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HomeMy WebLinkAboutZP-18-086A - 0016 Iby Street 3/30/2018i CITY OF SOUTH BURLINGTON Z O N I N G P E R M I T A P P L I C A T I O N Applicant: 1. i v, Application No: %[office use only] Applicant Mailing Address: K'n -a� toc.c �'`�'(/•.v•r�.J �o,,,��C,.. Ir[L, ,��,L._.t, Applicant Email: t \ \ Ql.f?zr� czc C_� Vl O lYtc ! , C". nG2✓j Daytime phone: Property Street Address: -1— S 1 Property Owner: La L --cx- Parcel Size: Property Owner Mailing Address: I(, 5tv'.:"c 1 � �j[,,y,l �ax Parcel ID No. VT 05403 /Z 1. PROPOSED project including building dimensions (describe): , ' '5 O 2. Present USE(S) of the property: 1 Single family home on its own parcel O 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): 4. Does the project include a proposed change of USE? 11KAIo (the property will still be used for the same purpose) O 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): $ 2K2 app- 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: / rp 6 7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks) �^ Existing: 0 7& Proposed: 10 7- a 8. ATTACH SKETCH PLAN OR SITE PLAN (not required if project consists ONLY of interior renovations or replacement of )(isting roof, siding, etc. in the exact same size) 0 u 9. APPLICANT/OWNER CERTIFICATION The undersigned property owner hereby consents to submit this application and understands that if the application is approved, the Zoning Permi a ched conditions will be binding on the property. Prope Owner Signature PRIAf NAM Date ;Theundersig a icant hereby affirms that the, information reSente4 in t is plication is true, accurate and complete. �ran Si na era PRINT AM Date ?OFFICE USE O LY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY �/ / Identification of zoning Y/ DATE Received: FEE Received: $ g district: Identification of proposed use:'l1�/ PROPOSED USE TYPE: Date of SITE PLAN approval/denial Permitted Conditional 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 Date Denial Date El /Not Provided applicant copy of URBEC or VCBE Standards Handbook or Applicable FINAL ADMINISTRATIVE OFFICER ACTION Z O N I G P I T LJ APPROVED Approval ate d i ijtrative Officer' Signature Permit EFFECTIVE date / Permit EXPIRATION date ❑ DENIED REASON for DENIAL Denial Date 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 [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 rerr 1 and site restoration if a timely appeal is commenced. r NOTE: The applicant or permittee retains the obligation to identify, apply for, and obtain relevant state permits for this project. Call (802) 477-2241 to speak with the regional Permit Specialist. Gc,"alk- 1n .je � �l L qoo