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This application is filed complete with the required information as outlined in the attached submission checklist. If a subdivision
plat application: because of scheduling and calendar considerations, your subdivision plat may not be finally approved
within 30 days as per NDCC Section 40-48-21. I hereby waive said requirements in return for expeditious consideration of
my application by the City. If an annexation application: the City will post legal notice of public hearing on behalf of the
applicant rather than the applicant as specified in NDCC Section 40-51.2-05. I understand the regulations of the Bismarck
Zoning Ordinance and the NDCC as they pertain to this request(s). I certify that all property owners have signed or ratified
this application. I hereby request favorable consideration of the above described development application.
________________________________________________________ ________________________________
(Applicant’s Signature) (Printed Name) (Date)
________________________________________________________ ________________________________
(Owner’s Signature, if different) (Printed Name) (Date)
________________________________________________________ ________________________________
(Additional Owner’s Signature, if applicable) (Printed Name) (Date)
________________________________________________________ ________________________________
(Additional Owner’s Signature, if applicable) (Printed Name) (Date)
VERIFICATION FOR PLAT MODIFICATION REQUESTS:
The oath of at least one petitioner is required for plat modification requests only
(vacation of street/alley, release of non-access line, or release of easement)
STATE OF NORTH DAKOTA )
: SS
COUNTY OF BURLEIGH )
On this ____day of _______________, 20___, before me, a notary public in and for said county and state, appeared
____________________________________, known to be personally to be the same person described in and whom
executed the above instrument, and severally acknowledged that he/she executed the same.
___________________________________
Notary Public
Burleigh County, State of North Dakota
Submission Deadlines:
The Planning and Zoning Commission regularly meets on the fourth Wednesday of each month. All development applications
– except for variances, lot modifications and plat modifications – are due at 12:00 noon on the Friday that is 33 calendar
days prior to the meeting.
The Board of Adjustment regularly meets on the first Thursday of each month. All development applications for variances are
due at 5:00 p.m. on the Monday that is 24 calendar days prior to the meeting.
The Board of City Commissioners regularly meets on the second and fourth Tuesdays of each month. All development
applications for plat modifications (street/alley vacation, non-access line release, easement release) are due at 5:00 p.m. on
the Tuesday that is 14 calendar days prior to the meeting.
Development applications for lot modifications are processed administratively and may be submitted at any time.