HomeMy WebLinkAbout001 Development Review Application - Signed MAI�MT
Community Development
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: Thomas Drive Annexation
Project Type(s): Annexation&Initial Zone Map Amendment ANNX
Street Address: 1001 Thomas Drive
S35,T01 S R05 E ACRES 15,N2N2NE4SW4 N2S2N2NE4SW4
Legal Description:
The pu_pr ose of Thomas Dr.Annexation&Initial Zone Map Amendment is to
annex the 15 ac.parcel known as 1001 Thomas Dr to within the city limits
Description of Project: and to amend its zoning des! nation from County Agriculture Suburban(A-S)
to Residential Emphasis Mixed-use REMU).
Current Zoning: R-S Residential Suburban District
Existing Use: Residential
Proposed Use: Mixed
Gross Lot Area: 0
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): No
Departure/Deviation Request(Y/N): No
PROPERTY OWN E R
Company Name: Seven OxSeven,O'Reilly Partnership 4 Clovers
Name: Debbie O'Reilly
Full Address: 2246 Boot Hill Ct Ste 1,Bozeman MT 59715
Email: dlo.bridge[@WMail.com
Phone: _406 570-3787 _ _ ^�
APPLICANT -- -- -- --- —_. — - — — — --
Company Name: Madison Engineering LLC
Name: Bridget Roskam
Full Address: 895 Technology Boulevard,Suite 203 203 Bozeman,Montana 59715
Email: bridget.b(aD-mad-eng.com
Phone: .406 586-0262.
REPRESENTATIVE
Company Name: Madison Engineering,LLC
Name: Chris Budeski
Full Address: 895 Technology Boulevard 203,Bozeman,Montana 59715 _ —
Email: chris@mad-eng.com
Phone: (406)586-0262_ ---_
CERTIFICATIONS AND SIGNATURES
Applicant signature is captured electronically at time of application submittal.This application(PDF)must also be
signed by the property owner(s)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 t ruc cco rtg a Final Plan-I acknowledge that construction not in
compliance with the roved final Ian ma i result in dela pccupancy or costs to correct noncompliance.
Property Owner Signature:
anted Name: Debbie O'Reilly
CONTACT US
Alfred M.Stiff Professional Building phone 406-582-2260
20 East Olive Street fax406-582-2263
Bozemn,MT 59715 tannin p g@bozeman.net
www.bozeman.net/planning