HomeMy WebLinkAbout001 Planning Application Submitted Signed BOZEMANMT
Community Development
DEVELOPMENT REVIEW APPLICATION
Remember to obtain owner signature on this form prior to uploading with the rest of your submittal
PROJECT INFORMATION
Project Name: Billings Clinic Bozeman PUDP
Project Type(s): Planned Unit Development-Preliminary Plan PUDP
Street Address: 58 acres near East Valley Center Road and N 27th Avenue
Lot 2A-1,Minor Subdivision 221 F _
Legal Description:
Master Planned Medical Campus for Billings Clinic Bozeman
Description of Project:
Current Zoning: B-2 Community Business District
Existing Use: Commercial,Institutional
Proposed Use: Commercial,InstitutionalResidential
Gross Lot Area: 2528000
Number of Buildings: 0
Type and Number of Dwellings: 0 _
Building Size(SF): 0
Non-Residential Building Size(SF): 0
Building Height(ft): 151
Affordable Housing(Y/N): No
Departure/Deviation Request(Y/N): No _
Zoning Verification Expedited(Y/N): No
PROPERTY OWNER
Company Name: Billings Clinic
Name: Mitch Goplen
Full Address: 2800 10th Avenue North, Billings,MT 59101
Email: mgoplen@billingsclinic.org
Phone: (406)671-1134
APPLICANT
Company Name: Billings Clinic
Name: Mitch Goplen .
Full Address: 2800 10th Avenue North,Billings,Montana 59101
Email: mgoplen@billingsclinic.org
Phone: (406)671-1134
REPRESENTATIVE
Company Name: BHA Design
Name: Angela Milewski
Full Address: 111 S Meldrum Street Suite 110, Fort Collins,Colorado 80521
Email: amilewski@bhadesign.com
Phone: (970)305-3937
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 complywith 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 Accordi g t t Fin Ian-I hcknowledge that construction not in
compliance with the approved final plan ma su in elays pccu ncy or costs to correct noncompliance.
Property Owner Signature:
Printed Name: Mitch Goplen
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