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Home My WebLink AboutZP-18-443 - 0935 Shelburne Road 12/14/2018CITY OF SOUTH BURLINGTON Z O N I N G PERM IT APPLICATION Applicant: i"'WT')JS OD06J( ®f-- 50UTt INJ tArUJI IJ (— Application No: T 19 — 1 tf3 Applicant Mailing Address: � �O ��/'� U �,�rG�. r� ! lV '% tl [office use only] Applicant Email:I TCf . (e kit y INfJS) �V�i� Daytime phone: �V7 !'Y b S— ✓ ��V Property Street Address: i{ �iv►�i/�i�t//t ��`ljllvl �V1�u"�uQ?4° VT 05403 Property Owner: T(IJS Fa�oS Q� �U� �jll_ �L Parcel Size: 0�' 6,P6 7 Property Owner Mailing Address: P10 , �� x Mo PMT(-AN� f,MG OqV0Tax Parcel ID No. %�yv. ✓ 1. PROPOSED project including building dimensions (describe): SI(�' JdCK— MQ Lli"Mry , itN� I-AVVsXpiN% iKV4V �►^��S A �Pe�VCD VgD� �Ife PAN i��'Rdv/�t- � �� - 17_d4 I Present USE(S) of the property: ❑ Single family home on its own parcel El Other (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.): 4 r.A11- 3. List all present structure(s) on property (describe including dimensions or square footage of each): I -716So W tWrJA)4 8vit-oio 4. Does the project include a proposed change of USE? ONo (the property will still be used for the same purpose) ❑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): $ 45 SI �� 94 iwo/ 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): Existing: Ido g d d. 66 Proposed: /0V , Y 3 o 6�r 7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks) Existing: d �? ! 5+ Proposed: 8. ATTACH 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) FINAL ADMINISTRATIVE OFFICER ACTION Z N I N G✓ PERM IT is 0- W_,P 9. APPLICANT/OWNER CERTIFICATION The undersign" perry owner hereby consents to submit this application and understands that if the application is approved, th Zoning Perm' nd nygt#ached conditions will be binding on the property. ature nt SM.Ll(�P PRINT NAME IZ Date affirms that the information presented in this application is true, accurate and complete. J t Z l Zv t� PRINT NAME Date OFFICE USE ONLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY DATE Received: 2 FEE Received: $ -3 Identification of zoning district: iS Identification of proposed use: qF —4)0d PROPOSED USE TYPE: Q Permitted Conditional Date of SITE PLAN approval/denial (01 ZI 117 Csip Approv I Date Denial Date Date of SUBDIVISION approval/ denial Approval Date Date of CONDITIONAL USE approval/ denial 2 CU - M -05 AI1prov&I Date Date of appeal VARIANCE approval/ denial Approval Date Date of MISCELLANEOUS approval/ denial Denial Date Denial Date Denial Date Approval Date Denial Date Provided applicant copy of URBEC or VCBE Standards Handbook or[XNot Applicable FRIAPPROVED Approval date Administrative Officer's Signature Permit EFFECTIVE date 12 2-92Permit EXPIRATION date DENIED Denial Date REASON for DENIAL 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 removal 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) 879-5676 to speak with the regional Permit Specialist. 11 Certificate of Compliance Certificate of Occupancy Chicken Permit Design Review DRB Applications N;ellaneous Regulations Photocopies Postage Digitized Tax Map Peddlers Permit Sign Permit Temporary Sign Permit Waste Water Permit Zoning "rmit Planning and Zoning Invoice/Receipt Property Owners Name: �n n�r� FPS L S 0 tI !� BJ� ; r�S�� t Property Location: 1�• Amount: - Payment Type: Date: i Code cc co chic signs- dr1 drb msi copi post deve # ped SN- sgn TSN- tmp WW- ww v ZP- G v — LIP+3 zp Prici n $27.00 + $13.00 = $140.00 + $13.00 = $20.00 / $10.00 $55.00 $ +$13.00 = $ 60.00 / $120.00 $55.00 $5.00 $50.00 + $13.00 = $ � �+ $13.00 = Amount Due $40.00 $153.00 $ $55.00 $ ou Total $ r�