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HomeMy WebLinkAboutZP-18-288 - 0005 Concord Green 7/18/2018CITY OF SOUTH BURLINGTON ZONING PERMIT APPLICATION Applicant: 1 Q e Application No: ZL-Lb-17"' [office use only] Applicant Mailing Address: Applicant Email: ck I m V�' rmc�n-t' (� j 'm 4. Daytime phone: '739 /3/ Property Street Address: �� r1rW) 'rA G ��1 0 7) � VT 05403 Property Owner: A Parcel Size: Property Owner Mailing Address: C�� CY,i l�7 iZQi�� Tax Parcel ID No. 1. PROPOSED project including building dimensions (describe): r� fYlc/ ,I d CJn C ♦' QlJ 2. Present USE(S) of the property: Li Single family home on its own parcel ❑ Other (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.): i 3. List all present structure(s) on property (describe including dimensions or square footage of each): d. Does the project include a proposed change of USE? o (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 residentiai, etu.;. 5. ESTIMATED total cost of improvements (materials and labor): $ 3 , o o t 4. 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: S. 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) 9. APPLICANT/OWNER CERTIFICATION The undersigned property owner hereby consents to submit this application and understands that if the application is approved 'Zoning Permit and any attached conditions will be binding on the property cl, Property Owner nature PRINT NA Date The uMersigned applicant hereby affirms that the information presented in/�this application is true, accurate and complete. (A, 41 �-,Wc, /) --1 1), Applicant SignatIfe PRINT NA E Date OFFICE US LY - ADMINISTRATIVE OFFICER ACTION - OFFICE USE ONLY DATE Received: FEE Received: $ L9 Identification of zonino district: identification of proposed use: PROPOSED USE TYPE: Date of SITE PLAN approval/denial Date of SUBDIVISION approval/ denial Date of CONDITIONAL USE approval/ denia! Date of appeal VARIANCE approval/ denial Date of MISCELLANEOUS approval/ denia! Permitted Approval Date Approval Date Approval Date Conditional Denial Date Denial Date Denial Date Approval Date Denial Date Approval Date Denial Date Provided applicant copy of URBEC or VCBE Standards Handbook or ©Not Applicable Et'AIPROVED -1 Permit EFFECTIVE date U DENIED Denial Date FINAL ADMINISTRATIVE OFFICER ACTION Ad intive Officer's Signature -711911 Permit EXPIRATION date REASON for DENIAL Administrative Officer's Signature the 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 [151 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 hd 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 (802i 879-5676 to speak with the regional Permit Specialist. �M f 9 I el