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HomeMy WebLinkAboutZP-18-051 - 0155 Dorset Street 3/7/2018CITY OF SOUTH BURLINGTON Z O N I N G PERM IT APPLI CAT I O N Applicant: Application No: - -of( [office use only] Applicant Mailing Address: V o ��, �.�?ZC7 WQcNA scrt.� �� S y Applicant Email: Pam' CCTV'%/ tWCt- i.,@. G rA0- � + GC>� Daytime phone: Z%(n` (o(0% c=' Property Street Address: ` r—)CYt,fl ¢ S" a I� w cM�cs� VT 05403 Property Owner: l BC-f'h"T ?-oo-t 3 001' st %-r L.1--C Parcel Size: Property Owner Mailing Address:1 545 Qci1.4-AX 5Y SO QCtA.L-&c_ [lin_ Tax Parcel ID No. 1. PROPOSED project including building dimensions (describe): QL.Q-� _' , 2. Present USE(S) of the property: O 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? No (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): $ 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: 7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks) Existing: Proposed: Proposed: 8/. ATTACH SKETCH PLAN OR SITE PLAN (not required if project consists ONLY of interior renovations or replacement of \ dsting roof, siding, etc. in the exact same size) 9. APPLICANT/OWNER CERTIFICATION The undersigned property owner hereby consents to submit this application and understands that if the application is approved, the Zoninii�it and an ched conditions will be binding on the property. ,1 / _J perty Ow er Signature PRINT NAME Date The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete. Signature NAME Date O FICE USE ONLY —ADMINISTRATIVE OFFICER ACTION OFFICE USE ONLY 1 DATE Received: FEE Received: $ Iden 'fiction of zoning district: / Identification of proposed use:/Pxl�494 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 11 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 0 Not Applicable FINAL ADMINIST ATIVE OFFICER ACTION 7 I�Z O N I I T ET APPROVED Approval Date Adnislarative Officer's Signature Permit EFFECTIVE date A Permit EXPIRATION date ❑ DENIED Denial Date REASON for DENIAL Administrative Officer's Siqnature 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 rem 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) 477-2241 to speak with the regional Permit Specialist.