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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:Atwell Hotel - Site Plan
Project Type(s):Commercial - Non-Residential Certificate of Appropriateness
CCOA
Street Address:1851 BAXTER
Legal Description:
Gardner Simmental Plaza S35, T01 S, R05 E, Lot 2B, Acres
2.243, PLAT J-5-C
Description of Project:
Construction of a 104 unit hotel
Current Zoning:M-1 Light Manufacturing District
Existing Use:Undeveloped
Proposed Use:Commercial
Gross Lot Area:97705
Number of Buildings:2
Type and Number of Dwellings:104
Building Size (SF):61743
Non-Residential Building Size (SF):24976
Building Height (ft):51
Affordable Housing (Y/N):
Departure/Deviation Request (Y/N):No
Zoning Verification Expedited (Y/N):No
Wetlands Activity (Y/N):
Traffic Study or Waiver:Traffic Study
Is there a pre-application pertaining to this project?:
Project Name and Project Number:
PROPERTY OWNER
Company Name:Town Pump
Name:Dan Sampson
Full Address:600 S Main St., Butte, MT 59701
Email:dans@townpump.com
Phone:4064976860
APPLICANT
Company Name:Nelson Architects
Name:Tyson Kraft
Full Address:621 2nd Ave N. , Great Falls, Montana 59401
Email:tyson@nelsonarchitects.com
Phone:4067273286
REPRESENTATIVE
Company Name:Nelson Architects
Name:Tyson Kraft
Full Address:621 2nd Ave N. , Great Falls, Montana 59401
Email:tyson@nelsonarchitects.com
Phone:4067273286
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:Dan Sampson
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