HomeMy WebLinkAboutZP-18-126 - 0062 Suburban Square 4/18/2018CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant: I (� ��. ( Application No:d-/9— T
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Applicant Mailing Address: ` �J(. �/ • � � S �'+.� rv� �jl•� �`� 1 y� �-� i \/ '� l� �=iq L
Applicant Email:
Property Street Address: W Z SLik='u't-0(�A Sl)e • SLL'rd'J 1'5tV
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Property Owner:
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Daytime phone: S0 -('1 L2 -0 i
Parcel Size:
Property Owner Mailing Address: Sallu 0 % a-�-'Ly ii Tax Parcel ID No.
1. PROPOSED project including building dimensions (describe): _
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VT 05403
2. Present USE(S) of the property:
1 SSingle 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):
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4. DoesRes
project include a proposed change of USE?
o (the property will still be used for the same purpose)
(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): $ 5 , ty V
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: Yam' Proposed:
7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
Existing: �Jl; V ��% �9 _ 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)
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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 spnditions will be binding on the property.
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P operty Owner Signature PRINT NAME Date
The undersigned applic
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by affirms that the information presented in this application is true, accurate and complete.
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PRINT NAME Date
OFFICE-US,NLY -ADMINISTRATIVE OFFICER ACTION -OFFICE USE ONLY
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DATE Received: FEE Received: $✓ Identification of zoning district:
Identification of Dr000sed use: 3 `�
TYPE:
Date of SITE PLAN approval/denial
Permitted
Conditional
Approval Date Denial Date
Date of SUBDIVISION approval/ denial
�r Approval Date Denial Date
Date of CONDITIONAL USE approval/ denial
Approval Date Denial Date
[ Date of appeal VARIANCE approval/ denial
Approval Date Denial Date
Date of MISCELLANEOUS approval/ denial'
Approval Date >' Denial Date
Provided applicant copy of URBEC or VCBE Standards Handbook or13ot Applicable
FINAL ADMINISTRATIVE OFFICER ACTION
Z 0 N I N P E R,. I T�
F-TAPPROVED AKI
Ap oval Date
Permit EFFECTIVE date
DENIED
Denial Date
live Officer's Signature
Permit EXPIRATION date
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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 [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
pd 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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