the Hillsborough Board of Adjustment for persans rzsiding within the town's extraterritorial plerming jwisdiction; and Wl~REAS, by state statute and town ordinance, the Orange County Board of Commissioners initially has the autb-oscity and responsibility tv appoint ETJ members t~o tho town's Boatel of Adjusttne~. NOW, THEREFORE, THE BOARD OF COMMISSIONERS OF TIC TOWN OF HILLSBOROUGH RESOLVES: Section 1. The Orange Couiriy Bayard of Comrnissionears is respectfully requested to appoint the following individual to the unexpired term of an ETJ seat on the Hillsborough Boatel of Adjustment, whose tens would expire in June 30, 2004: Ricbasd Silvcrmrm 205 Saponi Dr Hillsborough, NC 27276 Section 2, ff the Orange County Board of Commissioners fails w appoint persons willing to serve in the capacity described above within 90 days after receiving this resolution, then the Hillsborough Town Bond may mate this appoiatme[rt. ~ . Section 3. The Town Clerl~ shall send a Dopy of this resolution to the Orange County Manager. Section 4. This rt~olution shall beoonac effec4vc upon adoption. The foregoing resolution berving been subtrritted to a vote received the following vote and was duly adopted this 12~' day of May 2003. . Ayes: Notes: ~' AbseroR or excused: I, Donna F. Armbtisbet, Town Cleric of t(~e Town of killsborough, do hereby certify that the foregoing is a true and concoct copy of a resolution adopted by the Hillsborough Town Board of Commissioners on May 12t°, '2003. ``,,N~~tl~urri~~~'''i o~ ~o ~ r F' T~ Donna F. Armbrister ~~ Town Clerk ~Z I ._~ ??~aa 9197324524 ' _3:t3a Buck TredwOy AYR MOUNT 7~ P'~~2 di ! ~ Crowther VOLUNtEER APPLICATION ORAN06 COUNTY BOARDS AND COMMISSIONS If you are an Oranoa County realdsnt, at feast 18 yeses eld, and wiillne to votunNer your time •nd exprrttse to your community, plsa~a apmp(ste xnd return to: OrartQ~ COUMy C4menis~ioners' Oflica P. o. Box ata~ Milisiwnwgh, NC z727a Na(aE: .~.~~~ HER ~ MomE AooRESS: .,.,._3~ ~. St. Vl~t 1RRy5 R.0 Kl~t,5Q01~o~~9,N__ zip ~ee.~_ ~ ~ c~ ~ uv ~ ,~,~:t; ~I I 1~. MAtt I 11999 ~ { Jt tEI.EpHONlE: tKf '1~7~•jS37 tWy__ 3z_688, ~ ~F,xy 73`I„~...._ EMAIL RLACE OF EIifPLOYMENT: Rye ~lDU1JT Joe TITHE; S cTtG Ihl f~ ~ . -- r._~..... 1 LIST dOQ~ vOWNTEER, ANO EDUCATIONAL EXPEAttENCE ANDlQR Sit(LLS Yl~U t,.Cf S TO CONSIDER. IN ORDER TO ASSURE COUNTYWIDE REPRESENTATION PLEASE INDICATE YOUR tOWNSHIP OF RESIDENCE: B(ngi'iam ~ CheNcs Mlilsborouph ,~., Cnv ,,,,~_,_,~ Chapel HIII _,"_„~ LiKle River ~~ Csdat Grow IN AdOmoN, PLEASE INWCATE 1F YOU LfVE IN ONE OF THE FOLLOWiNO AREAS: JPA (Joint Planing Ar+wa~ EA tlactraterrlWrial Arse) TA f?rartsltioes Array ~,,,,,.,~ WE AsK YOVR HELP IN ASSURING DIVERSITY OF MEM6ERSHlR 8Y AGE. GENDER AND RAtE, BY ANSWERING THE FOLI.OrII1N6 Ql1ESTIONS: date _,. X ,_. Ftmule ~___,_ DATE OF BIRTH -- te13e1s3 ETHNIC BACKGROUND: African American _„„~,_ Cauwsfae _~ Native Amerlptn ",~„ H(spae~k Other `~ PLEASE LISP (IN ORDER OF PREFERCNG~ THE 9Q/IROSICOIMMIS3l~IS ON WHICH YOU WOULD BE WILLING TO SERVi:. - ~. E.~ R ii: 12-I~-o- Z. G or ~s~e~clt e, ,da'~ IL- ~ i ' a 3. R~n~,e~ on i2~~iw 5~a3jo3 ~~u~~D -ra B~ Nlo~~.u r2oM ~4LT~~¢~T~` -~Fd '~~~Ut~tz `'vv~ g; _~~, ~•-"' 319?324524 __ ..-- - - Buck TreClwOy _ ~~ AYR MQ(~VT ~siei s~~-a~4s (~. 2 /a (3i I t crow+he~ Pbise ({st iay vrcrk~ voiu~~ea-, a:.ci~or cdueatiensl a~parianea you would lik. to have reu+sidewd in the ravisM- oT yout opplitation. WORK ExPg$t~~: AEI1~ rUtCt~T ~ `t'S (o~a YQ~tJNI'EER EXPEI~iFh~: ~ RR. tg75 • .... ,._____ .....~5~ t~ ., ...~_....~.. t~t~.E~ ~..,.~._,....._.~....:. OTHER ~~fi[M T : Mow did you besome aware of nrattgo cn~nty voiuatN- oppoKun3tiss? tP'leas~t spraity~: NowsOape~ ~ __^._._ Currant ORr~ County Yatta-teer ___~__,~_ Rsdio T.Y. . Qthse ~~~ It itppamlad, i phe IO a~lrnd • tl+rea-hour arle~htio~ ~rhFch will gives an anr.rvt~r of haw O~rg. County Gowrnmant oprrats and what i!i eaistfonship h to othsr govan~ma~l units. W ~aw~ L . ~ 3 tt SIR .~ tsi~nstun) tdot~e- vo~otsK3 : arst.m+; H: \_.vou~P~ . ooc • Page 1 of 1 Richard L Silverman . VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and expertise to your community, please complete and submit this form. Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Mr. Richard L. Silverman 205 Saponi Drive Hillsborough, NC 27278 919-732-9319 richsilver@visionet.org NCDOT -Planning and Environmental Division Historic Preservation Specialist II Hillsborough EA (Extraterritorial Area) Male Caucasian Please list (in order of preference) the Boards/Commissions on which you would be willing to serve...... . 1.. Hillsborough Board of Adjustment 2. 3. WORK EXPERIENCE: 4 years in architecture; 3.5 years at NCDOT VOLUNTEER EXPERIENCE: Litter Sweep Volunteer; Meals on Wheels Volunteer EDUCATIONAL EXPERIENCE: BA, Liberal Arts, Univ. of Vt.; MA, Architecture, Va. Tech. OTHER COMMENTS: would like to contribute to my community~in a positive way, and I would like to learn about Public Service. I have learned over the past few months how important public service really is. How did you become aware of Orange County volunteer opportunities? If Other, how? By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation. This form was submitted online, on 5/15/03 4:40:49 PM OCR Applicant Interest Listing Hillsborough Board of Adjustment by Board Name and by Applicant Name Contact Person: Mazgazet Hauth, Planning Direc Contact Phone: 919-732-1270 x73 Ms. Rachel Hawkins Day Phone: 919-644-3402 // ~ Sex: Female 802 Greentree Evening Phone: 919-732-9820 ~ Race: Caucasian Hillsborough NC 27278 FAX: 919-644-1030 Township: Hillsborough E-mail: rachelhawlins@piedmont.ncemcs.com Date Applied: 05/15/2003 Skills: Citizen Also Serves On: Skills: ETJ Also Serves On: Ms. Deborah Judd Day Phone: 1606 Faucette Mill Road Evening Phone: Hillsborough NC 27278 FAX: E-mail: Skills: Certified Financial Planner Also Serves On: Skills: Self-employed Also Serves On: 919-732-8630 ,` ~ ~~ ~ 1 l pSV ~ Sex: Female 919-732-8630 ~" ~ ~(h~ G/ Race: Caucasian (h`" ~'' Township: Cheeks djudd@juddllc.com Date Applied: 05/15/2003 Sex: Mr. Richard L. Silverman `hone: 919-732-9319 Mee 205 Saponi Drive ](l~e}~ g Phone: J Race: Caucasian n-p~ ~ ~~ Hi]Isborough NC 27278 K / ,V- , •`~`~l FAX: Township: Hillsborough 111~~~+++"`""' `N- E-mail: richsilver@visionet.org Date Applied: 05/15/2003 Skills: ETJ ~ Also Serves On: Skills: Meals-0n-Wheels Volunteer Also Serves On: Skills: NC DOT (Dept. of Transportation) Also Serves On: Ms. Barrie Wallace Day Phone: 644-2381 / Sex: Female 140 Tuscarora Drive Evening Phone: 644-2381 ~ ~~ Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough E_~]: ployntabs@earthlink.net Date Applied: 04/24/2003 Skills: Community Service Volunteer Also Serves On: Skills: Paralegal ~~~ Also Serves On: Thursday, May 15, 2003 Page 1 of 1 // This space for office use only Page 1 of 1 Rachel Hawkins VOLUNTEER APPLICATION ORANGE COUNTY BOARDS AND COMNIISSIONS NAME: ----------------------------- Rachel Hawkins HOME ADDRESS: ----------------- 802 Greentree Drive CI'TY: ---------------------------------- Hillsborough STATE: ------------------------------ NC ZIP CODE: -----------_--_---- 27278 TELEPHONE: (Home) ---------- 732-9820 TELEPHONE: (Work) ------------- 644-3402 TELEPHONE: (FAX) --------------- 644-1030 EMAIL: --------------------------- rachel.hawkins@pemc.org or rph@touchnc.net PLACE OF EMPLOYMENT: ------ Piedmont EMC JOB TITLE: ------------------ Executive Assistant to the Board TOWNSHIP OF RESIDENCE: --Hillsborough ZONE OF RESIDENCE: ----------- EA (Extraterritorial Area) SEX: ------------------------ Female ETHNIC BACKGROUND: --------- Caucasian DATE OF BIRTH: --_____w________ 01/29/1948 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1 --_~_~~____ Town of Hillsborough Planning Board 2, _____________~~_ . 3, ---- ------- Please list work, volunteer and educational experience. WORK EXPERIENCE: Executive Assistant PEMC - 17 years. Serve as business/ community representative on Chamber of Commerce/American Red Cross Blood Mobile Services/Relay for Life Team Captain/ VOLUNTEER EXPERIENCE: Hillsborough Candlelight Tour -Chair -three years. Hillsborough Candlelight Tour -volunteer 10 years; Shaping Orange County's Future - 3 years (Chair of Sub group, Executive Committee); Promote Hillsborough through guiding tour groups Orange High School Business and Office Education Committee four years; Received Hillsbororough Business Person of the Year Award 2000. EDUCATIONAL EXPERIENCE: Orange High School-graduate, Chowan College -graduate; Durham Technical Community College -graduate. OTHER COMMENTS: Through my association in downtown Hillsborough Activities, through the Chamber, the Colonial Guides, The Candlelight Tour, Hog Day, and through my place of employment, I believe I can relate to issues with concern and for the betterment of the community. Through my association on the Shaping Orange County's Task Force Group, I learned much about the diversity of this community, and although our plan has not been formally accepted nor implemented, we educated ourselves with pertinent information and spent considerable time striving to make Orange County a better place for all with our recommendations: How did you become aware of Orange County volunteer opportunities? List all that apply: Newspaper. If other, how? By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation.This form was submitted online, on Sun Mar 17 20:00:58 2002. and renewed by message from Margaret Hauth, Hillsborough. Planning Director, 5/17/03. VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and expertise to your community, please complete and submit this form. Name: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Deborah Judd 1606 Faucette Mill Rd Hillsborough, NC 27278 732-8630 Djudd@juddllc.com Self employed -Judd Consultants LLC Owner Cheeks Female Ethnic Background: Caucasian Date of Birth: 09/28/1951 Please list (in order of preference) the Boazds/Commissions on which you would be willing to serve. 1. Recreation and Parks Advisory Council 2. Hillsborough Planning Board 3. Hillsborough B.O.A. Work Experience: I have most recently owned and operated amulti-million dollaz manufacturing company in North Raleigh. I was the President of the company until it was purchased in 1999. Before we moved to Raleigh, Iwas a CFP -Certified Financial Planner in Boston working at a small financial services firm. I have also worked at a large CPA firm doing tax preparation and financial planning. Volunteer Experience: I have been very active on the North Carolina Hunter Jumper Association as a board member for the last three year.. I also managed the NCHJA annual horse show in Raleigh last year and am doing it again this year. We are a charity horse show and raised $35,000 for the UNC Pediatric Oncology Division and also, $5,000 for the NC State Vet School. Education: I have a BS in Management from Northeastern University in Boston,MA. In addition, I am a Certified Financial Planner. Other Comments: I am currently semi-retired so I have time to get involved in our community. I am also a very active tennis player and equestrian. I also own a large property in Orange County. How did you become aware of Orange County volunteer opportunities? County Web Site. By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation. This form was submitted online, on 12/23/02 7:56:27 AM. Iy,/.- FOR OFFICE USE ONLY ' l~ ~• 1 a F 2 Barr. i e 1>~0-\~ ~';~ :'. 2 ~NL~1:1iNT-E~ER Ai'AtICAT~ION- ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS # ycni are a~ Orae{ge ir4t~fity tes{dent, at least 4 8 years olc#, arm ~rliling ~ ~r your time' ar~at expertise to your community. please complete this application and return to; w ails a~~_b• pd flrar~e~ Cotfntll Bcrarc# of C~ntmlesioners' O#flce P.O. Bax 8481 rnught NG 27278 Phone (919) 24x2125; 245-2129; 245-2130; 732 8181 Fax: (9192644-0246 • Email: ncglavert~co.arange.nc.us NAME: a a r ~C1 C.. ~ 0..~ 10. L-ti i#3M~,A~~~R~E83:1~C7 ~t~5 C„~{ o ra. ~ ~';~y ~ _ y C)TX: t43,1 ra ~~1 ~1p cot3®~- e~ 7c~•~ O PHONE: (pay) ~ ~`~ _a 3 $1 (EveningJtate) ~E}`; ~ ~ S 1 (Fax) F_AAAIL: ~' L. a ~' N ~' A ~, s ~ F PR.zt+ ~~tvlc N~.T f+'tAGE-~ EIU1PtOa(~lllEd~T: 1Ja~ E ~ Q n.CoSel~ Jfl8 TiTt~E: ~C J IAI DRDER TD dccttRF CDlI~ITYWIDEl~tEPRESENrATIOAIPLEASER~Ib1C~-TE YD1JF1: TOWb OF RES~ENCE: O 91n~ham O Cheeks ~ Hillsborough O Ena ^ Chapel HIII O Little Rh-er O Cedar Grove IN ADDRION, PLEASE INDICATE IF Y LIVE IN ONE OF THE FOLLOWING AREAS: O Joint PlanMng Area ~ Extrat vial Area O Transition Area iplE~ Alf ~fT3UR'iiE~:P'iN'A DIVERSfTY OF #IiEiIABERSHIP BY AGE. GENi3ER AND RACE, BY ANSWERING THE FOLLOWING QUESTIONS: D Mate ~1 Female ETHNIC BACKGROLND: O African AmeHcan ICJ Caucasian O Hlspadc II NatMe AAlerlcan U Other DATE OF BIRTH:.1~s3Q(Sr 1 PLEASE ii8T (HV ORDER OF PREFERENCES THE BOARDS/COMINI6SIONS ONI WHICH YOU WOULD BE WILLING TO SERVE.. . 1. ]'fi il~bb~rx b-h f IGnn inG bArrfd 2. H1 t t~Ol~-1 ~d~ _[~q,}~MUy, 3. adIORK f 7CPF_RiFJ+ICE: VOL'if1~iTEER~7CPERiENCE: d-b,/ a~~ ~G cG : cif ada'~ `~ ~~ ~~ /~{ FOR OFFICE USE ONLY .tar-2- €DUCAT~oN: ~. A . '~ ~ s 1. 1;~~~,{~ 5+~.~~, ~`la-~,c- {~1;HER~Cl3MAAENTS: ~- ~~ Hour did you becomts aware of Orange County.volunteeropporlunities? ,(Please cheaic all that applyj: O Newspaper O County Web Page O Current~Orange Co ty Volunteer rn i 1.`~ O Radio O T.V. ®Other ty' l S ro~ ETHICS C~iREi_4NES'f-(3R COUNTY ADVISORY BOARDS AND COMMISSIONS i agree by my signature below #hat, # appointed, I pledge to comply vritfi the following ethics guidelines #or advisory boards and commissions as adopted by the Orange County Board of Commissioners. Members of advisory hoards and cxjrr~missions shah riot dtscuss, advocate, or vote on any (natter in whldl they have a conflict or potential conftid of interest ar an interest which reasonably might .appear to be M oonflid with the of fa'uness in .dealing with ;wblic iausinsss. A .corltiird Af interest ar a potential conflict occxus if a member has a separate, private, or monetary interest, either din3ct or indirect, in any issue or transadbn under consideration. Any. member who violates this provision may be subject to removal from the board or commission. tf an advisory board or oomrnissbn member relieves tre/~e has~a-oonftict or potetttiattx~nflid~t3f' interest on a particular issue, then that member should state this belief to the other members of hisfher resperxis-8 .advisory txaard or mrranission during the beard or ms's ~ubiic meeting. The member should state the nature of the inflict, detailing that he/she has a separate, private, or monetary interest, either direct or indirect, In the issue or transaction under consideration. The member should then excuse himself/herselffrcm considering and voting On the matter. In cases where an advisory boani or commission~member declares a conflict or potential conirid of interest, the member shall excuse himself/herselFfram the board tabfe/voting area urrtil ail discussion, consideration, and voting is completed on the matter in question. Any advisorgl board or ootnn~ission rrreraber having questions or lMg assisEartee ~gartifrig the Interpretatbn of these ethics guidelines or other conflict of Merest matters should confect the ardmitisttative stffif for the respective beard cr nommisaloa. Staff brill assist the member brith questions and interpretations and may provide a recommendation on whether or not the advisory board or commission member should excuse himsetf/herself from voting. Ttw member may request that the stet( respond in writing. Staff may c~ntad the County Manager for any additional assistance. if appointed. t agn:e to a#end ~a t-hour orientation whidt wiN gNe an overview of #~c~r grange Cflunty Government operates and its rek'ttionship tv other governmental units. Signaturt: Date a~8:; $: ~1..~uc