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>ĞŐĂůĞƐĐƌŝƉƟŽŶ͗
ĞƐĐƌŝƉƟŽŶŽĨWƌŽũĞĐƚ͗
ƵƌƌĞŶƚŽŶŝŶŐ͗
ůŽĐŬ&ƌŽŶƚĂŐĞ;ƐͿ͗
EƵŵďĞƌŽĨƵŝůĚŝŶŐƐ͗
dLJƉĞĂŶĚEƵŵďĞƌŽĨǁĞůůŝŶŐƐ͗
ƵŝůĚŝŶŐ^ŝnjĞ;ƐͿ͗
ƵŝůĚŝŶŐ,ĞŝŐŚƚ;ƐͿ͗
EƵŵďĞƌŽĨWĂƌŬŝŶŐ^ƉĂĐĞƐ͗
īŽƌĚĂďůĞ,ŽƵƐŝŶŐ;zͬEͿ͗
ĂƐŚͲŝŶͲůŝĞƵWĂƌŬůĂŶĚ;zͬEͿ͗
ĞƉĂƌƚƵƌĞͬĞǀŝĂƟŽŶZĞƋƵĞƐƚ;zͬEͿ͗
Community Development
ĞǀĞůŽƉŵĞŶƚZĞǀŝĞǁƉƉůŝĐĂƟŽŶ ŽĨ ZĞǀŝƐŝŽŶĂƚĞ͗:ƵŶĞϮϬϮϬ
KǀĞƌůĂLJŝƐƚƌŝĐƚ͗ EĞŝŐŚďŽƌŚŽŽĚŽŶƐĞƌǀĂƟŽŶ EŽŶĞ
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WŚŽŶĞ͗
WŚŽŶĞ͗
dŚŝƐĂƉƉůŝĐĂƟŽŶŵƵƐƚďĞƐŝŐŶĞĚďLJďŽƚŚƚŚĞĂƉƉůŝĐĂŶƚ;ƐͿĂŶĚƚŚĞƉƌŽƉĞƌƚLJŽǁŶĞƌ;ƐͿ;ŝĨĚŝīĞƌĞŶƚͿĨŽƌĂůůĂƉƉůŝĐĂƟŽŶƚLJƉĞƐďĞĨŽƌĞƚŚĞ
ƐƵďŵŝƩĂůǁŝůůďĞĂĐĐĞƉƚĞĚ͘dŚĞŽŶůLJĞdžĐĞƉƟŽŶƚŽƚŚŝƐŝƐĂŶŝŶĨŽƌŵĂůƌĞǀŝĞǁĂƉƉůŝĐĂƟŽŶƚŚĂƚŵĂLJďĞƐŝŐŶĞĚďLJƚŚĞĂƉƉůŝĐĂŶƚ;ƐͿŽŶůLJ͘
ƐŝŶĚŝĐĂƚĞĚďLJƚŚĞƐŝŐŶĂƚƵƌĞ;ƐͿďĞůŽǁ͕ƚŚĞĂƉƉůŝĐĂŶƚ;ƐͿĂŶĚƉƌŽƉĞƌƚLJŽǁŶĞƌ;ƐͿƐƵďŵŝƚƚŚŝƐĂƉƉůŝĐĂƟŽŶĨŽƌƌĞǀŝĞǁƵŶĚĞƌƚŚĞƚĞƌŵƐ
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ĂƉƉƌŽǀĞĚďLJƚŚĞŝƚLJŽĨŽnjĞŵĂŶƐŚĂůůďĞŝŶĐŽŶĨŽƌŵĂŶĐĞǁŝƚŚƚŚĞƌĞƋƵŝƌĞŵĞŶƚƐŽĨƚŚĞŽnjĞŵĂŶDƵŶŝĐŝƉĂůŽĚĞĂŶĚĂŶLJƐƉĞĐŝĂů
ĐŽŶĚŝƟŽŶƐĞƐƚĂďůŝƐŚĞĚďLJƚŚĞĂƉƉƌŽǀĂůĂƵƚŚŽƌŝƚLJ͘/ĂĐŬŶŽǁůĞĚŐĞƚŚĂƚƚŚĞŝƚLJŚĂƐĂŶ/ŵƉĂĐƚ&ĞĞWƌŽŐƌĂŵĂŶĚŝŵƉĂĐƚĨĞĞƐŵĂLJďĞ
ĂƐƐĞƐƐĞĚĨŽƌŵLJƉƌŽũĞĐƚ͘&ƵƌƚŚĞƌ͕/ĂŐƌĞĞƚŽŐƌĂŶƚŝƚLJƉĞƌƐŽŶŶĞůĂŶĚŽƚŚĞƌƌĞǀŝĞǁĂŐĞŶĐLJƌĞƉƌĞƐĞŶƚĂƟǀĞ͛ƐĂĐĐĞƐƐƚŽƚŚĞƐƵďũĞĐƚƐŝƚĞ
ĚƵƌŝŶŐƚŚĞĐŽƵƌƐĞŽĨƚŚĞƌĞǀŝĞǁƉƌŽĐĞƐƐ;^ĞĐƟŽŶϯϴ͘ϮϬϬ͘ϬϱϬ͕DͿ͘/;tĞͿŚĞƌĞďLJĐĞƌƟĨLJƚŚĂƚƚŚĞĂďŽǀĞŝŶĨŽƌŵĂƟŽŶŝƐƚƌƵĞĂŶĚ
ĐŽƌƌĞĐƚƚŽƚŚĞďĞƐƚŽĨŵLJ;ŽƵƌͿŬŶŽǁůĞĚŐĞ͘
ĞƌƟĮĐĂƟŽŶŽĨŽŵƉůĞƟŽŶĂŶĚŽŵƉůŝĂŶĐĞʹ/ƵŶĚĞƌƐƚĂŶĚƚŚĂƚĐŽŶĚŝƟŽŶƐŽĨĂƉƉƌŽǀĂůŵĂLJďĞĂƉƉůŝĞĚƚŽƚŚĞĂƉƉůŝĐĂƟŽŶĂŶĚƚŚĂƚ
/ǁŝůůĐŽŵƉůLJǁŝƚŚĂŶLJĐŽŶĚŝƟŽŶƐŽĨĂƉƉƌŽǀĂůŽƌŵĂŬĞŶĞĐĞƐƐĂƌLJĐŽƌƌĞĐƟŽŶƐƚŽƚŚĞĂƉƉůŝĐĂƟŽŶŵĂƚĞƌŝĂůƐŝŶŽƌĚĞƌƚŽĐŽŵƉůLJǁŝƚŚ
ŵƵŶŝĐŝƉĂůĐŽĚĞƉƌŽǀŝƐŝŽŶƐ͘
^ƚĂƚĞŵĞŶƚŽĨ/ŶƚĞŶƚƚŽŽŶƐƚƌƵĐƚĐĐŽƌĚŝŶŐƚŽƚŚĞ&ŝŶĂůWůĂŶʹ/ĂĐŬŶŽǁůĞĚŐĞƚŚĂƚĐŽŶƐƚƌƵĐƟŽŶŶŽƚŝŶĐŽŵƉůŝĂŶĐĞǁŝƚŚƚŚĞ
ĂƉƉƌŽǀĞĚĮŶĂůƉůĂŶŵĂLJƌĞƐƵůƚŝŶĚĞůĂLJƐŽĨŽĐĐƵƉĂŶĐLJŽƌĐŽƐƚƐƚŽĐŽƌƌĞĐƚŶŽŶĐŽŵƉůŝĂŶĐĞ͘
ƉƉůŝĐĂŶƚ^ŝŐŶĂƚƵƌĞ͗
WƌŝŶƚĞĚEĂŵĞ͗
KǁŶĞƌ^ŝŐŶĂƚƵƌĞ͗
WƌŝŶƚĞĚEĂŵĞ͗
ZĞƉƌĞƐĞŶƚĂƟǀĞ^ŝŐŶĂƚƵƌĞ͗
WƌŝŶƚĞĚEĂŵĞ͗
ĞǀĞůŽƉŵĞŶƚZĞǀŝĞǁƉƉůŝĐĂƟŽŶ ŽĨ ZĞǀŝƐŝŽŶĂƚĞ͗:ƵŶĞϮϬϮϬ
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Cristie Tate Digitally signed by Cristie Tate
Date: 2020.12.21 09:57:44 -07'00'
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CVA
Development Review Application COVID-19 Acknowledgment of Application Processing Delays
On March 13,2020,the President ofthe United States issued a Proclamation on Declaring a National
Emergency Concerning the Novel Coronavirus Disease (COVID-19)Outbreak.
On March 12,2020,the Governor ofthe Stateof Montana issued Executive Order No.2-2020 Declaring a State
of Emergency to Exist Within the Stateof Montana Related to the Communicable Disease COVID-19.
The Cityof Bozeman issued a COVID-19 emergencyd eclaration on March 16,2020.The City subsequently
issued Order ED-05 setting forth public meeting protocolso nMarch 31,2020 and Order ED-06 closing City
facilities to public entry,including the Stiff Professional Building,on March 23,2020.Order ED-05 states in
relevant parts,“Inaccordance with the Emergency Declaration,public meeting agendas will be limited too nly
essential matters....”It describes notice requirements,the use of videoconferencing or telephonic technology
toh old remoteh e arings,and providing the public an opportunity top articipate remotely.A copy of Order ED-
05 isattached to this form.
On March 27,2020 the Attorney General ofthe Stateof Montana issued a letter of guidance to local
governments recommending public meetings be heldo nly for essential business,and those public meetings be
held remotely.
Provisions in the emergencyd eclarations and Cityof Bozeman Orders may restrict or delay the abilityofthe
City to complete the review and finallya p prove certaind e v elopment review applications.
Acknowledgment and signatures
Thisacknowledgement must be signed by both the applicant(s)and the propertyowner(s)(if
different)for all application types before the submittal will be accepted and processed.
As indicated by the signature(s)below,the applicant(s)and propertyowner(s)submitthis
application forreview under the termsa n dprovisions ofthe Bozeman Municipal Code the
City’s COVID-19 Emergency Declaration and subsequent Orders issued by the City Manager.
I acknowledge thatthe City may be delayed in the processing of mya p plication and may not
be able to complete the application reviewwithinstandard time limitsd u eto the constraints
present under the emergencyorders.I (We)hereby certify thatthe above information is true
and correctto the best of my (our)knowledge.
Certification of Acknowledgment –I understand thatthere may be delays in the processing
of mya p plication and that it may reachap oint inprocessing where it may not proceed to final
approval and that I will not hold the City responsible for any delays presented under the
emergencyorder.
Applicant
Signature:
Printed
Name:
Owner
Signature:
Cristie Tate
er.
Printed
Name:
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.
Erica Coyle
Representative
Mike Russell