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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: 1222 S 5th Ave
Project Type(s): Neighborhood Certificate of Appropriateness NCOA
Street Address: 1222 5TH
CAPITOL HILL ADD,S13,T02 S,R05 E,BLOCK 34,ACRES 0.195,W 113'
LOTS 13-15
Legal Description:
Provide a separate entrance and new egress windows to the existing lower
unit.
Description of Project:
Current Zoning: R-2 Residential Moderate Density District
E)asting Use: Residential
Proposed Use: Residential
Gross Lot Area: 8475
Number of Buildings: 1
Type and Number of Dwellings: 0
Building Size(SF): 2600
Non-Residential Building Size(SF): 0
Building Height(ft):
Affordable Housing(Y/N): No
Departure/Deviation Request(Y/N): No
Zoning Verification Expedited(Y/N): No
PROPERTY OWNER
Company Name: Maloney Holdings,LLC
Name: Maloney Holdings,LLC Maloney Holdings,LLC
Full Address: 101 S Main Ave STE 301,Sioux Falls,SD 57104
Email: suedoss7(abgmail.com
Phone: (406)570-7080
APPLICANT
Company Name: Firm 5
Name: Kaitlyn Kuntz
Full Address: 703 Wyoming Street,Belgrade,Montana 59714
Email: kkuntzm5(oD.gmail.com
Phone: (206)612-9372
REPRESENTATIVE
Company Name: Firm 5
Name: Kaitlyn Kuntz
Full Address: 703 Wyoming Street,Bel rag de,Montana 5971.4
Email: kkuntz.m5 gmail.com
Phone: (206)612-9372
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 anywork 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 the approved final plan may result in delays of pccupanc or costs to correct noncompliance.
Property Owner Signature: 10
Printed Name: M ney Holdings,LLC Maloney oldings,LLC
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