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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:South 40 ZMA
Project Type(s):Zone Map Amendment ZMA
Street Address:SE corner of the intersection of South 19th and Graf Street
Legal Description:
MINOR SUB 494, S24, T02 S, R05 E, BLOCK 2, Lot 1, ACRES 38.407
Description of Project:
Master planned community with commercial and residential uses
Current Zoning:R-1 Residential Low Density District, R-2 Residential Moderate Density
DistrictExisting Use:Undeveloped
Proposed Use:Commercial, Residential
Gross Lot Area:1673140
Number of Buildings:332
Type and Number of Dwellings: 325
Building Size (SF): 0
Non-Residential Building Size (SF): 41500
Building Height (ft):0
Affordable Housing (Y/N):No
Departure/Deviation Request (Y/N): No
Zoning Verification Expedited (Y/N): No
PROPERTY OWNER
Company Name: Providence Developement
Name: Parker Lange
Full Address: Post Office Box 4082, Bozeman, MT 59715
Email:plange@providencedevco.com
Phone:(406) 595-4560
APPLICANT
Company Name: Providence Developement
Name: Parker Lange
Full Address: Post Office Box 4082 , Bozeman, Montana 59715
Email:plange@providencedevco.com
Phone:(406) 595-4560
REPRESENTATIVE
Company Name: ntrinsik Architecture Inc
Name: Ner Steinway
Full Address: 106 East Babcock Street Suite 1 A I Bozeman, Montana 59715
Email:tsteinway@intrinsikarchitecture.com
Phone:(406) 426-9568
CERTIFICATIONS AND SIGNATURES
Applicant signature is captured electronically at lime 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. II 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 -1 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 -1 acknowledge that construction not in
compliance with the approved final plan m r suit i lays of pccupancy or costs to correct noncompliance.
Property Owner Signature: ------il,::_=.:::.._,,,p.s,µ:;.. ffe.:;;:;:::_,...c:=.:.._ _____________ _
Printed Name:Parker Lange
CONTACTUS
Alfred M. Stiff Professional Building
20 East Olive Street
Bozemn, MT 59715
phone 406-582-2260
fax 406-582-2263
planning@bozeman.net
www.bozeman.net/planning