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CITY OF BOZEMAN, MONTANA
APPLICATION FOR THE BOZEMAN HISTORIC PRESERVATION ADVISORY BOARD
Date: ', Z C v
Physical Address: fj6 i IV , C IFyZ�t! /�-v'L�' , !�c�T7�/-�/, .44r-. S__r171S
Mailing Address(if different):
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Phone(s):
Length of time in the Bozeman area:
Occupation:
Employer: S*r L_F 6^wzry S"I_*C Cuw,Sr4�t uc Ti cy-✓)
Have you ever served on a City or County board'? 4`6s 5
(If so, where,what board,and how long?) No/c� 7H&,'tS i UrP3' /
Applicants should apply as one of the following: professional member with expertise in the
disciplines of history, planning, archaeology, architecture, architecture history, historic archaeology,
or other history preservation-related disciplines; member from historic districts; member owning or
operating a business in the Main Street commercial district; or at-large representative.
Please explain your relevant qualifications, interests, and experiences.(6,PPLI'1^/(, 4J2 Ate-
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References (Individual or Organization) Name: Phone:
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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.