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CITY OF BOZEMAN, MONTANA
APPLICATION FOR THE PEDESTRIAN AND TRAFFIC SAFETY COMMITTEE
Note: This is a joint board. This application for the City representative portions only.
Contact the County clerk for an application for other positions.
Date:
Name: i,e
Physical Address: 6:1 G� min e U CVO
Mailing Address (if different):
Email:
Phone(s):
Length of time in the Bozeman
--area: _41r es2 ✓ e ck., -
Occupation: (�y�-� l 2_��0-n t ✓ ( i
Employer: I _ w
Have you ever screed on a City or County board? NCB
(If so,where, what board, and how long?)
Please explain your relevant qualifications, interests, an-d e periences.
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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.