HomeMy WebLinkAbout22170 Application Summary BOZEMAN"'T
Community Development
DEVELOPMENT REVIEW APPLICATION
Please remember to obtain owner signature on this form prior to uploading with the rest of your submittal.(Digital signature
acceptable.)
PROJECT INFORMATION
Project Name: Heritage Christian School Annexation
Project Type(s): Annexation&Initial Zone Map Amendment ANNX
Street Address: 4310 DURSTON
S10,T02 S,R05 E,C.O.S.1829,ACRES 13.002,MISC LEVIES ONLY
PARCEL B NW4
Legal Description:
Annexation request for future addition to the existing school.Future addition
not a part of this request.
Description of Project:
Current Zoning: R-S Residential Suburban District
Existing Use: Institutional
Proposed Use: Institutional
Gross Lot Area: 566367
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): [AffordableHousing]
Departure/Deviation Request(Y/N): No
PROPERTY OWNER
Company Name: PIECE INC(dba Heritage Christian School)
Name: Jay Cummins
Full Address: 4310 Durston Rd,Bozeman,MT 59718
Email: jayc@heritage-chdstian.org
Phone: (406)587-9311
APPLICANT
Company Name: Graham Engineering LLC
Name: Zack Graham
Full Address: 4591 Alexander St,Bozeman,Montana 59718
Email: zack@grahameng.com
Phone: (406)599-2328
REPRESENTATIVE
Company Name: Graham Engineering LLC
Name: Zack Graham
Full Address: 4591 Alexander St,Bozeman,Montana 59718
Email: zack@grahameng.com
Phone: (406)599-2328
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 f�g(p may r dt in delays of pccupancy or costs to correct noncompliance.
Property Owner Signature: _
i
Printed Name: Jay Cum ins
CONTACT US
Alfred M.Stiff Professional Building phone 406582-2260
20 East Olive Street fax406582-2263
Bozemn,MT59715 planning@bozeman.net
www.bozeman.nettplanni ng