HomeMy WebLinkAboutZP-18-079 - 0023 Brewer Parkway 3/26/2018CITY OF SOUTH BURLINGTON
Z O N I N G PERM IT APPLICATION
Applicant: '141C k-e K eY y14 I Application No:
pp g r P N J �� µ f [office use only]
Applicant Mailing Address:
Applicant Email: l L �r° e [ 9 / � A l Daytime phone: 7O Q , Q
Property Street Address: Q-7� & ✓``fiytie,,— t'" /k
VT 05403
Property Owner: Parcel Size:
Property Owner Mailing Address: �� �dtrwtw�✓- �� Tax Parcel ID No. na w
IN
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1. PROPOSED project including building dimensions (describe): iGttd z, , r`eyt ei/ol /( �'l fl b [>` d• 5-AV
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2. Present U S) of the property:
I asingle family home on its own parcel tA/
❑ 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):
AOICA
4. Does thoject include a proposed change of USE?
No (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): $ a / 'r" v
6. Building footprint — i.e. size in sq.ft of main floor of house and all attached and detached structures including enclosed
breezeways, ga/�r,,ages, and sheds (describe): Existing: Proposed:
7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
Existing:
Proposed:
8. ATTACH SKETCH PLAN OR SITE PLAN (not required if project consists ONLY of interior renovations or replacement of
�xisting 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
Voing Permit and any ac d nditions will be binding on the property.
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rope wn Oer Signature PRINT NAME Date
Th undersigned a; a t here y affirms that the information presented in this application is true, accurate and complete.
[qWc_aF.1rSigWuFe PRINT NAME Date
OFFICE US ON ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY
ATE Received: �C FEE Received: / Identifica 'on of zoning district:
D $ 9
Identification of proposed use:
PROPOSED USE TYPE: E:ZfPermitted 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 Date Denial Date
Provided applicant copy of URBEC or VCBE Standards Handbook or of Applicable
APPROVED _�/W
aroval Dad
Permit EFFECTIVE date
DENIED
Denial Date
FINAL ADMINISTRAT VE OFFICER ACTION
O N I N .R
Officer's Signatue
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 [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
`fact as set forth above. Site modifications and improvements made prior to this permit becoming effective may be subject to removal
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.