HomeMy WebLinkAboutAsh application, TBID, 7-12 CITY OF BOZEMAN, MONTANA
APPLICATION FOR THE BOZEMAN
BOZEMAN TOURISM BUSINESS IMPROVEMENT DISTRICT (BTBID)
BOARD OF TRUSTEES
Date:_71 -1
Name: _ 44dreo S
Physical Address: 15*70 K). 7 K Ayr-, Mr 5 9 715
Mailing Address (if different):
Email: as S4 C.QAA o i wN610 2t&AAA LOA^
Phone(s): (40`) SS-7-ZA 2-2..
Name of Property Owned within the District:
Address of Property: 13 7o nJ. -In Ave., I bosamAr 4
-716
Are you the owner of the property within the District, or the d esignee of an owner of property
within the District? (rn) No
I lime- (SaoL certify that I am a property owner within the District and I
am duly authorized to either serve on the Board of Trustees or appoint
Ha as my designee.
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roperty Owner Signature at
PLEASE NOTE: An application from the manager of a hotel must contain a signed statement
from the owner indicating that the hotel manager is authorized to represent the owner or a note
from the corporate officer authorized to represent the board.
Have you ever served on a City or County board? ]e5
(If so, where, what board, and how long?)
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Please explain your relevant qualifications, interests, and experiences.
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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.
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 Clerk's office that will become public
record. For further information on this requirement please visit
htti)://www.bozeman.net/WebLink8/0/fol/40537/Rowl.aspx or call 582-2320 with questions.
Please print and sign this application where appropriate and either
deliver to the
City Clerk's office at 121 North Rouse, Suite 102, Bozeman, Montana
or mail to:
City of Bozeman Clerk's office, Attn: Aimee Kissel, P.O. Box 1230, Bozeman, MT 59771.