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HomeMy WebLinkAboutJuly 14- July 20 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 t (check one) _ Protest upport 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: _. ( Signatu PrintedWarne: 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 City Clerk 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 description: Eo 1 Pt w R I/We the undersigned owner(s)want to (check one) _ Protest 1"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 ture: Printed Name: Date: Z -, 11.4h Sig t re: 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 City Clerk 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 description: 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. S' ure: - Printed Name: Date: ' t I Slgnatu . J 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 City Clerk on / /2015 at M PM. U. 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: 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: A,�, A- 9))_�C",- a g P, lz --B, M ,C', I U(Z C, 1-7 -�'- 0, 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 City Clerk on / /2015 at 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: 4'512. (AAr T 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. Signat Printed Name: Date: I Signature: Printed Name: a e: t j Signature: Printed Name: ate: Signature: Printed Name: Date: PART 2 - Property owned by corporations, LLC, trusts or other organizations please complete this section. Entity/Owner Name: mA 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: : � 01 FOR CITY CLERK'S OFFICE USE ONLY Received by City Clerk on / /2015 at AM/ 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: I/We the undersigned owner(s)want to (check one) _ Protest _ upport 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: CYN)TN A D. , _S �)9) 5 Sig ture: 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: Me 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: T F1 FOR CITY CLERK'S OFFICE USE ONLY Received b it ed�a 7-ffi_•- (1.45 at AM 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: 6 6i�e - Signa 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: Me 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: JUL 57201,50 .-I�.j '-'I FOR CITY CLERK'S OFFICE USE ONLY I d`` [Received by'i "-&ii- n . . . 0i at AM/ 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: 2ll L-INb(L&Y ? — IM/e 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. SigUature:, JL Printed Name: Date: EL J 0/\gA- L-Qt�- ti1 2,0j5_.1,jL — `� Signature: Printed Name: Date: v � � �Lcof"t, 1/bvwh) na_ ( c�5�� 7/9/ 1 S 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: :71 FOR CITY CLERK'S OFFICE USE ONLY Received by City Clerk on / /2015 at Q AM 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: 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: &J)C_x4_j C=1:° Joseph 0. G L)f k()ykI 7-. r® is Signature: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: 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: JUL 15 201 FOR CITY CLERK'S OFFICE USE ONLY Received by City Clerk on / P 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: 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: Signat e: 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: JUL 5 2015 FOR CITY CLERK'S OFFICE USE ONLY Received by City Clerk on M v/ /2015 at A 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: 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: l Property Jaddress or legal description: J0 � Sv ) ( ' 3a-�,evnrn,) M1 Me 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. a re: Printed Name: t Title: Date: IJ0U_- lus he s few fv" f, e Sight,a�tp` Printed Name: Title: Date: ca '4 /a letbS rem TruSIee 7 IS �- FOR CITY CLERK'S OFFICE USE ONLY Received by-Cit 'Clerk on / `/2015 at AM/ Arterial and Collector Street Special District Protest/Support Form PART 1 - Property owned by individuals, please complete this section. Property address or legal description: 60t> AoL, I/We the undersigned owner(s)want to (check one) _ Protest Support the creation of c' y-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an annual assess nt and provide for a method of assessments for the purposes of constructing, improving and maintains ions of the city's transportation network classified as arterial and collector streets. Si atu Printed Name: Date: E-t(, I F7/► Signat r : 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: F � 5 2 01 i JU y I FOR CITY CLERK'S OFFICE USE ONLY Received by City Clerk on _ /2015 at AM/ 2 A special note for condominium owners: An owner of property created as a condominium may protest the creation of the district only through the president, vice president, secretary, or treasurer of the condominium owners' association who timely presents to the City Clerk the following information: (a) a writing identifying the condominium property (b) the condominium declaration or other condominium document that shows how votes of unit owners in the condominium are calculated; (attach the declaration to this form) (c) original signatures of owners of units in the condominium having an undivided ownership interest in the common elements of the condominium sufficient to constitute an affirmative vote for an undertaking relating to the common elements under the condominium declaration; and (d) a certificate signed by the president, vice president, secretary, or treasurer of the condominium owners' association certifying that the votes of the unit owners, as evidenced by the signatures of the owners, are sufficient to constitute an affirmative vote of the condominium owners' association to protest against the creation of the district and its improvements. PART 3 - Property owned as part of a condominium, please complete this section. Name of co=tieo� Street address or le al d sc(i ion of condominium: We the undersigned owners have an undivided ownership interest in the common elements of the above named condominium present the following original signatures to the Bozeman City Commission indicating our support or protest of 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. Condo owner signature: Printed Name: Property address: (Check one) Date: dl'l�y S �D��� _ Protest 7^ ,5=�4t5 / er !,� ✓Su ort Condo owner signature: Printed Name: Property address: (Check one) Date: Protest Support Condo owner signature: Printed Name: Property address: (Check one) Date: Protest Support Condo owner signature: Printed Name: Property address: (Check one) Date: Protest _Support Condo owner signature: Printed Name: Property address: (Check one) Date: Protest Support Condo owner signature: Printed Name: Property address: (Check one) Date: Protest _Support Condo owner signature: Printed Name: Property address: (Check one) Date: Protest _Support Certificate of Condominium Officer I certify that the above listed signatures of the owners having an undivided ownership interest in the common elements of the condominium sufficient to constitute an affirmative vote for an undertaking relating to the common elements under our condominium declaration hereby (check one) _ Protest _ Support the creation of Arterial and Collector Streets Special District for our condominium. Signature of condo officer: Title: F R CITY CL RK' OF,�ICE USE ONLY R baiQTCIPrkV /2015 at AM P JUL 16 2015 3 y Arterial and Collector Street Special District Protest/Support Form PART 1 - Property owned by individuals, please complete this section. Property address or legal description: ''Z& 7Z 9&PVU64.i4e a—Z 0u-tc1,jA LliC 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. Sign re: Printed Name: Date: Z_ r u e: Printed Name: a : 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: Me 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: t t ai r FOR CITY CLERK'S OFFICE USE ONLY Received by City„Clerk on / /2015 at IA? AM/ M. 2 i A special note for condominium owners: An owner of property created as a condominium may protest the creation of the district only through the president, vice president, secretary, or treasurer of the condominium owners' association who timely presents to the City Clerk the following information: (a) a writing identifying the condominium property (b) the condominium declaration or other condominium document that shows how votes of unit owners in the condominium are calculated; (attach the declaration to this form) (c) original signatures of owners of units in the condominium having an undivided ownership interest in the common elements of the condominium sufficient to constitute an affirmative vote for an undertaking relating to the common elements under the condominium declaration; and (d) a certificate signed by the president, vice president, secretary, or treasurer of the condominium owners' association certifying that the votes of the unit owners, as evidenced by the signatures of the owners, are sufficient to constitute an affirmative vote of the condominium owners' association to protest against the creation of the district and its improvements. PART 3 - Property owned as part of a condom! ium, please complete this section. Name of condominium: 12 Street addres, or legal descri do of cor)do niu : UCH o coq We the un ersigned owners have an undivided ownership interest in the common elements of the above named condominium present the following original signatures to the Bozeman City Commission indicating our support or protest of 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. C o er signature: Pr' ed Name: Property address: (Check one) Date- Protest ' Support A,o6ndo owner signature: Printed Name:' Property address: (C eck one) Date: C .s`�$✓�}� o�j�Udi +�-'�5'� Protest Support ondo owner's ig f, ure: rinted Name: Property address: Check one) Date: Protest Support Condo owner signature: Printed Name: Property address: (Check one) Date: Protest _Support Condo owner signature: Printed Name: Property address: (Check one) Date: Protest Support Condo owner signature: Printed Name: Property address: (Check one) Date: Protest _Support Condo owner signature: Printed Name: Property address: (Check one) Date: Protest _Support Certificate of Condominium Officer I certify that the above listed signatures of the owners having an undivided ownership interest in the common elements of the condominium sufficient to constitute an affirmative vote for an undertaking relating to the common elements under our condominium declaration hereby (check one) _ Protest _ Support the creation of Arterial and Collector Streets Special District for our condominium. Signature of condo officer: Title: FOR CITY CLERK'S OFF ICE USE ONLY ReceivedNIRVC11 15 at AM/ M LJL 1 2015 3 By Arterial and Collector Street Special District Protest/Support Form PART 1 - Property owned by individuals, please complete this section. Property address or legal description: F/7 �Z � � 8 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: Aj Signature ' ng Printed Name: bate:' ?� 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 RZIA 15 at t :40AMATV JUL 15 2015 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: 'N4.D9- CaieroM�( �)+. M-T 59-m I/We the undersigned owne 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 maintains portions of the city's transportation network classified as arterial and collector streets. Signatu Printed Name: Te: Ey'icy 3chrw-. 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 b i I 5 at AM/ lBy Arterial and Collector Street Special District Protest/Support Form PART 1 - Property owned by individuals, please complete this section. Property address or legal description: 9 7� [ 5 [)04�� � 0; bf2, 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. Sign ur : Printed Name: Date: VJ L LL4 AVK �: . �. 1 Signature: Printed Name: 7911Z015 . �/u cv r-� .�4 b�� Sig ure: 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 Receive r n / 015 at AM/ M 2 y 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. 14 /qJ Entity/Owner Name: 4? k2 1-1 bee Property address or legal descrip ion: I30 ' 2a DRegie Me the undersigned legally authorized representative(s) of the organization that owns the above listed property want to (check one) _ Protest 4�__4_upport 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. S' atyre: Printed Name: Title: Date: S' na-�tyy r'= Printed Name: Title: Date: FOR CITY CLERK'S OFFICE USE ONLY Received 15 at A P i G: 2 /q i�Jl.i_ P BE -