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2. Select the Board, Commission, or Committee applying for*
   -- Select One --Planning & Zoning Commission(Zoning) Board of AdjustmentBuilding Standards Commission

   Please select one

4. NOTICE TO APPLICANTS:
   Once submitted, information contained in and included with this application is considered public record and must be released if a request is made. According to Government Code Section 552.024 each employee or official of a government body and each former employee and official of a government body shall choose whether to allow public access to the information in the custody of the government body that relates to the person's home address, home telephone and e-mail address. Each employee and official and each former employee and official shall state their choice to the City Secretary's office.
6. Please check the appropriate boxes*

   To be considered for this commission, please answer and at least ONE of the following (within city limits):

   1. I live in Decatur
   2. I own or co-own a business in Decatur
   3. I own property in Decatur
8. Personal Information
10. First Name*
11. Last Name*
13. Address1*
15. Address2
17. City*
18. State*
19. Zip*
21. Home Phone Number*
23. Business Address including City, State and Zip Code*
25. Business Phone Number*
27. Occupation*
29. Email Address*
31. Residency Information
33. Length of Residency in the city of Decatur, Texas*

35. Occupation, Experience / Degrees Held

37. Why do you want to serve on this group?*
39. Do you have any potential conflicts of interest?*
41. Do you have any related experience?*
43. What do you feel you have to offer this group?*
45. BOARDS AND COMMISSION SUPPLEMENTAL APPLICATION
47. First Name
48. Last Name

50. Pleas fill out the following supplemental application and return to the Planning and Development Department.

    The application selection process will include two phases with the Planning and Zoning Commission or (Zoning) Board of Adjustment.  Once an application has been selected, his/ her name will be forwarded to the City Council for final approval.

    In order to understand and contribute to issues faced by the Planning and Zoning Commission or (Zoning) Board of Adjustment, members should have background knowledge of the governing City Ordinances and some corollary experience.  Responses on the application will be ranked by the Commissioners and will be Phase One.  Phase Two ill include an interview with the applicants.  Questions will be asked based on the applicant's responses to the questionnaire.

52. PHASE ONE:

    The following questions are designed to help us identify skills that will be on benefit to the Commission or Board.  Please note proficiency in all of the areas is not required.

54. Please rank your proficiency in the following areas by placing a check mark in the field that best describes your experience level.
56. Your overall Familiarity with City Ordinances:*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
58. Familiarity with Comprehensive Zoning Ordinance*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
60. Familiarity with Comprehensive Land Use Plan*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
62. Familiarity with Subdivision Regulations*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
64. Familiarity with Sign Ordinance*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
66. Familiarity with Fence Ordinance*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
68. Familiarity with Pathway Study*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
70. Familiarity with Park land Dedication*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
72. Understanding of Residential & Commercial Planning*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
74. Understanding of and Experience with Map & Plat Interpretation*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
76. Understanding and Experience with Architectural Drawing Interpretation*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
78. Understanding and Experience with Project Evaluation*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
80. Understanding and Experience with Ordinance Development (Writing & Content)*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
82. Understanding and Experience with Ordinance Interpretation (Writing & Content)*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)
84. Understanding and Experience with Planned Development Ordinance Interpretation (Writing & Content)*

    1. No Proficiency (<1 year of experience)
    2. Somewhat Proficient (1-5 years' experience)
    3. Proficient (>5 years of experience)

86. PHASE TWO:

    These items will be discussed in further detail during the interview phase of the selection process.

88. 16. Please tell us about other community programs or committees that you have been involved with.*
90. 17. Please tell us about applicable experience or certifications you have relevant to Planning & Zoning.*
92. 18. Please tell us what skills and qualifications you would bring as a member of the Commission.*
94. TEXAS OPEN RECORDS ACT

    NOTICE TO APPLICANTS:  Once submitted, information contained in and included with this application is considered public record and must be released if a request is made. 

    According to Government Code Section 552.024 each employee or official of a government body and each former employee and official of a government body shall choose whether to allow public access to the information in the custody of the government body that relates to the person's home address, home telephone and e-mail address. 

    Each employee and official and each former employee and official shall state their choice to the City Secretary's office.

96. INFORMATION AVAILABLE FOR PUBLIC ACCESS
    If you would like your information made available, please select which information should be made public.
98. Home Address*

    1. Yes
    2. No
99. Home Phone Number*

    1. Yes
    2. No
100. Email Address*

     1. Yes
     2. No
102. SIGNATURE
     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.”
104. I agree to the above statement and confirm that all the information on this application is true and accurate to the best of my knowledge.*

     1. I AGREE
106. Signature: First M. Last*
Leave This Blank:


108. 1. Receive an email copy of this form.
109. Email address

     This field is not part of the form submission.

110. Submit Submit and Print

* indicates a required field