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HomeMy WebLinkAboutAD-22-01 - Supplemental - 1580 Dorset Street (2)575 Dorset Street South Burlington, VT 05403 tel 802.846.4106 fax 802.846.4101 www.sburl.com Permit Number AD-______-__________ (office use only) APPLICATION FOR MINOR LOT LINE ADJUSTMENT All information requested on this application must be completed in full. Failure to provide the requested information either on this application form or on the plans will result in your application being rejected and a delay in the review by the Administrative Officer. 1) OWNER(S) OF RECORD (Name as shown on deed, mailing address, phone and fax #) 2) LOCATION OF LAST RECORDED DEED(S)(Book and page #) 3) APPLICANT (Name, mailing address, phone and fax 4) APPLICANT’S LEGAL INTEREST IN THE PROPERTY (fee simple, option, etc.) 5) CONTACT PERSON (Name, mailing address, phone and fax #) 5a) CONTACT EMAIL ADDRESS 6) PROJECT STREET ADDRESS 7) TAX PARCEL ID #(can be obtained at Assessor’s Office) 8) PROJECT DESCRIPTION a) Existing Uses on Property (including description and size of each separate use) JJJ South Burlington LLC, 21 Carmichael Street, Suite 201, Essex Jct., VT 05452 (802)-879-4477 1191/262 1191/265 JJJ South Burlington LLC, 21 Carmichael Street, Suite 201, Essex Jct., VT 05452 (802)-879-4477 Fee Simple Bryan Currier, P.E. (O'Leary-Burke Civil Associates) Phone: (802)-878-9990 13 Corporate Drive, Essex Jct., VT 05452 bcurrier@olearyburke.com 1580 Dorset Street & 1699 Hinesburg Road 0570-R1580, 0860-01731, 0860-01625_R This Minor Lot Line Adjustment Application proposes footprint lots to be recognized by the City, while a concurrent Subdivision Amendment Application proposes the single-family footprint lots change to subdivided single-family lots. (See Cover Letter) N/A 2 Minor Lot Line Adjustment Application Form. Rev. 12-2011 b) Other (list any other information pertinent to this application not specifically requested above, please note if Overlay Districts are applicable) 9) LOT COVERAGES FOR EACH LOT LOT #1 (Street Address): a) Building: Existing % Proposed % b) Overall (building, parking, outside storage, etc) Existing % Proposed % c) Front yard along each street Existing % Proposed % (applies only to commercial property) LOT #2 (Street Address): d) Building: Existing % Proposed % e) Overall (building, parking, outside storage, etc) Existing % Proposed % f) Front yard along each street Existing % Proposed % (applies only to commercial property) 10) TYPE OF EXISTING OR PROPOSED ENCUMBRANCES ON PROPERTY (easements, covenants, leases, rights of way, etc.) 11) PROPOSED EXTENSION, RELOCATION, OR MODIFICATION OF MUNICIPAL FACILITIES (sanitary sewer, water supply, streets, storm drainage, etc.) N/A N/A N/A N/A N/A