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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:5532 Fowler Lane Annexation
Project Type(s):Annexation & Initial Zone Map Amendment ANNX
Street Address:5532 Fowler Lane
Legal Description:
S23, T02 S, R05 E, N2S2SW4SW4 10.00AC
Description of Project:
Annexation request for 10ac parcel adjacent to the city
Current Zoning:N/A - Requesting Annexation / Out of City
Existing Use:Residential
Proposed Use:Residential
Gross Lot Area:435600
Number of Buildings:0
Type and Number of Dwellings:0
Building Size (SF):0
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
Wetlands Activity (Y/N):
Traffic Study or Waiver:N/A - Application is not a Master Site Plan, Site Plan,
Subdivision, or Planned Development Zone.Is there a pre-application pertaining to this project?:
Project Name and Project Number:
PROPERTY OWNER
Company Name: KDG Holdings, LLC
Name: Grant Syth
Full Address: 5532 Fowler Lane, Bozeman, MT 59718
Email: grant@bridgerlandgroup.com
Phone: 4065396015
PLNAPP -8406September 5, 202424492
APPLICANT
Company Name:Intrinsik Architecture
Name:Tyler Steinway
Full Address:106 E Babcock Suite 1A , Bozeman, Montana 59715
Email:tsteinway@intrinsikarchitecture.com
Phone:4062208210
REPRESENTATIVE
Company Name:Intrinsik Architecture
Name:Tyler Steinway
Full Address:106 E Babcock Suite 1A , Bozeman, Montana 59715
Email:tsteinway@intrinsikarchitecture.com
Phone:4062208210
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:Grant Syth
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