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HomeMy WebLinkAboutZP-18-088 - 0079 Four Sisters Road 4/2/2018CITY OF SOUTH BURLINGTON ZONING PERMIT APPLICATION Applicant: Applicant Mailing Address: J Applicant Email: Ak, Property Street Address /, Property Owner: Application No: 1 [office use only] 1 Daytime phone: �Z• 37�-�' S2 / O %— %Q 4 St VT 05403 'i Pe�lzu Parcel Size: Property Owner Mailing Address: c f; s a )Ob-y2 . Tax Parcel ID No. l: 1. PROPOSED project including building dimensions (describe): ( N 0 �-- Uk ) O—U �C i� LUNY n# ► v , 0 7. Present USES) "of the property: EI[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 foots a of each): 4. Does the lect include a proposed change of USE? o (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): $ CD 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: a 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) I 9. APPLICANT/OWNER CERTIFICATION The undersigned property owner hereby consents to submit this application and understands that if the application is approved, the Zo r g�er it n any tt Ched ccon tions will b inding on the property. l.f'�� I "� " 1� I KX C/j A�— j Property Owner PRINT NAME Date OFFICE USE QNLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY DATE Received: J� FEE Received: $'7� 7< " Identification of zoning district: Identification of proposed use: PROPOSED USE TYPE: Permitted Conditional Date of SITE PLAN approval/denial Approval Date Denial Date Date of SUBDIVISION approval/ denial 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 bate Denial Date Provided applicant copy of URBEC or VCBE Standards Handbook or Not Applicable FINAL ADMINISTRATIVE OFFICER ACTION Ig ZO N I RAPPROVED / '/ proval Date J Permit EFFECTIVE date `C DENIED Denial Date native Officer's Signature Permit EXPIRATION date REASON for DENIAL Admin 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. VA