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SD-24-07 - Supplemental - 0025 0055 Highland Terrace (5)
575 Dorset Street South Burlington,VT 05403 tel 802.846.4106 fax 802.846.4101 www.sburl.com PermitNumberSD-______-__________ (officeuseonly) APPLICATIONFORSUBDIVISION SKETCHPLANREVIEW SOUTHEASTQUADRANT Allinformationrequestedonthisapplicationmustbecompletedinfull.Failure to provide the requested informationeither onthisapplicationform orontheplanswill resultinyourapplicationbeingrejected anda delay in the review beforethe DevelopmentReview Board.For amendments,please providepertinent informationonly. 1)OWNER(S)OFRECORD(Name(s)asshownondeed,mailingaddress,andphone #) 2)LOCATIONOFLASTRECORDEDDEED(S)(Book and page #) 3)APPLICANT(Name,mailing address,phone andfax#) 4)APPLICANTʼSLEGALINTERESTINTHEPROPERTY(fee simple,option,etc.) 5)CONTACTPERSON(Name,mailing address,and phone #) 5a)CONTACTEMAIL ADDRESS 6)PROJECTSTREETADDRESS: 7)TAXPARCELID#(can beobtained atAssessorʼsOffice) 8)PROJECTDESCRIPTION a)Generalprojectdescription(explainwhatyouwantapprovalfor): Eric Sample 25 Highland Terrace South Burlington, Vt 802-735-7994 Volume 392, pages 578-579 Eric Sample 25 Highland Terrace Owner Eric Sample 25 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 Quadrant Sketch Plan Application Form.Rev.01-2020 b)ExistingUsesonProperty (includingdescriptionandsizeofeachseparate use) c)ProposedUsesonproperty (include descriptionandsizeofeachnewuseandexistingusestoremain) d)Totalbuildingsquarefootageonproperty (proposedbuildingsandexistingbuildingsto remain) e)Proposedheightofbuilding(if applicable) f)Totalparcelsize(s) g)Other (list anyother informationpertinent to thisapplication notspecificallyrequestedabove,pleasenoteif OverlayDistrictsareapplicable) 9)9a:SEQSUBDISTRICT(identify ineach) Acreage Units Existing Units proposed NRP _______________________ NRT _______________________ NR/NRN _______________2 VR _______________________ VC _______________________ 9b:AreTransferof Development Rights(TDRs)beingutilized? Ifyes,pleaseidentify howmanyandfromwhichparcel(street address) 10)TYPEOFEXISTINGORPROPOSEDENCUMBRANCESONPROPERTY(easements,covenants,leases,rights of way,etc.) 11)LOTCOVERAGE a)Building:Existing %Proposed % b)Overall (building,parking,outsidestorage,etc) Existing %Proposed % c)Frontyard(alongeachstreet)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 3 Southeast Quadrant Sketch Plan Application Form.Rev.01-2020 12)PROPOSEDEXTENSION,RELOCATION,ORMODIFICATIONOFMUNICIPALFACILITIES(sanitary sewer,water supply,streets,stormdrainage,etc.) 13)ESTIMATED PROJECTCOMPLETION DATE 14)PLANS ANDFEE Plans shall besubmittedwhich showthe information required bythe CityʼsLandDevelopment Regulations.One digital(PDF format)copyofallapplication materialslisted inLDRAppendixE,with plansprovidedas individual sheetsandnamedtoincludesheetnumberandlatest revisiondate,mustbesubmitted.Anapplicationfee shall bepaidtotheCityatthe timeofsubmittingtheapplicationinaccordancewith theCityʼsfeeschedule. NOTE:NOTIFICATIONofADJOININGPROPERTYOWNERS:Notification of adjoining property owners,in accordancewith 24V.S.A.§4464(a)andSection17.06(B)ofthe SouthBurlingtonLandDevelopment Regulations,istheresponsibilityoftheapplicant.After deeminganapplicationcomplete,theAdministrative Officerwill providetheapplicantwithadraft meetingagendasorpublic hearingnoticeandsamplecertificate of service.Thesworncertificate ofserviceshallbereturnedtotheCitypriortothestartofanypublichearing. Iherebycertify thatall theinformationrequestedaspartofthisapplicationhasbeensubmittedand isaccurate tothe bestofmyknowledge. ________________________________________ SIGNATUREOFAPPLICANT ________________________________________ SIGNATUREOFPROPERTYOWNER ____________________________________________________________________________________ Donotwrite belowthisline DATEOFSUBMISSION:__________________________________ Ihavereviewed thissketchplanapplicationandfindittobe: Complete Incomplete ________________________________________________________ AdministrativeOfficer Date Theapplicantorpermitteeretainstheobligationtoidentify,applyfor,andobtainrelevant state permitsforthis project.Call(802)879-5676tospeakwith theregional Permit Specialist. None ASAP