HomeMy WebLinkAboutA1Form_012121 Page 002PROPERTY OWNER - — _—
Name: nononwoPaTm LLC
Full Address: wmaaE ia." ra°°aD., o,k.Pm¢ame,pasmasm
Email: boe"nmreavm
Phone:. IsrUamaon
APPLICANT
Name: owrasuanD°. n°.lanasuaimnl
Full Address: mOTBdi"0i°arana wanlsw xra)
Email: araaelaaw.a+�nmD
REPRESENTATIVE
Name: naaYasoatmn
Full Address, 0B80TK
Phone: Naflsaaaana
CERTIFICATIONS AND SIGNATURES _—
This application must be signed by both the appliamis) and the property owner(s) (if different) 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 applicants) only.
As indicated by the signature(s) below, the applicant(s) and property demerit) 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 wdh 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 Pmgam and impact fees may be
assessed for my project. Further, I agree to grant City personnel and other review agency representaHve's access to the subject site
during the course of the review wcess (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 C napfta ce—I understand met 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 Con RAccordingto Inal Nan— I acknowledge that construction not in compliance with the
approved Bnalplanmayre Itindelay occ ncy rcos[s [D correct noncompliance.
Applicant Signature: '4/ _
Printed Name:
Representative Signature:
Printed Name:
0.MDPmeMP Iew APPAotM Wlisade NMgan W4:Nx Ml3o