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DEVELOPMENT REVIEW APPLICATION
Remember to obtain owner signature on this form prior to uploading wifh fhe rest of your submittal
PROJECT INFORMATION
Project Name: Bozeman Health Campus Phase 1
Project Type(s): Site Plan SP
Street Address: 915 Highland Boulevard, Bozeman, MT 59715 _
S17,T02 S, R06 E, C.O.S.2047, PARCEL 2,ACRES
34.428, PLUS VACATED STREETAND LESS PLATJ-483
Legal Description: and S18,T02 S, R06 E, C.O.S.2047, PARCEL 1 REM,
ACRES 38.825, PLAT J-483
Phase 1 Site Plan of the associated Master Site Plan on the
Bozeman Health Regional Medical Center campus. Proposed
Description of Project: improvements include addressing the legacy non-conforming
conditions associated with the existing maintenance yard and
the temporary parking Lot I.Additional surface parking
Current Zoning: 1�8rR�fi�r�f����i3�tfl@4?���Community Business
E�sting Use: Commercial, Institutional
Proposed Use: Commercial, Institutional
Gross Lot Area: 3190900.68
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):
Departure/Deviation Request(Y/N): No
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?: Yes
Project Name and Project Number: 24715 Bozeman Health Campus Ph 1 INF _
PROPERTY OWNER
Company Name: Bozeman Health
Name: Elizabeth Oliver, Construction Project System Manager
Full Address: 915 Highland Boulevard, Bozeman, MT 59715
Email:
Phone:
APPLICANT
Company Name: Sanbell
Name: Addison Martoncik
Full Address: 106 E Babcock St, Bozeman, Montana 59715
Email:
Phone:
REPRESENTATIVE
Company Name: Sanbell _
Name: Chris Naumann
Full Address: 106 E Babcock St, Bozeman, Montana 59715
Email:
Phone:
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 complywith 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.
Digilally signed by Elizabe�h A.Oliver
Property Owner Signature: ���/��--- oa�e ZOZs.o3.o�,Z56oZ-o�oo
Printed Name:
CONTACT US
Alfred M.Stiff Professional Building phone
20 East Olive Street fax
Bozemn, MT 59715
www.bozeman.net/planning