Bismarck Community Development Department
Advisory Board/Authority Membership Application
Name:
Mailing Address:
Home Phone: Work Phone:
Email Address:
The board or commission on which you are applying to serve:
Board of Adjustment Parking Authority Planning & Zoning Commission Renaissance Zone Authority
Historic Preservation Commission
List below the skills or qualifications you could bring to this advisory board/authority:
Please explain your reasons for wanting to serve on this advisory board/authority:
Print Form
What is your principal occupation?
List the associations or institutes with which you are closely associated, or serve as a director or officer:
If an application for the Parking Authority, do you own property within the Downtown Parking District?
If an application for the Historic Preservation Commission please indicate if you have experience in architecture,
history, architectural history, planning, archeology, or other historic preservation related disciplines, such as
American studies, American civilization, cultural geography or cultural anthropology.
In addition, if you are applying for the Historic Preservation Commission, please provide a copy of your resume.
Downtown Parking District
Historic Preservation Commission
Signature:
Date:
Please return application to:
Ben Ehreth, AICP, Director
Bismarck Community Development Department
PO Box 5503
Bismarck, ND 58506-5503
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