HomeMy WebLinkAboutZP-10-209 - 0032 Whiteface Street 7/19/2010 (3)CITY OF SOUTH BURLINGTON
ZONING PERMIT APPLICATION
Applicant: ` f r &V = Application No:
3 72 le/ NApt� )20 �. [office use only]
Address: ? 0 " �� I �" S ����
r5O -cam• �vr Daytime phone: , % - 77S
Property Address/Location: 5''
05403 2 2 w 1
Property Owner:
WAI
. 13 t,00,r./-
'571 �✓i
Address: _ �" v' ' - a� W �/ �� Tax Parcel ID No.
Parcel Size:
1. PROPOSED project including building dimensions (describe):
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2. Present use of property (e.g. single family home, garage, commercial building, etc):
Present structure(s) on property (describe including dimensions or square footage):
2. PROPOSED use of property (please describe in detail any change in use of property):
3. ESTIMATED total cost of improvements:
ATTACH SKETCH PLAN (see attached sketch plan instructions) OR SITE PLAN.
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4. Building footprint - i.e. size in sq.ft of main floor of house and all attached and detached structures including enclosed
breezeways, garages, and sheds (describe):
Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
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5. APPLICANT/OWNER CERTIFICATION
The undersigned property owner hereby consents to submit this application and understands that if the application is approved,
the Zoning Permit and any attached conditions will be binding on the property. I
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Or6p6rty Owner Signftuk PR T NAME Date
The undersig a icant]her by aft' s that the information presented in this application is true, accurate and com lete.
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App a t gn re PRINT NAME Date
OFFICl.E� Ure)
LY - ADMINISTRATIVE OFFICER ACTION - OFFICE USE ONLY
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DATE Received: I FEE Received: $ Identification of zoning district:
Identification of proposed use: ') I eF- 6 44
PROPOSED USE TYPE:
Date of SITE PLAN approval/denial
Date of SUBDIVISION approval/ denial
Date of CONDITIONAL USE approval/ denial
Date of appeal VARIANCE approval/ denial
Date of MISCELLANEOUS approval/ denial
Permitted
Approval Date
Approval Date
Approval Date
Approval Date
Approval Date
FINAL ADMINISTRATIVE OFFICER ACTION
Conditional
Denial Date
Denial Date
Denial Date
Denial Date
Denial Date
Z MZAE R M I T
-/MA L
JA-APPROVED 1
Approval Le V Ad inistrative Offic is Signature
Permit EFFECTIVE date Permit EXPIRATION date
❑ DENIED
Denial Date
REASON for DENIAL
Administrative Officer's Signature
Notice of Appeal Rights: Any interested person may appeal this decision by filing a written Notice of Appeal with the clerk of the
Development Review Board within fifteen [15] days of the date of this decision. The notice of appeal must be accompanied by a
filing fee of $111.00.
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