HomeMy WebLinkAboutSigned App Form -MT
Community Development
Remember to obtain owner signature on this form prior to uploading with the rest of your submittal
PROJECT INFORMATION
Project Name: Evergreen Shops Site Plan
Project Type(s): Site Plan SP
Street Address: Evergreen Drive
Lot 2,Minor Sub.437 S06,T02 S,R06 E
Legal Description:
Shop/storage condo units.
Description of Project:
Current Zoning: M-2 Manufacturing and Industrial District
Existing Use: Undeveloped
Proposed Use: Commercial
Gross Lot Area: 45320
Number of Buildings: 1
Type and Number of Dwellings: 0
Building Size(SF): 15050
Non-Residential Building Size(SF): 15050
Building Height(ft): 25
Affordable Housing(Y/N):
Departure/Deviation Request(Y/N): No
Zoning Verification Expedited(Y/N): No
PROPERTY OWNER
Company Name: Buckskin Rentals
Name: Burke Moran
Full Address: 1232 North 15th Ave.,Bozeman,MT 59715
Email: burke.moran@ribandchophouse.com
Phone: (406)451-9192
APPLICANT
Company Name: Visser Architects,PC
Name: RandyVisser
Full Address: 163 Quiet Water Way,Manhattan,Montana 59741
Email: randy@visserarchitects.net
Phone: (406)282-9922
REPRESENTATIVE
Company Name: Visser Architects,PC
Name: Randy Visser
Full Address: 163 Quiet Water Way,Manhattan,Montana 59741
Email: randy@visserarchitects.net
Phone: (406)282-9922
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 Accordinm tm the Final Plan-I acknowledge that construction not in
compliance with the approvedfigal plan, mW 'I in delays of pccupancy or costs to correct noncompliance.
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Property Owner Signature: � U V
E
Printed Name: Burke Moran
CONTACT US
Alfred M.Stiff Professional Building phone 406-582-2260
20 East Olive Street fax406-582-2263
Bozemn,MT59715 planning@bozeman.net
www.bozeman.net/planning