HomeMy WebLinkAboutZP-18-364 - 0004 Mayfair Street 9/13/2018Applicant: c
CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
6
Application No: _
f / i ! �� [offic use onlyl
Applicant Mailing Address:
Applicant Email: �! ' / /� l',_�1 L� /"/ j � Daytimephone:
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Property Street Address: � /�2 � //505403
PropertyOwner: /„� Parcel Size:
Property Owner Mailing Address:
1. PROPOSED project including building dimensions (describe):
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Tax Parcel ID No.
2. Present U (S) of the property:
Single family home on its own parcel
,[:]Other (please state the USE per Land Development Regulations- retail, general office
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3. List all resent strfcture(s n property (describe including or square footage of
, multifamily residential, etc.):
4. Does roject include a proposed change of USE?
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No (the property will still be used for the same purpose
QYes (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 inclu enclosed
breezeways, garages, and sheds (describe): Existing: Z,7 S Proposed:
7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
Existing: ,5-1A da Proposed:
8. 4TTACH SKETCH PLAN OR SITE PLAN (not required if project consists ONLY of interior renovations or replacement of
�isting roof, siding, etc. in the exact same size)
9. APPLICANT/OWNER CERTIFICATION
The undersig property owner hereby consents to submit this application and understands that if the application is approved, the
Zoning Permit d any a aeh condi ' ns will be binding on the property.
Property Owner Signature PRINT NA�t Date
Theyegie#gned ap li re affirms that the information prese this application is true, accurate and complete.
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Applicant Signature PRINT NAME Date
OFFICE USE ONLY - ADMINISTRATIVE OFFICER ACTION - OFFICE USE ONLY
DATE Received: 9 8 9 FEE Received: $ 02/3, d 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 orF-]Not Applicable
FINAL ADMINISTRATIVE OFFICER ACTION
Z O N I- 1 G PERM IT
APPROVED
u Approval Date q p Administrative Officer's Signature
Permit EFFECTIVE date / / '/ Permit EXPIRATION date / /3 {
1-1 DENIED
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Denial Date
REASON for DENIAL
Administrative Officer's
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 rem(
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.