HomeMy WebLinkAboutZP-17-394 - 0115 Holmes Road 10/25/2017CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant; .7 Application No-
APPlicant Mailing Address:so wit'
Applicant Email; Daytime
Property Street Address. I
-�VT OS403
Property Owner H,ifAN F, <I TT
T—
Property Owner Mailing Address: lc* � —ArZ=u #2A, Tax Parcel IV No,
11- PROPOSED Project Including building dimensions (describe).- . -i I -., I
Z—J A
2. Present USES) of the property:
Single family home an its own parcel
❑Other (please state the USE per Land 00vialoPment Regulations- retail, general office, multifamily rosideitlwi, utc.);
3, List all ore -sent structure(s) on property (describe Including dimensions at square fo*taltu of each):
4. DOeSPrOject Include a Proposed change of USE?
E]lnZNo (the property will still be used for the same purpose)
[Dyes (Please state proposed changed or added USES per Land DevelciPment Regulations- retail, germi ai
Office, multifamily residential, etc.): _
5. ESTIMATEV total cost of improvements (materials and e,*-o
6. Building footprint - i.e. size in sq.ft of main floor of house and all attached and detached utiructures Including encloiiad
breezeways, garages, and sheds (describe):
Propose&
7. Total square feet of other impervious surfaces on site (i.e, driveways, patios, decks)
Existing: Proposed:_ I
8. ATTACH SKETCH PLAN OR SITE PLAN (not required if project consists ONLY of interior r .... *tin".
existing roof, siding, etc. in the exact same size) m.iq of
9. APPLICANT/OWNER CERTIFICATION
The undersigned property owner hereby consents to submit this application and understands that if the application is approved, U'iu
Zoning Permit and any ante ad conditions will be binding on the property- `
10
il LIWI
Proparfy Owner Signature PRINT NAME ..—,._..... _..._,�_._
Dare
The undersigned applicant hereby affirms that the information presented in this application is true, accurate and complete.
Applicant Signature PRINT NAME Dam
-_.. - . .. ....
OFFICE USE oONLY - ADMINISTRATIVE OFFICER TaON - OFFICE USE ONLY
DATE Received: O FEE Received: identification of zoning district G
Identification of proposed use:
PROPOSED USE TYPE: Permitted (onclitfon tl
Date of SITE PLAN approval/denial
Approval Date Daniai irate
Date of SUBDIVISION approvatl denial
�AIp revel 'ate n Denial Date -
Date of CONDITIONAL USE approvaft denial
r Dat Dsntai Date �_
Date ofappeal VARIANCE approval/ denial
Approval Data Denial Date>
Date o tSCELLANEOUS approval/ denial
Approval Date Denial Date
Provided applicant Copy of URSEC or VC8E Standards Handbook oraot Applicable
FINAL ADMINIST OFFICER ACTIO `
2 RPPROVED d
A at Date Ad strative Otflear•s fttWu
Permit EFFECTIVE date Permit EXPIRATION date
DENIED REASON for DENIAL
Denial Data.
J�in]strativs Officer's Sligiiature
Notice of Appeal Rights; Any interested person may appeal this decision by fling a written Notice of Appeal with the clerk of fief
Development Review Board within fifteen [151 days of the date of this decision. The notice of appeal must be accompanied by a tiling
fee of $223.00.
This permit does NOT authorize commencement of any development activity approved by the permit uW0 She permit takes
effect as set firth above. Site modifications and improvements made poor to fhis permit becoming effective may be subject to rt mov tl
and site restoration if a timely appeal is commenced.
NOTE: The applicant or permittee retains the obligation fo identify, apply for, and obtain relevant state ;,smits for tf1i3 project. Call (W)2)
879-5676 to speak with the regional Permit Specialist
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