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Community Development
DEVELOPMENT REVIEW APPLICATION
Remember to obtain ownei signaNre on tliis form pnor to uploading with fhe resf o(your sibmitFal
PRW ECT INFORMATION
Project Name: 307 South Black Avenue NCOA
Project Type(s): Demolition of Entire Structure DEM-within conservation
Street Address: $�{�e�1�D),Neighborhood Certificate of
Appropriateness NCOA
BLACK ADD,507,T02 S,RO6 E,BLOCK F,Lot 3-4,
ACRES 0.368,&23'S OF LOT 5
Legal Description:
Demolition of an unsafe structure
Description of Project
Current Zoning: R-2 Residential Moderate Density District
Ewsting Use: Residen6al
Proposed Use: Resider�tial
Gross LotArea: 16030.08
Number of Buildings: 0
Type and Number of Dwellings: 2
Building Size(SF): 0
Non-Residential Building Size(SF): 0
Building Height(ft):
Affordable Housing (Y/N): No
Departure/Deviation Request(YM): No
Zoning Verificatlon Expedited (Y/N): No
WeUands Activity(Y/N):
Traffic Study or Waiver: N/A-Application is not a Master Site Plan,Site Plan,
Is there a pre-application pertaining to this project?: Subdivision,or Planned DevelopmentZone.
Project Name and Project Number:
PROPERTYOWNER
Company Name: Dennis Steinhauer(multiple owners on file at clerk and recorder)
Name: Dennis Steinhauer
Full Address: 11340 Meadowlark Circle,Boyrrion Beach, FL 33436
Email:
Phone:
APPLICANT
Company Name: InVinsik Architecture
Name: TylerSteirnvay
Full Address: 106 E Babcock Suite 1A,Bozeman,Montana 59715
Email:
Phone: `
REPRESENTATNE
Company Name: InVinsik Architecture
Name: Ty1er Steirnvay
Full Address: 106 E Babcock Suite 1A,Bozeman,Montana 59715 �
Email:
Phone:
CERTIFICATIONS AND SIGNATURES
Applicant signature is captured electronically at lime of application submittal.This application PDF must also be
signed bythe propertyowner(s)for all application types before the submittal will be accepted.The only exception
to this is an informal review applica6on that may be signed by the applicant(s)only.The applicant(s)and property
owner(s)submit this applicaGon for review under the terms and provisions of the Bozeman Municipal Code. tt 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 myproject. 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 We and correct to the best of my(our)knowledge.
CeRification 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 ConsVuct According to the Final Plan-I ackrwwledge that consWction rwt in
compliance with the approved final plan may result in delays of pccupancy or costs to correct noncompliance.
PropertyOwnerSignat�re;_-� �
Printed Name: Dennis Steinhauer
CONTACTUS
Alfred M.Stiff Professional Building phone
20 East Olive Street fax
Bozemn,MT 59715
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