HomeMy WebLinkAbout001 Development Review Application - Signed MT
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Pease remember to obtain owner signature on this form prior to uploading with the rest of your submittal. (Digital signature
acceptable.)
PROJECT INFORMATION
Project Name: 1013 Thomas Drive Zone Map Amendment
Project Type(s): Zone Map Amendment ZMA
Street Address: 1013 THOMAS DR BOZEMAN MT 59715 1067 THOMAS_DR,BOZEMAN
95KWS,R05 E.C.O.S.2856,PARCEL S35,T01 S.R05 E.ACRES 10.
N2S2NE4SW4
Legal Description:
The purpose of Thomas Drive Zone Map Amendment is to amend the zoning
desiqnation for the two combined 15.04 ac.parcels known as 1013 Thomas
iE
Description of Project: Dr. 1067 Thomas Dr.from County Agriculture Suburban(A-S)to
Residential Emphasis Mixed-use(REMU).
Current Zoning: RR4 Residential High Density Dlsvicl
Existing Use: Residential
Proposed Use: Mixed
Gross Lot Area: 0
Number of Buildings: [NumberofNewBuildingsl
Type and Number of Dwellings: 0
Building Size(SF): 0
Non-Residential Building Size(SF): 0
Building Height(tt): 0
Affordable Housing(YIN): No
Departure/Deviation Request(Y/N): No
PROPERTY01MER
Company Name: O'Reilly Partnership Dallas Peuse
Name: Debbie O'Reilly
Full Address: 2246 Boot Hil Ct Ste 1, Bozeman,MT 59715
Email: ciln_hricinPrnnmail,rnm
Phone: 406 570-3787
APPLICANT
Company Name: Madison Engineering;LLC
Name: Bridaet Roskam
Full Address: 895 Technology.Boulevard 203,Bozeman,Montana 59718
Email: bddqet.t@Mad-pM.com
Phone: (406)586-0262 -_
REPRESENTATIVE
Company Name: Madison Engineering;LLC
Name: Chris Budeski
Full Address: 895 Technology Boulevard 203,bozeman,Montana 59718
Email: chris(c�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 to Construct According to the Final Plan-I acknowledge that construction not in
compliance with tpe a�Foroved final-plan may result in del a of pccupancy or costs to correct noncompliance.
Property Owner Signature: --�� - c {:,l/� 1'c=a t
Printed Name: Debbie O'Reilly Dallas Peuse
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