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2. First Name*
3. Last Name*
5. Home Address*
7. City*
8. State*
9. Zip
11. Mobile Number:*
12. Home Number:
13. Work Number:
15. Occupation:*
17. Email Address:*
19. Length of Residency:*

21. Please answer the following questions as thoroughly as possible, and provide specific examples, if relevant. 

23. 1. Do any immediate family members or business associates serve the City of Decatur in any capacity?*
25. 2. Are you, your spouse or employer aware of any current financial interest in matters that might come before the board to which you seek appointment?*
27. 3. Do you, your spouse, your employer or any business that you have a financial interest in, have any pending claims against the City of Decatur?*
29. 4. Do you or your spouse have ownership interest in any property that is the subject of a condemnation proceeding or court proceeding that the City is an interested party?*
31. 5. Are you, your spouse or any business that you have a financial interest in, delinquent on any local or Federal taxes?*
33. 6. Have you ever been convicted of a crime, (other than minor traffic offenses)?*
35. 7. Recognizing that serving on a board, commission or committee can be time consuming, are you committed to attending all regularly scheduled meetings and additional workshops or meetings as needed?*

39. ADDITIONAL INFORMATION:

41. 8. Why do you want to serve on the Planning & Zoning Commission?*
43. 9. Do you have any potential conflicts of interest that you would ultimately have to disclose?*
45. 10. For what service groups, boards or other organizations have you served in a leadership capacity (local or otherwise), and how do you think that experience will help you serve the city of Decatur as a P&Z Commissioner?*
47. 11. What other personal qualities or traits do you possess that would help you serve your community in this capacity?*
49. 12. What businesses and/or real estate investments do you own or manage in Decatur? Describe how that experience will benefit you if chosen to serve as a P&Z Commissioner.*
51. 13. What educational degrees do you possess or what related coursework have you taken (such as city planning, municipal management, engineering or other) that would benefit you when evaluating petitions brought before the P&Z?*
55. EXPERIENCE

    Having Commissioners on the Board that possess a wide range of knowledge and experience in real estate development, city ordinances & codes, the permitting process, city planning & management, etc. can be particularly valuable.  With that in mind, please provide any information regarding the following:

57. 14. Describe any prior experience you have with Decatur’s Planning & Zoning Commission or that of any other municipality, board and/ or Commission. *
59. 15. Have you served on a P&Z Commission before?*
61. 16. Describe any petitions (for a zoning change, a plat approval, a sign approval, a variance, or other) that you may have brought before a P&Z Commission - Decatur or otherwise. How was your experience? How could the process be improved?*
63. 17. Describe any relevant knowledge or experience you have in any of the following specific areas:
65. a. City ordinance creation and/ or review*
67. b. Zoning Ordinance*
69. c. Subdivision Regulations*
71. d. Comprehensive Plan*
73. e. Parks and Recreation Ordinance*
75. f. Development/ Developer Agreements*
77. g. Planned Developments*
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79. 1. Receive an email copy of this form.
80. Email address

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81. Submit

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