HomeMy WebLinkAbout002_SignedApplication BOZEMANMT
Community Development
DEVELOPMENT REVIEW APPLICATION
Please remember to obtain owner signature on this form prior to uploading with the rest of your submittal. (Digital signature
acceptable.)
PROJECT INFORMATION
Project Name: 21199 Glen Lake Rotary Park MSP Resubmittal _
Project Type(s): Master Site Plan MSP
Street Address: 800 Manley Road,Bozeman,MT 59715.
COS 1221,Parcel GL2,Annex to City of Bozeman,Section 31,T 01 S,R 06
E
Legal Description:
New_access roadway through Glen Lake Rotary Park,including new back-in
angle parking,landscaping,pathways and sidewalks.
Description of Project:
Current Zoning: PLI Public Lands and Institutions District
Existing Use: Institutional _
Proposed Use: Institutional
Gross Lot Area: 1298088
Number of Buildings: [NumberofNewBuildings]
Type and Number of Dwellings: 0
Building Size(SF): 0
Non-Residential Building Size(SF): 0
Building Height(ft): 0
Affordable Housing(Y/N): [AffordableHousing]
Departure/Deviation Request(Y/N): No
PROPERTY OWNER
Company Name: State of Montana Dept of Fish Wildlife and Parks
Name: Mark Filonczuk
Full Address: 1400 S 19th Ave,Bozeman, MT 59718
Email: mark.filonczuk@mt.gov
Phone: (406)577-7892
APPLICANT
Company Name: Sanderson Stewart
Name: Lenna Johnson
Full Address: 106 E Babcock St L1,Bozeman, Montana 59715
Email: Ijohnson@sandersonstewart.com
Phone: (406)922-4321
REPRESENTATIVE
Company Name: City of Bozeman Parks and Recreation
Name: Mitch Overton
Full Address: 600 Bridger Drive,Bozeman,Montana 59715
Email: moverton@bozeman.net_
Phone: 40( 6)582-3222
CERTIFICATIONS AND SIGNATURES
Applicant signature is captured electronically at time of application submittal.This application(PDF)must also be
signed by the property owners)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.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 38.200.050,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 pccupancy or costs to correct noncompliance.
Property Owner Signature:
Printed Name: Mark Filonczuk
CONTACT US
Alfred M.Stiff Professional Building phone 406-582-2260
20 East Olive Street fax 406-582-2263
Bozemn,MT 59715 planning@bozeman.net
www.bozeman.net/planning