HomeMy WebLinkAboutBrooks, Board of Appeals Application, 1-10 Print form E-mail form
CITY OF BOZEMAN, MONTANA
APPLICATION FOR THE BOARD OF APPEALS
Date: S� 4 1 .x W / o
Name: Ci± �= w = r3 /a,
Physical Address: T e.> >r 41--
Mailing Address(if ditTerent):
Email: 0 . 0 ri C- 0 J,c S
Phone(s): l,! P 6 y $' 7 3 a- o
Length of time in the Bozeman area.
Occupation: ij
Employer:
Have you ever served on a City or County board? Y-
(If so, where, what board, and how long?) ,, 17
Please explain any experience with building construction.
A
Please explain 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 wcbsite.
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.