HomeMy WebLinkAboutZP-19-046 - 0011 Gregory Drive 3/1/2019Applicant:
CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
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Applicant Mailing Address: r� vac
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Applicant Email• ���`l �� CV�
Property Street Address:
Property Owner:
Property Owner Mailing Address\\
Application No: t -1 —01+(p
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1. PROPOSED project including building dimensions (describe): _
Daytime phonle:
Parcel Size:
Tax Parcel ID No.
VT 05403
2- present USE(S) of the property:
O Single family home on its own parcel
O Other (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.):
3. List all present structure(s) on propertt (describe including dimensions or square footage of each):
sdx, ) � �\ 11�,
4. Does thg project include a proposed change of USE?
o (the property will still be used for the same purpose)
O Yes (please state proposed changed or added USES per Land Development Regulations- retail, general
office, multifamily residential, etc.):
5. ESTIMATED total cost of improvements (materials and labor): $
6. Building footprint- i.e. size in sq. ft. of main floor of house and all attached and detached structures including enclosed
breezeways, garages, and sheds (describe): Existing5 QX 0-0 Propo ed:
7. Total square feet of other impervious surfaces on site (i.e. driveways, atios, decks)
Existing: Proposed:
8 Listing
SKETCH PLAN OR SITE PLAN (not required if project consists ONLY of interior renovations or replacement of
,Existing roof, siding, etc. in the exact same size)
9. APPLICANT/OWNER CERTIFICATION
The undersigned property owner hereby consents to submit this application and understands that if the application is approved,
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ermit and any attached conditions will be binding on the property.
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Property O gnature PRINT NAME Date
ndersigned applicant hereby affirms that the information presented in this application is t e, accurate and complete.
Applicant Signa a PRINT NAME Date
OFFICE USE ONLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY
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DATE Received: — 31( -1 _ FEE Received: $ �50 4- Identification of zoning district:
Identification of proposed use:
PROPOSED USE TYPE:
Date of SITE PLAN approval/denial
Date of SUBDIVISION approval/ denial
Date of CONDITIONAL USE approval/ denial
Date of appeal VARIANCE approval/ denial
Date of MISCELLANEOUS approval/ denial
Permitted
Approval Date
Approval Date
Approval Date
Approval Date
Conditional
Denial Date
Denial Date
Denial Date
Denial Date
Approval Date Denial Date
❑ Provided applicant copy of URBEC or VCBE Standards Handbook or )� Not Applicable
E� APPROVED
AppP'ovaf Date Administrative Officer's Signature p
Permit EFFECTIVE date 3 ( Permit EXPIRATION date 20 -to
❑ DENIED
Denial Date
FINAL ADMINISTRATIVE OFFICER ACTION
Z O_N I G PERM IT-.1 W-
REASON for DENIAL
Administrative Officer's Signature
Notice of Appeal Rights: Any interested person may appeal this decision by filing a written Notice of Appeal with the clerk of the
Development Review Board within fifteen [15] days of the date of this decision. The notice of appeal must be accompanied by a filing
fee of $223.00.
This permit does NOT authorize commencement of any development activity approved by the permit until the permit takes `
effect as set forth above. Site modifications and improvements made prior to this permit becoming effective may be subject to remt j
and site restoration if a timely appeal is commenced.
NOTE: The applicant or permittee retains the obligation to identify, apply for, and obtain relevant state permits for this project. Call
(802) 477-2241 to speak with the regional Permit Specialist.
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