HomeMy WebLinkAboutZP-18-378 - 0007 Green Tree Drive 9/27/20180 r
CITY OF SOUTH BURLINGTON
Z O N I N G P E R,M.. T A P"P L I C.A T 1 0-N
1. PROPOSED project including building dimensions (describe):.
1 'resent USE(S) of the property:
❑Single family home on its own parcel
� ther (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.)
3. List all present structure(s) on property (describe including dimensions or square footage of each):
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4. Does the project include a proposed change of USE? .
o (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): $
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: (act Proposed:_
7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks) rw
Existing: 4) ! 6) (g �' Proposed:
f 4TTACH SKETCH PLAN OR SITE PLAN (not required if project consists ONLY of interior renovations or replacement of
1 xisting roof, siding, etc. in the exact same size)
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S. APPLICANTIOWNER CERTIFICATION
The undersigned property owner hereby consents to submit this application and understands that if the application is approved, the
Zo ' g Permit and any attached conditions will be binding on the property.
Pr pe y Owner Signature PRINT NAME Date
The ed a lca ereby affirms that the.information presented in this application is true, accurate and complete.
T;v
Applicant Signa re PRINT NAME Date
❑DENIED. REASON for DENIAL
77
Denial Date
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.
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