HomeMy WebLinkAboutCook NSURB application CITY OF BOZEMAN, MONTANA
APPLICATION FOR THE NORTH SEVENTH URBAN RENEWAL BOARD
Date: )Z/I Z/y
Name:
Physical Address: I O`l I I-1, 1 I-I a/�,}<.—
Mailing Address(if different): 1 Z'7 6 Ive r J-L. 15 4-1 Ave
Email: -,),-,-,) @ C e4-,.A- (cz L Z emsj e�4<
Phone(s): 5q 6> - 03 U Z
Length of time in the Bozeman area: -6
Occupation: e L e
Employer: G e.--c 0LP — )-e--
Have you ever served on a City or County board?
(If so,where,what board, and how long?)
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.