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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: 544 N MT Ave _
Project Type(s): Neighborhood Certificate of Appropriateness NCOA _
Street Address: 544 MONTANA
Geo code: 06-0799-07-2-34-49-000 BEALLS 1STADD,
S07,T02 S, R06 E, Lot 9A, PLAT C-11-M
Legal Description:
Remodel/selective demo existing dwelling and new dwelling
unit.
Description of Project:
Current Zoning: R-2 Residential Moderate Density District
E�sting Use: Residential
Proposed Use: Residential
Gross Lot Area: 5
Number of Buildings: 1
Type and Number of Dwellings: 2
Building Size (SF): 3
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, _
Is there a pre-application pertaining to this project?: Subdivision,or Planned Development Zone. —
Project Name and Project Number: _
PROPERTY OWNER
Company Name: na
Name: Tory brown
Full Address: 544 N Montana Ave, Bozeman, MT 59715
Email:
Phone:
APPLICANT
Company Name: Stefan Associates
Name: tim stefan
Full Address: 1209.5 E Main St, Bozeman, Montana 59715
Email:
Phone:
REPRESENTATIVE
Company Name: Stefan Associates _
Name: tim stefan
Full Address: 1209.5 E Main 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
CONTACT US
Alfred M.Stiff Professional Building phone
20 East Olive Street fax
Bozemn, MT 59715
www.bozeman.net/planning