HomeMy WebLinkAboutAugust 4-August 10 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 a aB Oc" o f r�0.✓I
UVile 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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Signatur : 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:
R o- fib P� r e S �-L
Property address or legal description:
I9a� slvrwr- C, b i , SO 1-,i y✓""A
IMe the undersigned legally authorized representative(s)of the organization that owns the above listed property want to
(check one) Protest Zsupport
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 Pri d N e: Title: Date: <91
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Signatur Prin ed Name: Title: Date:
�p FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on V / 12015 at :a:)10PM.
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:
o l NN 0� , s 1
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:
�:?� "_�I-t AAL-vy q 13 /./5-
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:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by CityClerk on / /2015 at /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 descriptioP7)
I/We the u dersigned 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.
Sign at e: Printed Name: Date:
k )�,J Sj L� �! - C,l ""1S
Signa re: U 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:
INVe 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 b City Clerk on / /2015 at �1� /PM cS 1 ,,
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: ` C
1�" J► �nl
I/We the undersigned owner(s)want to
(check one) _ Protest Zsupport
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: n ) 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:
Signature: Printed Name: Title: Date:
l
i
FOR CITY CLERK'S OFFICE USE ONLY
Received by CityClerk on�/ /2015 at 10`-�. WA M.
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:
08 /UDK rid �/-///Z/J
I/We the undersigned owner(s)want to
(check one) _ Protest V 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:
lVW 7 C7 . L e -5Lt� 7- 3/—rewa
Signat Printed Name: Date:
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ig ture: 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 City Clerk on S/ /2015 at_`:.�AM/Q/ CIRO
2