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1 Revised 10-1-21 City of Whitefish Planning & Building Department PO Box 158 418 E 2nd Street Whitefish, MT 59937 Phone: [PHONE REDACTED] Fax: [PHONE REDACTED] MINOR WAIVER PRELIMINARY PLAT APPLICATION FEE ATTACHED (See current fee schedule) INSTRUCTIONS: □ A Site Review Meeting with city staff is required. Date of Site Review Meeting: □ Submit the application fee, completed application and appropriate attachments to the Whitefish Planning & Building Department. □ Schedule a Date and Time with City Staff to Submit the Application: A. PROJECT INFORMATION: Project /Subdivision Street Address Assessor’s Tract No.(s) Lot No(s) Block # Subdivision Name 1/4 Sec Section Township I hereby certify that the information contained or accompanied in this application is true and correct to the best of my knowledge. The signing of this application signifies approval for the Whitefish staff to be present on the property for routine monitoring and inspection during the approval and development process. Owner’s Signature1 Date Print Name Applicant’s Signature Date Print Name Representative’s Signature Date Print Name 1 May be signed by the applicant or representative, authorization letter from owner must be attached. If there are multiple owners, a letter authorizing one owner to be the authorized representative for all must be included File Date: Intake Staff: Check Amount: Element Review: Sufficiency Review: ---PAGE BREAK--- 2 Revised 10-1-21 APPLICATION CONTENTS: All applicable items required by Appendix B: Preliminary Plat Submittal Requirements of the Whitefish Subdivision Regulations must be submitted to the Whitefish Planning & Building Department with the application for preliminary plat, including the following: Attached ALL ITEMS MUST BE INCLUDED - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED One printed copy and one electronic copy of the Preliminary Plat Waiver Application and supplemental information Preliminary Plat Deed and Encumbrance Report (aka “title report”), no more than 90 days old Environmental Assessment (unless a 1st minor from a tract of record) Applicable items from Appendix B of the Whitefish Subdivision Regulations (can be found at: www.cityofwhitefish.org) Will this project provide affordable housing: Yes No If yes, complete a Housing Mitigation Plan Additional information requested during the pre-application process Documentation from public records demonstrating the subdivision is a minor Fair Market Land Value (state of Montana Department of Revenue for the most current year) Recommendation from the Parks Board – unless exempt §12-4-10(C) $100 deposit for sign to be posted on site during the duration of the public process (submit a separate check, which will be returned to you after you return the sign to the Planning Office) When all application materials are submitted to the Planning & Building Department, and the staff finds the application is complete, the staff will notice the adjacent landowners of the proposal. If no comments are received, the city will issue a preliminary plat approval within 35 working days of complete application pursuant to §12-3-4 of the Subdivision Regulations. If concerns raised by neighbors cannot be mitigated through standard conditions of approval, the subdivision will be scheduled for a public meeting before the City Council. I understand I am responsible for maintaining the public notice sign on the subject property during the entire public process. I understand I will forfeit my $100.00 deposit, if I do not return the public notice sign to the Planning & Building Department in good condition after the public review. Applicant Date ---PAGE BREAK--- 3 Revised 10-1-21 B. OWNER(S) OF RECORD: Name: Mailing Address: City, State, Zip: Email: APPLICANT (if different than above): Name: Mailing Address: City, State, Zip: Email: TECHNICAL/PROFESSIONAL: Name: Mailing Address: City, State, Zip: Email: B. GENERAL DESCRIPTION OF SUBDIVISION: ZONING DESIGNATION: LOTS AND ACREAGE: Total Acreage in Subdivision: Number of Lots or Rental Spaces: Maximum Size of Lots or Spaces: Minimum Size of Lots or Spaces: Total Acreage in Lots: Total Acreage in Streets or Roads: PROPOSED USE(S) AND NUMBER OF ASSOCIATED LOTS/SPACES: Single Family: Townhouse: Mobile Home Park: Duplex: Apartment: Recreational Vehicle Park: Commercial: Industrial: Condominium: Multi-Family: Other: PARKLAND/OPEN SPACE PROPOSAL: The following information is required to show how the project meets the parkland dedication requirements of the subdivision regulations (§12-4-10). A recommendation from the Park Board is required to be submitted along with the application, unless exempted under the subdivision regulations 12-4-10(C). • Date of Parks Board Meeting (prior to submitting an application): • Market Value before Improvements: • Total Acreage in Parks, Open Spaces and/or Common Areas: ---PAGE BREAK--- 4 Revised 10-1-21 CRITICAL AREAS ON-SITE OR NEARBY: Lake Wetlands Streams Stormwater Conveyance High Groundwater Slopes 10-30% Slopes 30%+ Floodplain C. DESCRIBE HOW THE PROJECT MEETS THE CRITERIA IN SECTION 12-3-7(A):