HomeMy WebLinkAboutZP-18-176 - 0015 Deborah Drive 5/10/2018CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant: Ador Application No: J4
pp g 12 p/ O rCl /� L (office use only]
Applicant Mailing Address:IS 1 LN % /1
Applicant Email: �p5 �,�-G� /1(y f4 Gt_./ �. CC�NI Daytime phone:��.S`�' Z��
Property Street Address:
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1^6 i/1, . VT 05403
Property Owner: AAdParcel Size: /Qd X,6
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Property Owner Mailing Address
Tax Parcel ID No.
1. PROPOSED project including building dimensions (describe): I!d%W r,e f;, CA (— J (�,f 1(,f ,
2. Prese t USE(S) of the property:
I Single 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): Soy
4. Doeshe, 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): $� nl J n
6. Building footprint — i.e. size in sq.ft of main floor of house an,: 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) 111,140
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
Zo ing Perm and any a7 d conditions will be binding on the property.
/as pk �Gcryn
o y Owne gnature RINT NAME Date
he undersigned applicant hereby affirms that the information presented in this application, is true, accurate and complete.
Applicant Signature
PRINT NAME
Date
OFFICE USE NLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY
DATE Received: /FEE Received: $ / Identification of zoning district:
Identification of proposed use: 6A—A
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 or Not/Applicable
APPROVED
Approval Da e
Permit EFFECTIVE date
DENIED _
Denial Date
FINAL ADMINISTRATIVE OFFICER ACTION
O N& P�M I T
A in' tr tive Officer's Signature
f � Permit EXPIRATION date / J
REASON for DENIAL
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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. 1
NOTE: The applicant or permittee retains the obligation to identify, apply for, and obtain relevant state permits for this project. Call (802) r
879-5676 to speak with the regional Permit Specialist.
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