HomeMy WebLinkAboutPomnichowski Board of Adjustment Application, 1-11CITY OF BOZEMAN, MONTANA
APPLICATION FOR THE BOARD OF ADJUSTMENT
Date:__________
Name: __________________________________________________________________
Physical Address: _________________________________________________________
Mailing Address (if different): _______________________________________________
Email: __________________________________________________________________
Phone(s): _______________________________________________________________
Length of time in the Bozeman area: _____________________________________
Occupation: ______________________________________________________________
Employer: ___________________________________________________________
Have you ever served on a City or County board? ________________________________
(If so, where, what board, and how long?)
Please explain any experience with local government.
Please explain any other relevant qualifications, interests, and experiences.
References (Individual or Organization) Name: Phone:
___________________________________________________ __________________
___________________________________________________ __________________
___________________________________________________ __________________
This application is considered public record. Application contact information may be displayed on the City of
Bozeman website.
PLEASE NOTE: Per Ordinance No. 1759, revising Chapter 2.01 of the Bozeman Municipal Code, all board
members are required to attend a yearly ethics workshop provided free of charge by the City as a condition of
service as a member of a board.
PLEASE NOTE: Upon appointment, because this board has decision-making authority over monetary expenditures
and / or contractual and regulatory matters, members of this board are required to file a financial disclosure form
with the City Clerkâs office that will become public record. For further information on this requirement please visit
http://www.bozeman.net/WebLink8/0/fol/40537/Row1.aspx or call 582-2320 with questions.