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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:SRX-II GPA
Project Type(s):Growth Policy Amendment GPA
Street Address:NE Corner of 19th and Graf
Legal Description:
Minor Subdivision No 494 Block 1: Lot 1, 3
Description of Project:
Growth Policy Amendment to update future land use designation from Urban
Neighborhood to Community Commercial Mixed Use to support ZMA request
of B2-M zoning.
Current Zoning:R-1 Residential Low Density District, R-2 Residential Moderate Density
DistrictExisting Use:Undeveloped
Proposed Use:Commercial, Mixed, Residential
Gross Lot Area:332972
Number of Buildings:0
Type and Number of Dwellings:0
Building Size (SF):0
Non-Residential Building Size (SF):0
Building Height (ft):0
Affordable Housing (Y/N):No
Departure/Deviation Request (Y/N):No
Zoning Verification Expedited (Y/N):No
Wetlands Activity (Y/N):
Traffic Study or Waiver:Traffic Study
PROPERTY OWNER
Company Name:SRX II LLC
Name:Parker Lange
Full Address:1450 Twin Lakes Ave, Bozeman, MT 59718
Email:plange@providencedevco.com
Phone:4065954560
APPLICANT
Company Name:Providence Development
Name:Parker Lange
Full Address:1450 Twin Lakes Ave Suite 201, Bozeman, Montana 59718
Email:plange@providencedevco.com
Phone:4065954560
REPRESENTATIVE
Company Name:Providence Development
Name:Parker Lange
Full Address:1450 Twin Lakes Ave Suite 201, Bozeman, Montana 59718
Email:plange@providencedevco.com
Phone:4065954560
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 According to the Final Plan - I acknowledge that construction not in
compliance with the approved final plan may result in delays of pccupancy or costs to correct noncompliance.
Property Owner Signature:
Printed Name:Parker Lange
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