(Revised 4/12)
REAL ESTATE HOLDINGS
Planning Commission
Period Covered 2020
NAME AND ADDRESS
Name:
(Last) (First) (Middle)
Address:
(Street or P.O. Box Number) (City) (State) (Zip Code)
Phone: Spouse’s Name:
All names under which you and/or your spouse do business:
REAL ESTATE HOLDINGS
Disclose all real estate holdings in Fayetteville and the Fayetteville planning area, and any business
or financial interest which could affect, or be affected by, decisions of the commission.
(Revised 4/12)
SIGNATURE
I, ______________________________________, hereby certify under penalty of law that the
above
and foregoing information is true and correct.
_________________________________________
Signature
SUBSCRIBED AND SWORN before me, a Notary Public, this______ day of _______________,
20____.
__________________________________________
Notary Public
My Commission Expires: ________________________________
INFORMATION
This form was created to comply with City Code Article VII Planning Commission as follows:
City Code Article VII Planning Commission
33.106 Composition
The Planning Commission ("commission") shall consist of nine members, all of who shall be citizens
of Fayetteville, and at least two-thirds of whom shall not hold any municipal office or appointment.
No two members of the commission ("commissioners") shall be related by blood or marriage in the
third degree, nor shall any two commissioners have direct financial involvement. All
commissioners must disclose annually all real estate holdings in Fayetteville and the
Fayetteville planning area, and any business or financial interest which could affect, or be
affected by, decisions of the commission. All commissioners shall have a demonstrated
interest, experience, or expertise in land use planning.
33.110 Appointment Procedures
When vacancies on the Planning Commission occur because of resignation or term expiration, the
city shall follow the following procedure:
(C) Applicants shall disclose all real estate holdings in Fayetteville and the Fayetteville
planning area, and any business or financial interest which could affect, or be affected
by, decisions of the Planning Commission.
All Planning Commission applicants must file this form upon submitting an
application.
All Planning Commissioners must file this form annually with the City Clerk on or
before January 31
st
.