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Community Development
DEVELOPMENT REVIEW APPLICATION
PROJECT IMAGE
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PROJECT INFORMATION VICINITY MAP
Project name: Nahorniak Annexation and Initial Zoning
Projecttype(s): ANNX and Initial Zoning
Description: Annexation and initial Zoning of a contiguous,wholly surrounded parcel.
Street address: 5170 Durston Road Bozeman, MT
Zip code: 59715
Zoning: R- General Residential (County Z.D.1)
f296 s
Gross lot area: 45, r�
Block frontage: Landscaped � R.,
Number of buildings: 1 Existing =
Type and Number of dwellings: 1 Existing
Non-residential building size(s): n/a
Non-residential building height(s): n/a
(in stories)
Number of parking spaces: 2 _
Affordable housing(Y/N): N/A `
Cash in lieu of parkland (Y/N): N/A Ra
CITY USE ONLY
Submittal date: Planner:
Application file number: DRC required(Y/N): Revision Date:
Development Review Application Al Page 1 of 3 Revision Date:5.16.18
REQUIRED FORMS: Varies by project type, PLS
DEVELOPMENT REVIEW APPLICATION
1. PROPERTYOWNER
Name: MJN Properties, LLC(Mark Nahorniak)
Full address(with zip code): 5170 Durston Road, Bozeman, MT 59715
Phone: 715.603.5155
Email: mnahorniak@chengineers.con
2. APPLICANT
Name: Same as Owner
Full address(with zip code):
Phone:
Email:
3. REPRESENTATIVE
Name: C& H Engineering and Surveying, Inc. (Drew Carter)
Full address(with zip code): 1091 Stoneridge Drive Bozeman, MT 59718
Phone: 406.587.1115
Email: acarter@chengineers.com
4. SPECIAL DISTRICTS
Overlay District: ❑ Neighborhood Conservation ❑x None
Urban
Renewal District: ❑ Downtown ❑ North 7th Avenue ❑ Northeast ❑ North Park ❑X 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 applicant(s)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 Intent to 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:5.16.18
REQUIRED FORMS: Varies by project type, PLS
DEVELOPMENT REVIEW APPLICATION
Applicant Signature:
Printed Name: �"�
Owner Signature: /r� G
Printed Name: (. JAt 6 PYv�a
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 SIP ❑ 19. Zoning or Subdivision Variance Z/SVAR
❑ 4. Subdivision pre-application PA ❑ 20. Conditional Use Permit CUP
❑ 5. Subdivision preliminary plan PP ❑ 21. Special Temporary Use Permit STUP
❑ 6. Subdivision final plan FP ❑ 22. Special Use Permit SUP
❑ 7. Subdivision exemption SE ❑ 23. Regulated Activities in Wetlands WR
❑ 8. Condominium Review CR ❑ 24. Zone Map Amendment(non-Annexation) ZMA
❑ 9. PUD concept plan PUDC ❑ 25. UDC Text Amendment ZTA
❑ 10. PUD preliminary plan PUDP ❑ 26. Growth PolicyAmendment GPA
❑ 11. PUD final plan PUDFP ❑ 27. Modification/Plan Amendment MOD
0 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 ❑ 31. 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