HomeMy WebLinkAbout19392 Application SummaryDEVELOPMENT REVIEW APPLICATION
1. PROPERTY OWNER
Name:
Full address (with zip code):
Phone:
Email:
2. APPLICANT
Name:
Full address (with zip code):
Phone:
Email:
3. REPRESENTATIVE
Name:
Full address (with zip code):
Phone:
Email:
4. SPECIAL DISTRICTS
Overlay District: Neighborhood Conservation 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 diferent) f or all application types bef ore the
submittal will be accepted. The only exception to this is an inf ormal 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 f or review under the terms
and provisions of the Bozeman Municipal Code. It is f urther indicated that any work undertaken to complete a development
approved by the City of Bozeman shall be in conf ormance 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 f ees may
be assessed f or 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 certif y that the above inf ormation is true
and correct to the best of my (our) knowledge.
Certifcation 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
fnal plan may result in delays of occupancy or costs to correct noncompliance.
continued on next page
Development Review Application A1 Page 2 of 3 Revision Date: 5.16.18
REQUIRED FORMS: Varies by project type, PLS
Bridger Orthopedic
1450 Ellis St,Ste 201,Bozeman,MT 59715
406-587-0122
kpadgett@bridgerorthopedic.com
Kevin Padgett,Bridger Orthopedic
1450 Ellis St,Ste 201,Bozeman,MT 59715
406-587-0122
kpadgett@bridgerorthopedic.com
Mike Wiseman,Architecture 118
115 E Oak,Bozeman,MT 59715
406-404-1777
mike@arch118.com