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HomeMy WebLinkAboutSD-23-035 - Supplemental - 0055 0025 Highland Terrace (6)575 Dorset Street South Burlington,VT 05403 tel 802.846.4106 fax 802.846.4101 www.sburl.com Permit NumberSD-______-__________ (office use only) APPLICATION FOR SUBDIVISION SKETCHPLAN REVIEWSOUTHEASTQUADRANT All informationrequestedon this application mustbe completedin full.Failure to provide the requestedinformation either on this application form or on the plans will result in your application beingrejected and adelayinthereview before the DevelopmentReview Board.For amendments,please provide pertinentinformation only. 1) OWNER(S) OF RECORD(Name(s)as shown on deed,mailing address,and phone #) 2)LOCATIONOF LASTRECORDEDDEED(S)(Book and page #) 3) APPLICANT(Name,mailing address,phone and fax #) 4) APPLICANTʼS LEGALINTERESTIN THEPROPERTY(fee simple,option,etc.) 5) CONTACTPERSON(Name,mailing address,and phone #) 5a)CONTACTEMAIL ADDRESS 6)PROJECTSTREETADDRESS: 7)TAX PARCELID #(can be obtained at Assessorʼs Office) 8)PROJECT DESCRIPTION a) General project description (explainwhat you want approval for): Eric Sample25 Highland TerraceSouth Burlington, Vt 802-735-7994 Volume 392, pages 578-579 Eric Sample25 Highland Terrace Owner Eric Sample25 Highland Terrace, South Burlington VT, 05403 802-735-7994 sample@champlain.edu 25 Highland Terrace 0850-00009 Draw a single property line to make the property into two lots. 2 Southeast QuadrantSketch Plan Application Form.Rev.01-2020 b) Existing Uses on Property (including description and sizeof each separate use) c) Proposed Uses on property (include description and sizeof each new use and existingusesto remain) d)Total building square footage on property (proposed buildings and existing buildingsto remain) e)Proposed heightof building(if applicable) f)Total parcel size(s) g)Other (list any other information pertinent to this application not specifically requested above,please note ifOverlay Districts are applicable) 9) 9a: SEQ SUBDISTRICT(identify in each)Acreage Units Existing Units proposedNRP_______________________NRT _______________________NR / NRN _______________2VR_______________________VC _______________________ 9b:Are Transfer of Development Rights (TDRs)being utilized? If yes, please identify how many and from which parcel (street address) 10)TYPEOF EXISTING OR PROPOSED ENCUMBRANCESON PROPERTY(easements,covenants,leases,rights ofway, etc.) 11)LOT COVERAGEa) Building:Existing %Proposed % b) Overall (building, parking,outside storage, etc)Existing %Proposed % c) Front yard (along each street)Existing %Proposed % 1.37 2 Residence Same no changes 2400 main building, 900 cottage 3300 total NA .5 and .87 after division Yes TBD None 7 7 9 9 1 and .37 3 Southeast QuadrantSketch Plan Application Form.Rev.01-2020 12)PROPOSEDEXTENSION, RELOCATION,OR MODIFICATIONOF MUNICIPAL FACILITIES (sanitary sewer,water supply,streets,storm drainage,etc.) 13)ESTIMATED PROJECTCOMPLETION DATE 14) PLANS AND FEEPlansshallbesubmitted which show the information required by the Cityʼs Land Development Regulations.Onedigital (PDF format)copy of all application materials listed in LDRAppendixE, with plans provided as individualsheets and named to include sheet number andlatest revision date,must be submitted. Anapplication fee shallbe paid to the City at the time of submittingthe application in accordance with the Cityʼs fee schedule. NOTE:NOTIFICATIONofADJOININGPROPERTYOWNERS:Notification of adjoining property owners,inaccordance with 24V.S.A. §4464(a)and Section 17.06(B) of the South Burlington Land DevelopmentRegulations,is the responsibility of the applicant. After deemingan application complete, the AdministrativeOfficer will provide the applicant with a draft meeting agendasor publichearing notice and samplecertificate ofservice. The sworn certificate of service shall be returned to the City prior to the start of any publichearing. I hereby certify that all the information requested as part of this application hasbeen submittedand is accurateto the best of my knowledge. ________________________________________SIGNATURE OF APPLICANT ________________________________________SIGNATURE OF PROPERTY OWNER____________________________________________________________________________________Donot write below this line DATEOFSUBMISSION:__________________________________ I have reviewed this sketchplan application and find it to be: Complete Incomplete ________________________________________________________Administrative Officer Date Theapplicant or permittee retains the obligation to identify, apply for, and obtain relevant state permits for thisproject.Call (802) 879-5676tospeak with the regional Permit Specialist. None ASAP