ApplicationCITY BOYNTON BEACH
DEVELOPMENT DEPARTMENT l PLANNING &ZONING DIVISION
0 100 E. Boynton Beach Blvd. • Boynton Beach, FL 33435 • (561)7624260
GENERAL INFORMATION
Project Name (if applicable): 7 -Eleven
Project Address(es): 4798 Congress Ave
Request Type:
Contact Phone: 954-766-3400
Pompano Beach, FL
C Abandonment (ARAN)
C Conditional Use Time Ear. (CUTE)
❑ Mobile Vending Unit (MVU)
C Admin. Adjustment(ADAJ)
CDev of Regional Impact Annual Rpl.(DRIA)
C New Site Plan(NWSP)
C Admin. Appeal (ADAP)
C General Application (GA)
C Parking Lot Variance (PKLV)
C Admin. Waiver
C Height Exception (HTEX)
C Rezoning (REZN)
C Annexation(ANEX)
C Land Use Plan AmendlRezoning(LUAR)
C Sidewalk Cafe(SWCP)
C Cell Tower (TELE)
C Landscape Appeal (LAAP)
C Site Plan Time Ear (SPTE)
C Code Review (CDRV)
C Lot Line Modification (L -M)
❑ Subdivision Master Plan (SBMP)
C Comm. Design Plan Appeal (CDPA)
C Major Site Plan Mod! (MSPM)
C Temp Sigro Banners (SIBA)
C Comm. Development District (CDD)
C Master Plan Mod (MPMD)
C Use Approval (USAP)
C Comp Plan Text Amend (CPTA)
C Master Plan Time Ext (MPTE)
C Zoning Code Admin Appeal (ZNCA)
C Conditional Use (COUS)
C Minor Landscape Plan Mod (MLPM)
C Zoning Code Variance (ZNCV)
CO Minor Modification Site Plan (MMSP)
C Zoning Code Vent Lefler (ZCVL)
AGENT INFORMATION — complete in its entirety
Contact Name: Kaitlyn RIC{Uelmy
Company Name: KEITH
Address: 301 E Atlantic Blvd
Contact Phone: 954-766-3400
Pompano Beach, FL
Fax:
33060
Email: KRiquelmy@keithteam.com
FEES
Fee Description: Minor Site Plan Modification
Amount: $ 500.00
Fee Description:
Amount: $
PBZ PROJECT NUMBER:
NAVILINE PROJECT NUMBER:
FOR OFFICE USE ONLY
Intake by. Payment In Full? Y N
Intake Dale: Check#:
Action Date
Action JE Date
Pre -App Meeting
DART Meeting
Submittal) Resubmittal
Legal Ad
1 Review Comments
P&D Board Meeting
Public Notice iffei
City Commission Meefing
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