HomeMy WebLinkAboutAugust 11- August 17 ACSSD Support Forms Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) — Protest V11 Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
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Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) a Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 ate ,A�/PM.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
the undersigned owner(s)want to
(check one) _ Protest ✓ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the ci y's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on 1 /_[U /2015 at :OaAZPM.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
Me the undersigned owner(s)want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest -`'Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:.
Y
Signature: PrintedName: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on /2015 at C-)lOPM. "1
2
Arterial and Collector Street Special District
Protest/Support Form
PART 7 -Pro a owned by individuals, please complete this section.
Prope/r�ty address or legal'desc `ption:
INVe the undersigned owners)want to
(check one) Protest X Support
the creation of city-wide,perpetual.Arterial and Collector Street Special District in the City of Bozeman to establish an
annual'assessment and provide for a method of assessments for the purposes of dons and
maintaining portions of the cltys transportation network classified as arterial and collector streets.
re: Printed Name:: Date
P 7
ignature: Printed Name: Da :
Signature: Printed Name: Date:
Signature: Printed Name Dater
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I
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description: µ
i(-D I � "__/ - �,
C:)
Me the undersigned legally authorize representatives) of the rganization that owns the above listed property want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining pgrt!ons of the city's transportation network classified as arterial and collector streets.
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Signatur _Printed Name- - Title: Date:
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M
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on,-A /2015 at : ''1 AM1PM.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
'S'ouTH
I/We the undersigned owner(s)want to
(check one) _ Protest , e Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: ' jt4�
Printed Name: Date:
Signature: Printed Name: �j Date:
�-
Signatur : Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by CityClerk on / /2015 at 6041PM.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
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I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
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Signature: Printed Name: Date:
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Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representatives) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at /PM.
2