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HomeMy WebLinkAboutZP-18-150 - 0130 Crispin Drive 5/1/2018CITY OF SOUTH BURLINGTON ZONING PERMIT APPLICATION Applicant: t SOn �"� Application No:7- t,� d /� [office use only] Applicant Mailing Address: y0 Applicant Email: I f Daytime phone:-22_11_� Property Street Address: Pb b 67 rl' S iO I t1 �r DJ `76 VT 05403 Property Owner: Parcel Size: ! I Property Owner Mailing Address:saw e- Tax Parcel ID No. 1. PROPOSED project including building dimensions (describe): -i " q �aN KLi® 9WI196 6;10,19 V 4A 2. Present P ) of the property: RSingle 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): 4ar'S'-c— 2--1 4. Does the p ct 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 residential, etc.): S. 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 including enclosed breezeways, garages, and sheds (describe): Existing: c e%q+- Proposed: 1100 7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks) InvwJ Existing, =40 Proposed: 36y 3 no f - 8. ATTACH SKETCH PLAN OR SITE PLAN (not required if project consists ONLY of interior renovations or replacement of Yisting 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 any attached conditions will be binding on the property. i Property Owner Signature Signature PRINT NAME Date applicant hereby affirms that the information presented in this application is true, accurate and complete. PRINT NAME Date OFFICE US FEE Received: $ Identification of zoning ONLY —ADMINISTRATIVE OFFICER ACTION —OFFICE USE ONLY DATE Received: / / �j T district: g Identification of proposed use: L6112df 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 ®I Permitted Approval Date Approval Date Approval Date Approval Date Conditional 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 RAPPROVED fZ ppp rbval Date Permit EFFECTIVE date 1-1 DENIED Denial Date FINAL ADMINISTRATIVE OFFICER ACTION Z ON Iy� P M I T eignature 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 115] 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 remo 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.