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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