HomeMy WebLinkAboutZP-18-317 - 0125 Kennedy Drive 28 8/14/2018CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant:
Applicant Mailing Address:
Applicant Email:
Property Street Address:
Property Owner: _ao�
Property Owner Mailing Add
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1. PROPOSED prct including building dimensions (describe):
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4 0 A �-
Application No:
Daytime phone:
VT 05403
Parcel Size:
o—�kSarcel ID No.
2. Present USE(S) of the property:
P;0't!er e family home on its own parcel
(please state the USE per Land Development Regulation - retail, general office, multifamily residential, etc.):
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3. List all present structure(s) on property (describe including dimensions or square footage of each):
4. Does!N'po
o ject include a proposed change of USE?
(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): $�� ba
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: Proposed:
7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
Existing: 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)
I
9. APPLICANT/OWNER CERTIFICATION
The undersigned property owner hereby consents to submit this application and understands that if the application is approved, the
Zoning Permit and any attached conditions will be binding on the property.
Property Owner Signature PRINT NAME Date
The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete.
Applicant Signature
PRINT NAME
Date
OFFICE USE ONLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY
DATE Received: FEE Received: $ Identification of zoning district: _
Identification of proposed use:
PROPOSED USE TYPE: Permitted Conditional
Date of SITE PLAN approval/denial
Approval Date Denial Date
Date of SUBDIVISION approval/ denial
Approval Date Denial Date
Date of CONDITIONAL USE approval/ denial
Approval Date Denial Date
Date of appeal VARIANCE approval/ denial
Approval Date Denial Date
Date of MISCELLANEOUS approval/ denial
Approval Date Denial Date
❑ Provided applicant copy of URBEC or VCBE Standards Handbook orF—]Not Applicable
FINAL ADMINISTRATIVE OFFICER ACTION
ZON ING PERMIT
APPROVED
Approval Date
Permit EFFECTIVE date
DENIED
Denial Date
Administrative Officer's Signature
Permit EXPIRATION date
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 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.
9. APPLICANTIOWNER CERTIFICATION
The undersigned property owner hereby consents to submit this application and understands that if the application is a roved, the
Zoning Permit and any atted conditions will a binding on the p rty.
I r
Property Owner Sig RINT E Y--
he undersig he affirms that the I ation presented in this application is trueand comple
pticant PRINT NAME pv
QFFW.E—M11NIRSTRA ACTION— OFFICE USE ONLY
DATE Received: g;L1;WF 1 nt zoni g diSMCL
Identification of proposed use: All,
PROPOSED USE TYPE. Petmitled F—lConditional
Date of SITE PLAN approval/denial
Approval Dale Denial Date
Date of SUBDIVISION approval/ denial
Approval Date Denial Date
Date of CONDITIONAL USE approval/ denial
Approval Date Denial Date
Date of appeal VARIANCE approval/ denial
Approval Date Denial Date
Date of MISCELLANEOUS approval/ denial t
Appmval Date Denial Date
Provided applicant copy of URBEC or VCBE Standards Handbook craot Applicable
FINAL ADMINISTRATIVE OFFICER ACTION
N I N Go I E
❑ APPROVED 31
f Approval Date "s Signature
Permit EFFECTIVE date Permit EXPIRATION date
DENIED REASON for DENIAL
Denial Date
Adnenistmtive Officer's Signature
Notice of Appeal Rights: Any interested person may appeal this decision by filing a written Notice of Appeal with the dark of the
Development Review Board within fifteen [151 days of the date of this decision. The notice of appeal must be accompanied by a fiimc
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.