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HomeMy WebLinkAboutZP-18-217 - 0231 Cobblestone Circle 6/5/2018CITY OF SOUTH BURLINGTON ZONING PERMIT APPLICATION jA� f, Applicant: o�v�S i� Application NoZ n [office use only] Applicant Mailing Address: �.�' s lV;"-''f�c r-%i;J (�i�yL�_ Applicant Email: �J )A, G�O� 4--7 LLb -wr. �r �ecicc� Daytime phone: t � y Property Street Address: VT 05403 Property Owner: I� LvS ��`� --��+' \ Parcel Size: Property Owner Mailing Address: �> f vz f.-� r + �' �� ? 1,—Y Tax Parcel ID No. 1. PROPOSED project including ilding dim nsions (describe):��J-}LC- .► Sv�-� Il= - G �. Present USE(S) of the property: ElSingle family home on its own parcel ❑ Other (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): 4. Does.tt a project include a proposed change of USE? No (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): $ JDZl, 0 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) 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 andattached conditions will be binding on the property. Property Owner Signature PRINT NAME Date Thee dridersigned applicant hereby affirms that the informatiog resented in this application is true, accurate and complete. J AJ Applicant 5'q,ature PRINT NAME Date OFFICE U E�LY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY DATE Received: / FEE Received: $ t 4dentification 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 Permitted Conditional Approval Date Approval Date Approval Date Approval Date Denial Date Denial Date Denial Date Denial Date Date of MISCELLANEOUS approval/ denial Approval Date Denial Date Provided applicant copy of URBEC or VCBE Standards Handbook or of Applicable APPROVED V Permit EFFECTIVE date [/ DENIED Denial Date FINAL ADMINISTRATIVE OFFICER ACTION IyP E f l �� i ive Officer's Signature Permit EXPIRATION 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. N