HomeMy WebLinkAboutZP-18-136 - 0372 Dorset Street 4/26/2018CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant: M11che"ll 5AL':�ad_z Application Na:
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Applicant Mailing Address:
Applicant Email. bur J 6L, C�W'3 r2 +5 �Ce__e r1_1 d 6 6<- ((3,--N Daytime phone:
Property Street Address: _ _VT 05U3
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Property Owner*
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Property Owner Mailing Address: Tax Parce(?19
1. PROPOSED project including building dimensions (describe): 05&
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2. Present USE(S) of the property:
0 Single family home on its own parcel
G;OO'ther (please state the USE W Land Development Regulations. retail, general office, multifamily residential, etc.):
3. List all present Strycture(s) on property (describe Including dimensions or square footage of each).
4. Does t 0 project include a proposed change of USE?
IlNo the property will still be used for the same pulpose)
I,/as (please state proposed changed or ad dUSES per velopmeni
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office, multifamily residential, etc.): he_,i llvciv�
5. ESTIMATED total cost of Improvements (materials and labor). q hinor Cc5rt.4-c- chq'l
6. Building footprint -i.e. size in sq.ft of main floor of house and all attached and detached structures including enclosed
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breezeways, garages, and sheds (describe): Existing:_ c" Proposed:
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'171
Regulations- retail, general
7. Total square feet of other Impervious surfaces on site (i.e. driveways, patios, docks)
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, APPLICANTIOWNER CERTIFICATION
The undersigned property owner hereby consents to submit this application and understands that if the application is approved, the
Zpving Permit and any attached conditions will be binding on the property,
owner s6niiture PRINT NAME Data
i The undpoig"ed applicant hereby affirms that the information presented in this application is true, accurate and complete.
PRINT NAME Date
OFFICE E ONLY — — ADMINISTRATIVE OFFICER ACTION OFFICE USE ONLY
DATE Received. 47(o , FEE Received; $ identification of zoning district:.
identification of proposed use:
PROPOSED USE TYPE: Elermitted Conditional
Date of SITE PLAN approvalidenial Approval Data Denial Data
Date of SUBDIVISION approval/ denial
Date of CONDITIONAL USE approval/ denial
Date of appeal VARIANCE approval! denial
Approval Date
Approval Date
Appiroval Date
Daniel Date
Denial Date
Denial 08%
Date of MISCELLANEOUS approval! denial Approval Date Denial Date
Provided applicant copy of URBEC or VCBE Standards Handbook or E)Not Applicable
FINAL ADMINISTRATIVE OFFICER ACTION
q1 0 N I I TL
EDAPPROVED_
Ap��rlal —oo—te/ Administr ve Officaes Signature
Permit EFFECTIVE date Permit EXPIRATION date
1:1 DENIED
Denial Date
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.
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,
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PIZZAGALU BUILDING
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372 DORSET STREET SOUTH BURLINGTON
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R E N I E R TEL(602)244-6413 NO:
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