HomeMy WebLinkAboutMP-23-01 - Supplemental - 1185 1195 Shelburne Road (2)
575 Dorset Street South Burlington, VT 05403 tel 802.846.4106 fax 802.846.4101 www.sburl.com
Permit Number MP-______-__________
(office use only) APPLICATION FOR MASTER 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 deemed
incomplete, and a delay in scheduling for the Development Review Board.
1) OWNER OF RECORD (Name as shown on deed, mailing address, and phone)
2) LOCATION OF LAST RECORDED DEED (Book and page #)
3) APPLICANT (Name, mailing address, phone, and e-mail)
4) APPLICANT’S LEGAL INTEREST IN PROPERTY (i.e. fee simple, option, etc.)
5) CONTACT PERSON (Name, mailing address, phone, and e-mail
5a) CONTACT EMAIL ADDRESS:
6) PROJECT STREET ADDRESS:
7) TAX PARCEL ID # (may be obtained online or at the Assessor’s Office):
8) PROJECT DESCRIPTION:
a) General project description (explain what you want approval for):
b) Existing uses on property (please describe sizes of each separate use, if applicable)
2 Master Plan Application Form. Rev. 01-2020
c) Proposed uses on property (please describe the size or number of units and nature of proposed uses)
d) Maximum total number of residential units and/or square footage of uses to be developed, including any
existing units and/or uses to remain:
e) Maximum proposed building height (if applicable)
f) Proposed phasing (please describe the number of total phases and, if applicable at this time, the number of
units or square feet of uses to be proposed in the first phase):
9) MASTER PLAN UMBRELLA CRITERIA
a) Total acreage of involved property(ies)
b) Total acreage of first phase for development (if known at this time)
c) Total number of residential units and/or sq ft of all uses requested
d) Existing impervious coverage, entire site (sq ft and %):
e) Maximum proposed impervious coverage, entire site (sq ft and %):
f) Maximum existing building coverage, entire site (sq ft and %) :
g) Maximum proposed building coverage, entire site (sq ft and %):
h) Estimated number of existing PM peak hour vehicle trip ends:
i) Maximum proposed number of PM peak house vehicle trip ends:
j) Existing or proposed encumbrances on property (easements, covenants, leases, rights of way, etc.)