HomeMy WebLinkAboutEvans Impact Fee application, 6-11 04/19/2011 03:05 14063884095 CONSTRUCTIVE SOLUTIN PAGE 02/02
�ti7T.
"1......h<w`�
CITY OF BOZEMAN,MONTANA
APPLICATION FOR TIFE IMPACT FEE ADVISORY COMMITTEE
Date:
Name: P, g ✓/�tiS
Physical Address: 5 eft 11 , ( , �,,, O W 7/3-
Mailing Address(if different): f
Email: t1syM. 6 qt a /,clma;l. Com
Phone($)- t 40v) S 70 •-' y$ (�aj SSG-(yo i
Length of time ba the Bozeman area: c 2A
Occupation: 66-11 c n4 Co.:3-4 any-- 617 S fig G l`!'cJ
Employer: S-C - 01f 44c —
Have you ever served on a City or County board? A
(If so,where,what board,and how long?)
Applicants should apply as one of the flowing: certified public accountant not
holding public office or employmen uilde land developer;citizen, of Bozeman not
employed in the development industry; or members selected by City Commission.
Please explain your relevant qualifications, interests,and experiences.
!'Arivc �uvlrT7�/+Ji7�� !XNfi nIXG f2Orot7vl' d $c4}G-z"ity✓� r�rSt,1SSS c6 ?'Z� C'iZA-017144,/
PVFCIzt'�5 nzc,+,.+, /KS4i Id RJ41.vScrHy A -Z!, �c/cc2J s z �a��� fftl�/uta� ,: € of ?t*o
1fll f '3/1�8 oT s��4�)?��; 7`.�2 ,a. /.�a ,r3VILdIi-6 1A„44'17-y5, ,, 3'Sv�i, f7ty✓/
References(Individual.or Organization)Name: Phone:
SE?4N '' - c�rn� G�c:�►+�55�o�.J a ,O/ - 7S7
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.