City of Bismarck
Community Development Department
Planning Division
Phone: 701-355-1840
FAX: 701-222-6450
TDD: 711
PO Box 5503
Bismarck, ND 58506-5503
planning@bismarcknd.gov
Last Revised: 01/01/2018
SUBDIVISION
SUBMITTAL
WAIVER REQUEST
If any waivers from submittal requirements are being requested, this form must be completed and submitted in conjunction
with the unified development application. For such waivers, approval from the appropriate department director or his/her
designee must be obtained and this form signed prior to submitting the application.
SUBDIVISION INFORMATION:
Name of Subdivision:
Location of Subdivision:
Name of Property Owner/Developer:
Contact Person (if different from owner):
REQUESTED WAIVER(S) FROM SUBMITTAL REQUIREMENTS:
Area Concept Development Plan
Prior approval from Director of Community Development:
(signature & date)
Reason for Request:
Preliminary Municipal Utility Servicing Plan
Prior approval from Director of Utility Operations:
(signature & date)
Reason for Request:
USAB Utility Master Plan Requirements
Prior approval from Director of Utility Operations:
(signature & date)
Reason for Request:
USAB Roadway Submittal Requirements
Prior approval from City Engineer:
(signature & date)
Reason for Request:
Other (Specify)
Prior approval from appropriate department head:
(signature & date)
Reason for Request:
Other (Specify)
Prior approval from appropriate department head:
(signature & date)
Reason for Request:
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