HomeMy WebLinkAbout19239 Appliction Summary BOZ _Mw M ���•.� N MT Al
Community Development
D [____V'LOPMENT REVIEW APPLICATION
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PROJECT INFORMATION VICINITY MAP
Project name: Jackpot West i
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Project type(s): Food,Beer&Wine, 14 Gaming Machines E
Description: Soup&Salad Bar with Daily Hot Food Bar Special.Healthy food choices
for people on the goi Beer&Wine available with focal beers on Tap.14 Gaming Machines braked back around the comer.
Street address: 2622 West Main Units B&C 5.
Zip code: 59718 " }
Zoning: 82 11:J.6.9a sl ti;naUtcd s:
119t�
nrnLr./ `• �"
2.307 acres
:Gross lot area:_.._.._.
.._......_.
s _ C
Block frontage:
%A
Number ofbuildings:.2 = s a M .r "dl;
_._._...._....hiOne u -yy `4; _
Type and Number of dwellings._. _ . _...._... . .. ..... x:=w•u„w;= &!bc„ t� 9 v
Yailtg fis3 r �a
15,200 sq.ft.each ��°w Of +�
Non-residential building size(s): -. _ �• :rCP,rrcc,
single story
Non-residential building height(s):._ ...._..._. .._. 262'2W Main 5t.
(in stories) Bozeman,MT 59718
'tdCceS: :vL'olfe aSe
Number of parking spaces: 94 u
Affordable housing(Y/N):..
rob:.ail.V.
Cash in lieu of parkland(Y/N):._ ._.. _._ _.._ ... _.. . v
CITY USE ONLY
Submittal date:..
Planner:. T,,f
Application file number:,_ _ . .. ... _... DRC required NN): Revision Date:-._. _. .._
Development Review Application Al Page S of 3 Revision Date:5.16.18
REQUIRED FORMS: Varies by projecttype,PLS
DEVELOPMENT REVIEW APPLICATION
a.. PROPERTYOWNER
Name: JbarF-LLC.
Full address(with zip code): PO Box 3981, Bozeman, MT 59772
Phone: 406-581-7923
Email: bmw_mt@yahoo.com
2. APPLICANT
Name: Kathy Bushnell
Full address(with zip code): 515 N.21stAve, Bozeman, MT 59718
Phone: 406-581-8211
Email: jackpotkathy@hotmail.com
3. REPRESENTATIVE
Name:
Fu l l add ress(with zip code): ---.-------
Phone:
Email:
4. SPECIAL DISTRICTS
Overlay District: ❑Neighborhood Conservation 0 None
Urban
Renewal District: ❑Downtown ❑North 7th Avenue ❑Northeast ❑North Park None
5. CERTIFICATIONS AND SIGNATURES
This application must be signed by both the applicant(s)and the property owner(s)(if different)for all application types before the
submittal will be accepted.The only exception to this is an informal review application that may be signed by the applicant(s)only.
As indicated by the signature(s)below,the applicants)and property owner(s)submit this application for review under the terms
and provisions of the Bozeman Municipal Code. It is further indicated that any work undertaken to complete a development
approved by the City of Bozeman shall be in conformance with the requirements of the Bozeman Municipal Code and any special
conditions established by the approval authority.I acknowledge that the City has an Impact Fee Program and impact fees may
be assessed for my project. Further,I agree to grant City personnel and other review agency representative's access to the subject
site during the course of the review process(Section 38.34.050,BMC). I(We)hereby certify that the above information is true
and correct to the best of my(our)knowledge.
Certification of Completion and Compliance-I understand that conditions of approval may be applied to the application and that
I will comply with any conditions of approval or make necessary corrections to the application materials in order to comply with
municipal code provisions.
Statement of Intentto Construct According to the Final Plan-I acknowledge that construction not in compliance with the approved
final plan may result in delays of occupancy or costs to correct noncompliance.
continued on next page
Development Review Application Al Page 2 of 3 Revision Date:S.16.18
REQUIRED FORMS: Varies by project type,PLS
DEVELOPMENT REVIEW APPLICATION
lT
Kathy Bushnell /f. ":%�'!� Digl aiysignoC C9 Kathy:48-OV V
Applicant Signature: . Oate:2019.0521 1t09:d8-05'60'
Kathy Bushnell `
Printed Name: .,_..,_. _.....___ . __. .. .. __ ._ ..
Owner Signature: _.... . _. ..
Printed Nameasoni-Ittrberr ✓� �
Owner Signature:
Printed Name: . ._
If signing as a corporation or LLC,please provide the title and position of the individual signing on behalf of the corporation/LLC.
Attach separate sheets for additional owner signatures.
6. APPLICATION TYPES
Check all that apply,use noted forms. FORM FORM
❑ 1. Pre-application Consultation None ❑ 17. Informal Review INF
❑ 2. Master Site Plan MSP ❑ 18. Zoning Deviation/Departure None
❑ 3. Site Plan SP ❑ 19. Zoning or Subdivision Variance Z/SVAR
❑ 4. Subdivision pre-application PA ❑ 20. Conditional Use Permit CUP
❑ 5. Subdivision preliminary plan PP 1121. Special Temporary Use Permit STOP
❑ 6. Subdivision final plan FPxn. 22. Special Use Permit SUP
❑ 7. Subdivision exemption SE ❑ 23. Regulated Activities in Wetlands WR
❑ 8. Condominium Review CR 1124. Zone Map Amendment(non-Annexation) ZMA
❑ 9. PUD concept plan PUDC 1125. UDC Text Amendment ZTA
10. PUD preliminary plan PUDP 1126. Growth Policy Amendment GPA
❑ 11. PUD final plan PUDFP 1127. Modification/Plan Amendment MOD
❑ 12. Annexation and Initial Zoning ANNX ❑ 28. Extension of Approved Plan EXT
❑ 13. Administrative Interpretation Appeal AIA ❑ 29. Reasonable Accommodation RA
❑ 14. Administrative Project Decision Appeal APA ❑ 30. Comprehensive Sign Plan CSP
❑ 15. Commercial Non-residential COA CCOA
❑ 16. Historic Neighborhood NCOA 1131. Other:
Conservation Overlay COA
CONTACT US
Alfred M.Stiff Professional Building phone 406.582.2260
20 East Olive Street 59715(FED EX and UPS Only) fax 406.582.2263
PO Box 1230 planning@bozeman.net
Bozeman, MT 59771 www_bozeman_net
Development Review Application Al Page 3 of 3 Revision Date:5.16.18
REQUIRED FORMS: Varies by project type,PLS