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Community Development
Remember to obtain owner signature on this form prior to uploading with the rest of your submittal
PROJECT INFORMATION
Project Name: Norton Ranch Lift Station Upgrades
Project Type(s): Site Plan SP _
Street Address: Lift_station property.Lot 1 of Norton East Ranch Subdivision _
Phase 6._—
NORTON EAST RANCH SUB PH 6,S09,T02 S,R05 E,Lot
1,ACRES 0.157,PLATJ-694
Legal Description: ---
Due to increased sewer flows,the installation of larger force
main,wet well,pumps,electrical controls,_and upgrades to the
Description of Project: existing building are required to adequately serve the service
area to ultimate buildout.
Current Zoning: R-4.Residential High Density District
Existing Use: Commercial
Proposed Use: Commercial
Gross Lot Area: 6851
Number of Buildings: 0
Type and Number of Dwellings: 0
Building Size(SF): 628
Non-Residential Building Size(SF): 628
Building Height(ft): 13
Affordable Housing(Y/N):
Departure/Deviation Request(Y/N): Yes
Zoning Verification Expedited(Y/N): No
Wetlands Activity(Y/N):
Traffic Study or Waiver: Waiver(Issued by Engineering)
Is there a pre-application pertaining to this project?: No
Project Name and Project Number:
PROPERTY OWNER
Company Name: City of Bozeman
Name: Shawn Kohiz
Full Address: PO BOX 1230,Bozeman,MT 59771
Email: SKohtz@BOZEMAN.NET
Phone: 4065823215
APPLICANT
Company Name: Morrison-Maierle Inc.
Name: Lee Hageman
Full Address: 2880 Technology Blvd W. ,Bozeman,Montana 59718
Email: Ihageman@m-m.net
Phone: 4069226734
REPRESENTATIVE
Company Name: Morrison-Maierle Inc.
Name: Lee Hageman
Full Address: 2880 Technology Blvd W. ,Bozeman,Montana 59718
Email: Ihageman@m-m.net
Phone: 4069226734
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 delay ,pccupancy or costs to correct noncompliance.
Property Owner Signature:
Printed Name: Shawn Kohtz
9 _ -
CONTACT US
Alfred M.Stiff Professional Building phone 406-582-2260
20 East Olive Street fax406-582-2263
Bozemn,MT 59715 planning@bozeman.net
www.bozeman.net/planning