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HomeMy WebLinkAboutFerrell application, TBID, 2-11 CITY OF BOZEMAN, MONTANA APPLICATION FOR THE BOZEMAN BOZEMAN TOURISM BUSINESS IMPROVEMENT DISTRICT(BTBID) ' / BOARD OF TRUSTEES Date: �//y // I Name: _1A) Physical Address: Mailing Address (if different): Email: k4p Cl/ A4a,4' 1'd2H- os�'2 Phone(s): 95 - - ,tf/ -el/ Aw te— Name of Property Owned within the District: RA,6 dlr,I�G /h,-7 /�� a�r�o Address of Property; (o S` 77- VU-1l C E3o�i 1 vJ21`_ �,97/k Are you the owner of the proper ne within the District,or the desi e of an owner of property within the District? e No I �e�� 31GlC�i72lLn certify that I am a property owner within the District and I am dulyauthorized to either serve on the Board of Trustees or appoint as my designee. Property O rSrigmture Date 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? /?a (If so,where,what board, and how long?) Please explain your relevant qualifications, interests, and experiences. c , v6q- ate - a cue �� References (Individual or Organ-ization)Name: Phone: fob Ferret f�is reer7 C/V-A&P �k�— P)*c.& 3a 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 littp://r..vw .bozo niaii net/WebLinkS/0/fol/405'_7/R`o l.asi)x or call 582-2320 with questions. PIease 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.