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Revised 12-20-2023 Page 1 of 4 City of Whitefish Planning & Building Dept 418 E 2nd St │PO Box 158 Whitefish, MT 59937 Phone: (406) 863-2410 ADMINISTRATIVE MINOR PRELIMINARY PLAT APPLICATION FEE ATTACHED $ 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: (Date/Time)  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. Once the comment period is complete, a decision will be issued. Staff decisions are appealable to City Council. (§12-3-8D, WCC) A. PROJECT INFORMATION: Project Name: Name of Architect Licensed in the state of Montana: Project Address: Assessor’s Tract No.(s) Lot No(s) Block # Subdivision Name 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 Signature** Date Print Name Applicant’s Signature Date Print Name Representative’s Signature Date Print Name File Date: Intake Staff: Check Amount: Acct 1000 101000 341070 Date Complete: (see current fee schedule) **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. ---PAGE BREAK--- Revised 12-20-2023 Page 2 of 4 B. 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 application and supplemental materials.  2 copies of the preliminary plat  Deed and Encumbrance Report (aka ‘title report’) no more than 90 days old  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  Any additional information requested during the pre-application process  Documentation from public records demonstrating the subdivision is a minor  Recommendation from the Parks Board and Fair Market Land Value (state of Montana Department of Revenue for the most current year) – unless exempt 12-4-11(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, staff will notify adjacent landowners of the project. At the completion of the public comment period, staff will issue a decision. A decision must be made within 30 working days once an application is determined to be complete pursuant to §12-3-4 of the Subdivision Regulations. 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--- Revised 12-20-2023 Page 3 of 4 C. OWNER/APPLICANT INFORMATION OWNER(S) OF RECORD: Name: Phone: Mailing Address: City, State, Zip: Email: APPLICANT (if different than above): Name: Phone: Mailing Address: City, State, Zip: Email: OTHER TECHNICAL/PROFESSIONAL: Name: Phone: Mailing Address: City, State, Zip: Email: D. GENERAL DESCRIPTION OF SUBDIVISION: ZONING DESIGNATION: If proposing to change the underlying zoning, proposed zoning: 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: Planned Unit Development: Condominium: Multi-Family: Other: ---PAGE BREAK--- Revised 12-20-2023 Page 4 of 4 CRITICAL AREAS ON-SITE OR NEARBY:  Lake  Wetlands  Streams  Stormwater Conveyance  High Groundwater  Slopes 10-30%  Slopes 30%+  Floodplain PARKLAND/OPEN SPACE PROPOSAL: The following information is required to show how the project meets the parkland dedication requirements of the subdivision regulations (§12-4-11). A recommendation from the Park Board is required to be submitted along with the application, unless exempted under the subdivision regulations §12-4-11 • Date of Parks Board Meeting (prior to submitting an application): • Market Land Value (state of MT Department of Revenue for the most Current Year): • Total Acreage in Parks, Open Spaces and/or Common Areas: E. DESCRIBE HOW THE PROJECT MEETS THE CRITERIA IN SECTION 12-3-8(A): A project is eligible for an Administrative Minor Preliminary Plat if the project: • Is located in an area subject to and complies with zoning regulations; • Is connecting to city water and sewer; • Has existing legal and physical access to each lot; and • No subdivision variances are needed nor requested.