HomeMy WebLinkAboutAD-22-01 - Supplemental - 1699 Hinesburg Road (2)575 Dorset Street South Burlington, VT 05403 tel 802.846.4106 fax 802.846.4101 www.sburl.com
Permit Number AD-______-__________ (office use only)
APPLICATION FOR MINOR LOT LINE ADJUSTMENT
All information requested on this application must be completed in full. Failure to provide the requested
information either on this application form or on the plans will result in your application being rejected and a
delay in the review by the Administrative Officer.
1) OWNER(S) OF RECORD (Name as shown on deed, mailing address, phone and fax #)
2) LOCATION OF LAST RECORDED DEED(S)(Book and page #)
3) APPLICANT (Name, mailing address, phone and fax
4) APPLICANT’S LEGAL INTEREST IN THE PROPERTY (fee simple, option, etc.)
5) CONTACT PERSON (Name, mailing address, phone and fax #)
5a) CONTACT EMAIL ADDRESS
6) PROJECT STREET ADDRESS
7) TAX PARCEL ID #(can be obtained at Assessor’s Office)
8) PROJECT DESCRIPTION
a) Existing Uses on Property (including description and size of each separate use)
JJJ South Burlington LLC, 21 Carmichael Street, Suite 201, Essex Jct., VT 05452
(802)-879-4477
1191/262 1191/265
JJJ South Burlington LLC, 21 Carmichael Street, Suite 201, Essex Jct., VT 05452
(802)-879-4477
Fee Simple
Bryan Currier, P.E. (O'Leary-Burke Civil Associates) Phone: (802)-878-9990
13 Corporate Drive, Essex Jct., VT 05452
bcurrier@olearyburke.com
1580 Dorset Street & 1699 Hinesburg Road
0570-R1580, 0860-01731, 0860-01625_R
This Minor Lot Line Adjustment Application proposes footprint lots to be recognized by the
City, while a concurrent Subdivision Amendment Application proposes the single-family
footprint lots change to subdivided single-family lots. (See Cover Letter)
N/A
2 Minor Lot Line Adjustment Application Form. Rev. 12-2011
b) Other (list any other information pertinent to this application not specifically requested above, please note if
Overlay Districts are applicable)
9) LOT COVERAGES FOR EACH LOT
LOT #1 (Street Address):
a) Building: Existing % Proposed %
b) Overall (building, parking, outside storage, etc)
Existing % Proposed %
c) Front yard along each street Existing % Proposed %
(applies only to commercial property)
LOT #2 (Street Address):
d) Building: Existing % Proposed %
e) Overall (building, parking, outside storage, etc)
Existing % Proposed %
f) Front yard along each street Existing % Proposed %
(applies only to commercial property)
10) TYPE OF EXISTING OR PROPOSED ENCUMBRANCES ON PROPERTY (easements, covenants, leases, rights of
way, etc.)
11) PROPOSED EXTENSION, RELOCATION, OR MODIFICATION OF MUNICIPAL FACILITIES (sanitary sewer, water
supply, streets, storm drainage, etc.)
N/A
N/A
N/A
N/A
N/A