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HomeMy WebLinkAboutZP-18-048 - 1208 Williston Road 3/7/2018CITY OF SOUTH BURLINGTON Z O N I N G PERM IT APPLICATI ON Applicant: d I Application No: [office use only] Applicant Mailing Address: V6 dor Applicant Email: _�(Dta� 'k ari On I (/' - U'r - n EQ Daytime phone: g()'Z- 3% 0 -qA l 1%- Property Street Address: Property Owner: t tur 64S Parcel Size: Property Owner Mailing Address: L2a W ie11-��'1 i,l S404Tax Parcel ID No. mSYp D-3 VT 05403 1. PROPOSED project including b 'Iding dimensions (describe): ji-11,DMZ ��( /'C-L77 7 © 01D 2 Dresent USE(S) of the property: O Single family home on its own parcel v6 Other (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.): res10-tw Oil 3. List all present structure(s) on property (describe' a of each): 4. Does ty 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': $ _; © / &=� fi 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: X.Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks) Existing: Proposed: Proposed: 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) 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 conditions will be binding on the property. Property Oay , Signature PRINT NAME 3 I I 1 1 Date The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete. Applicant Si S �C, d kk'AY1 ©3 r PRINT NAME Date OFFICE USE ONLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY �d f `j DATE Received: 31114 FEE Received: $ Identification of zoning district: Identification of proposed use: PROPOSED USE TYPE: Y Permitted Conditional. Date of SITE PLAN approval/denial Approval Date Denial Date Date of SUBDIVISION approval/ denial Approval Date Denial Date Daie 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 FINAL ADMINISTRATIVE OFFICER ACTION f hZ O N G P M I T APPROVED App oval ate Ad rimi5ptive Officer's Signature �f Permit EFFECTIVE date yW / 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 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. N