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Project Name:
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>ĞŐĂůĞƐĐƌŝƉƟŽŶ͗
ĞƐĐƌŝƉƟŽŶŽĨWƌŽũĞĐƚ͗
ƵŝůĚŝŶŐ^ŝnjĞ;ƐͿ͗
ƵŝůĚŝŶŐ,ĞŝŐŚƚ;ƐͿ͗
EƵŵďĞƌŽĨWĂƌŬŝŶŐ^ƉĂĐĞƐ͗
īŽƌĚĂďůĞ,ŽƵƐŝŶŐ;zͬEͿ͗
ĂƐŚͲŝŶͲůŝĞƵWĂƌŬůĂŶĚ;zͬEͿ͗
ĞƉĂƌƚƵƌĞͬĞǀŝĂƟŽŶZĞƋƵĞƐƚ;zͬEͿ͗
A1
DEVELOPMENT REVIEW APPLICATION
PROJECT IMAGE
Community Development
ĞǀĞůŽƉŵĞŶƚZĞǀŝĞǁƉƉůŝĐĂƟŽŶ Page 1ŽĨ3 ZĞǀŝƐŝŽŶĂƚĞ͗:ƵŶĞϮϬϮϬ
SPECIAL DISTRICTS
KǀĞƌůĂLJŝƐƚƌŝĐƚ͗EĞŝŐŚďŽƌŚŽŽĚŽŶƐĞƌǀĂƟŽŶ EŽŶĞ
hƌďĂŶZĞŶĞǁĂůŝƐƚƌŝĐƚ͗ ŽǁŶƚŽǁŶ EŽƌƚŚϳƚŚǀĞŶƵĞ EŽƌƚŚĞĂƐƚ EŽƌƚŚWĂƌŬ EŽŶĞ
VICINITY MAP
Gallatin Park Mixed Use
Mixed Use
325 Gallatin Park Drive, Bozeman, MT 59715
Lot 4A of Amended Plat of Lot 3 and Lot 4, Block 1 of Gallatin Park Sub (J-300-C)
ƵƌƌĞŶƚŽŶŝŶŐ͗ M-1
Gross Lot Area: 1.061 acres
ůŽĐŬ&ƌŽŶƚĂŐĞ;ƐͿ͗ Other
EƵŵďĞƌŽĨƵŝůĚŝŶŐƐ͗ 4
dLJƉĞĂŶĚEƵŵďĞƌŽĨǁĞůůŝŶŐƐ͗ 11-1 br & 2-2br residential units & 13 Commercial Units.
3 buildings totaling 12,000 square foot footprint
27.5 feet
42 offstreet, 2 onstreet
N
Y
N
13 Unit mixed use commercial/residential buildings.
Lot 4A of Amended Plat of Lot 3 and Lot 4, Block 1 of Gallatin Park Sub (J-300-C)
s >KWD EdZ s/ tWW>/d/KE
REPRESENTATIVE
Name:
Full Address:
Email:
WŚŽŶĞ͗
APPLICANT
Name:
Full Address:
Email:
WŚŽŶĞ͗
PROPERTY OWNER
Name:
Full Address:
Email:
WŚŽŶĞ͗
CERTIFICATIONS AND SIGNATURES
dŚŝƐĂƉƉůŝĐĂƟŽŶŵƵƐƚďĞƐŝŐŶĞĚďLJďŽƚŚƚŚĞĂƉƉůŝĐĂŶƚ;ƐͿĂŶĚƚŚĞƉƌŽƉĞƌƚLJŽǁŶĞƌ;ƐͿ;ŝĨĚŝīĞƌĞŶƚͿĨŽƌĂůůĂƉƉůŝĐĂƟŽŶƚLJƉĞƐďĞĨŽƌĞƚŚĞ
ƐƵďŵŝƩĂůǁŝůůďĞĂĐĐĞƉƚĞĚ͘dŚĞŽŶůLJĞdžĐĞƉƟŽŶƚŽƚŚŝƐŝƐĂŶŝŶĨŽƌŵĂůƌĞǀŝĞǁĂƉƉůŝĐĂƟŽŶƚŚĂƚŵĂLJďĞƐŝŐŶĞĚďLJƚŚĞĂƉƉůŝĐĂŶƚ;ƐͿŽŶůLJ͘
ƐŝŶĚŝĐĂƚĞĚďLJƚŚĞƐŝŐŶĂƚƵƌĞ;ƐͿďĞůŽǁ͕ƚŚĞĂƉƉůŝĐĂŶƚ;ƐͿĂŶĚƉƌŽƉĞƌƚLJŽǁŶĞƌ;ƐͿƐƵďŵŝƚƚŚŝƐĂƉƉůŝĐĂƟŽŶĨŽƌƌĞǀŝĞǁƵŶĚĞƌƚŚĞƚĞƌŵƐ
ĂŶĚƉƌŽǀŝƐŝŽŶƐŽĨƚŚĞŽnjĞŵĂŶDƵŶŝĐŝƉĂůŽĚĞ͘/ƚŝƐĨƵƌƚŚĞƌŝŶĚŝĐĂƚĞĚƚŚĂƚĂŶLJǁŽƌŬƵŶĚĞƌƚĂŬĞŶƚŽĐŽŵƉůĞƚĞĂĚĞǀĞůŽƉŵĞŶƚ
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 Page 2ŽĨ3 ZĞǀŝƐŝŽŶĂƚĞ͗:ƵŶĞϮϬϮϬ
RB53 LLC
510 West Hemlock, Bozeman, MT 59715
donnie @donnieolsson.com
406-551-7253
same as owner
Jeremy May - Headwaters Engineering Inc.
190 Northstar Lane, Bozeman, MT 59718
jmay@headwatersmt.net
406-581-5730
Donald W Olsson
Donald W Olsson
Jeremy May
APPLICATION FEE
Varies by project type
CONTACT US
ůĨƌĞĚD͘^ƟīWƌŽĨĞƐƐŝŽŶĂůƵŝůĚŝŶŐ
ϮϬ ĂƐƚKůŝǀĞ^ƚƌĞĞƚ
ŽnjĞŵĂŶ͕Ddϱϵϳϭϱ
ƉŚŽŶĞϰϬϲͲϱϴϮͲϮϮϲϬ
ĨĂdžϰϬϲͲϱϴϮͲϮϮϲϯ
ƉůĂŶŶŝŶŐΛďŽnjĞŵĂŶ͘ŶĞƚ
ǁǁǁ͘ďŽnjĞŵĂŶ͘ŶĞƚͬƉůĂŶŶŝŶŐ
ĞǀĞůŽƉŵĞŶƚZĞǀŝĞǁƉƉůŝĐĂƟŽŶ Page 3ŽĨ3 ZĞǀŝƐŝŽŶĂƚĞ͗:ƵŶĞϮϬϮϬ
REQUIRED FORMS
Varies by project type
s >KWD EdZ s/ tWW>/d/KE
ŚĞĐŬĂůůƚŚĂƚĂƉƉůLJ &KZD
1.ĚŵŝŶŝƐƚƌĂƟǀĞ/ŶƚĞƌƉƌĞƚĂƟŽŶƉƉĞĂů /
2.ĚŵŝŶŝƐƚƌĂƟǀĞWƌŽũĞĐƚĞĐŝƐŝŽŶƉƉĞĂů W
3.ŶŶĞdžĂƟŽŶĂŶĚ/ŶŝƟĂůŽŶŝŶŐ EEy
4.ŽŵŵĞƌĐŝĂůͬEŽŶƌĞƐŝĚĞŶƟĂůK K
5.ŽŵƉƌĞŚĞŶƐŝǀĞ^ŝŐŶWůĂŶ ^W
6.ŽŶĚŽŵŝŶŝƵŵZĞǀŝĞǁ Z
7.ŽŶĚŝƟŽŶĂůhƐĞWĞƌŵŝƚ hW
8. džƚĞŶƐŝŽŶƚŽƉƉƌŽǀĞĚWůĂŶ yd
9.'ƌŽǁƚŚWŽůŝĐLJŵĞŶĚŵĞŶƚ 'W
10./ŶĨŽƌŵĂůZĞǀŝĞǁ /E&
11.DĂƐƚĞƌ^ŝƚĞWůĂŶ D^W
12.DŽĚŝĮĐĂƟŽŶͬWůĂŶŵĞŶĚŵĞŶƚ DK
13.EĞŝŐŚďŽƌŚŽŽĚͬZĞƐŝĚĞŶƟĂůK EK
14.WƌĞͲĂƉƉůŝĐĂƟŽŶŽŶƐƵůƚĂƟŽŶ EŽŶĞ
15.WhŽŶĐĞƉƚWůĂŶ Wh
FORM
16.WhWƌĞůŝŵŝŶĂƌLJWůĂŶ WhW
17.Wh&ŝŶĂůWůĂŶ Wh&W
18.ZĞĂƐŽŶĂďůĞĐĐŽŵŵŽĚĂƟŽŶ Z
19.^ŝƚĞWůĂŶ ^W
20.^ƉĞĐŝĂůhƐĞWĞƌŵŝƚ ^hW
21.^ƉĞĐŝĂůdĞŵƉŽƌĂƌLJhƐĞWĞƌŵŝƚ ^dhW
22.^ƵďĚŝǀŝƐŝŽŶ džĞŵƉƟŽŶ ^
23.^ƵďĚŝǀŝƐŝŽŶWƌĞͲƉƉůŝĐĂƟŽŶ W
24.^ƵďĚŝǀŝƐŝŽŶWƌĞůŝŵŝŶĂƌLJWůĂŶ WW
25.^ƵďĚŝǀŝƐŝŽŶ&ŝŶĂůWůĂƚ &W
26.tĞƚůĂŶĚZĞǀŝĞǁ tZ
27.ŽŶĞDĂƉŵĞŶĚŵĞŶƚ D
28.ŽŶĞdĞdžƚŵĞŶĚŵĞŶƚ d
29.ŽŶŝŶŐͬ^ƵďĚŝǀŝƐŝŽŶsĂƌŝĂŶĐĞ ͬ^sZ
30.ŽŶŝŶŐĞǀŝĂƟŽŶͬĞƉĂƌƚƵƌĞ EŽŶĞ
31.KƚŚĞƌ͗
APPLICATION TYPE
x
CVA
Page 1 of 2 4-8-20
Development Review Application COVID-19 Acknowledgment of Application Processing Delays
On March 13, 2020, the President of the United States issued a Proclamation on Declaring a National Emergency Concerning the Novel Coronavirus Disease (COVID-19) Outbreak.
On March 12, 2020, the Governor of the State of Montana issued Executive Order No. 2-2020 Declaring a State of Emergency to Exist Within the State of Montana Related to the Communicable Disease COVID-19.
The City of Bozeman issued a COVID-19 emergency declaration on March 16, 2020. The City subsequently issued Order ED-05 setting forth public meeting protocols on March 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, “In accordance with the Emergency Declaration, public meeting agendas will be limited to only essential matters. . . .” It describes notice requirements, the use of videoconferencing or telephonic technology to hold remote hearings, and providing the public an opportunity to participate remotely. A copy of Order ED-05 is attached to this form.
On March 27, 2020 the Attorney General of the State of Montana issued a letter of guidance to local governments recommending public meetings be held only for essential business, and those public meetings be held remotely.
Provisions in the emergency declarations and City of Bozeman Orders may restrict or delay the ability of the City to complete the review and finally approve certain development review applications.
Acknowledgment and signatures
This acknowledgement 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 and processed.
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 the City’s COVID-19 Emergency Declaration and subsequent Orders issued by the City Manager. I acknowledge that the City may be delayed in the processing of my application and may notbe able to complete the application review within standard time limits due to the constraints present under the emergency orders. I (We) hereby certify that the above information is true and correct to the best of my (our) knowledge.
Certification of Acknowledgment – I understand that there may be delays in the processing of my application and that it may reach a point in processing where it may not proceed to final approval and that I will not hold the City responsible for any delays presented under the emergency order.
Applicant Signature:
Printed Name:
OwnerSignature:
Donald W Olsson
Page 2 of 2 4-8-20
Printed Name:
OwnerSignature
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.
Donald W Olsson