HomeMy WebLinkAboutSD-23-11 - Supplemental - 1200 Dorset Street (7)
180 Market Street South Burlington, VT 05403 tel 802.846.4106 fax 802.846.4101
www.southburlingtonvt.gov
Application Number SD-______-__________
(office use only) APPLICATION FOR SUBDIVISION PLAT REVIEW
Preliminary Final
Applications involving land development must also provide a completed Application For Site Plan Review
PUD Being Requested? Yes No
If a PUD is being requested, you must also provide a completed Application For Site Plan Review
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 before the Development Review Board.
1. PROJECT STREET ADDRESS:
2. OWNER(S) OF RECORD (Name(s) as shown on deed, mailing address, phone)
3. APPLICANT (Name, mailing address, phone)
4. CONTACT PERSON ((person who will receive all correspondence from Staff. Include name, address, phone):
4a. Contact email address:
6. TAX PARCEL ID # (can be obtained at Assessor’s Office):
7. PROJECT DESCRIPTION
a. General Project Description (explain what you want approval for):
2 Subdivision Application Form. Rev. 01-2020
b.Existing Uses on Property (including description and size of each separate use):
c.Proposed Uses on property (include description and size of each new use and existing uses to remain):
d: Are Transfer of Development Rights (TDRs) being utilized? Yes No
If yes, please identify how many and from which parcel (street address)
e.Type of existing or proposed encumbrances on property (easements, covenants, leases, rights of way,
etc.)
f.Other (list any other information pertinent to this application not specifically requested above, please
note if Overlay Districts are applicable):
8.LOT COVERAGE (ALL information MUST be provided. Proposed coverages are those resulting from
subdivision of land. Changes resulting from development must be reported on Application for Site Plan
Review. Attach additional sheets if necessary for additional proposed parcels)
Lot Size (acres / sq. ft.)
Building Coverage Lot Coverage
Front Setback non-
building Coverage
(Commercial
Properties Only)
Sq. ft. % Sq. ft. % Sq. ft. %
Existing
Proposed #___
Proposed #___