APPLICATION
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SITE PLAN APPROVAL APPLICATION
City of Boynton Beach, Florida
Planning and Zoning Board
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This application must be filled out completely and accurately and
submitted in one (1) copy to the Planning Department. Inccmpl~te
application~ will not pe processed.
Please print legibly or type all information.
I. GENERAL INFORMATION
1. Project Name: 4.-00//1 (") N .;1/'"2 10 ~A-I___Er5
I'?F-PI ct!:;; ,A T #- U IJ-r C!!n72...C;; 12...l.J IJ
to
2. Date this application is accepted:
(to be filled out by Planni~g Dept.)
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3. Applicant's name (person or business entity in whose name
this app~ication is made):
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Phone:
,L/olUl~e",~ ~(}AJ Ct)iJS712~(Jv-rt'~)1J CO,
/ .!3CJur~/POlvT LA 1J5
ArJ-/ N 7("")N e~;;d Cl-I .' ~ 3'3 4:';;c;,
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738- "4-~9~
Address:
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4. Agent's Name (person, if any~ representing applicant):
CI../ARL,t5S ;{J,'" G/LBts'/2.Jr
'/ ~n ( .J -rI/ Pr?/z" -r LA IV b
Address:
. Phone:
5. Property Owner's (or Trustee's) Name:
.5 u ,A.4 H 17" A&;~f"'Y"'"" 14 T M"-$ .
.37t?CJ c.L u..~/JCJ("J5~ L_.tJ ()....J1:5 ,
An.>"'" A) Tf"? III 8~) C?I. FL ~ aE!> 4- ~ :6
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Address: ,
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Phone: 7,=5 6 - III G
correspondence address (if different than applicant or
agen:t:)*:
6.
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* This is the address to which all agendas,
letters, and "othe~ materials will be mailed.
Planning Dept. 1/89
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?age 2
7. What is applicant's interest in the premises affected?
(Owner, buyer, lessee, builder, developer, contract
purchaser, etc.)
pt!:5"I/l5~p~1G
8. street address or location of site:
.~700 CLu B/JO(',)t!5/R;" LAfJ~, ~Y^)((')/t) E:$C/-I.
,9. Legal description of site 'and property control i:
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TR....1 C I
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...J A--...,. 1-/ V N '7"f5lp..tS . /:? U iJ '
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10.
Intended use(s) of site: .4-.o.oI"-r/I"?/!'V
-r-O
~XIf;,IN~
gdJ-l-C7:..'S, CJ FF/t::G /3~ .
11.
Developer or builder: .../-/ VA .JTi-5'a-s.
t"": (") IV c::;'71b1 ) 0 II ("") IV <""": 0 /
/2 L) A.)
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12.
13.
Archi tect: r,u.4 ee L-G~
Landscape Architect:
AI, 67 I G .B l!5-;.,'?J -r
14. Site Planner:
15.
16.
Engineer:
survey~r:
-
17. Traffic Engineer:
18. Has a site plan been previously approved by the City
Commission for this property? \/~
19. Estimated construction costs of proposed improvements shown
on this site plan: $)'" 7600
/)
Miscellaneous Cash ,'Rec:elpt mr~ n % No. 05985
, I I :. CITY OF BOYNT~~.. BUACl[ : . t~ft.tt.{(1 22 J19D JllJ
'f"tin. No" *,.s::J-f' i, · fli!:;~f;: ~O~i': . &(). 00
{mi.;. 0' ~~Jw ~-~,'6, .1.-20
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, I Address
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?age 3
II.
SITE DATA
The following information must be filled out below and must
appear, where applicable, on all six (6) copies of the site plan~
1. Land Use Cateaory shown in
the Comprehensive Plan- ,.--...-. p.. .- '
2.
Zoninq District
Area of Site '
"p: U, r:>.
3.
4.
acres
'-s7;r~ ft.
.
Land' Use' -- 'j\'creaqe-or'EH1kctt5wn'" - ,- -'''--'. _..~.-...
a. Residential, including acres
surrounding lot area 'or
grounds . ': ., ....-,--..-...-..,-- -:--.-',.. ....,. -' ...'.. '-, '... ..u..
% of-- si te
----cre-re-s----..--.- ...%,' of '. si te
,
b;" Recreation-~reas j,
(excluding ~ater area)
... ....... .........._. ...._._....._... __.'__." ~.' . .... _...... ... , . ... ... - .n ..,
d. Commercial
acres
% of si'te
% of site
% of site
% of site
% of site
'% 'of site
c. Water Area
acres
... ___._..__.__.___.~___ __...~..._..__._..._ ".._____..4...._..._...._.__.
e. Industrial
f. Public/Institutional
acres
acre~
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g. pUblic, private and
. Canal ~ rights-of-.:.;way" .-.,.'..-. .....--....acres ,.--. ,,' ,.
h. Other (specify)
acres'." , -,.,
'0
i.' Other (specify)-"-~--'" -'--,
. -, 'acre's '
% of site
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j. Total area 0; site
c:tcres
% of site
* Including open space suitable for outdoor recreation,
and having a minimum dimension of 50 ft.. by 50 ft.
5.
Surface Cover
a.Gr~und flo'or b~ilding 1oq/.t
area ("building footprint")
b. Water area
sq.ft.
% of site,
sq.ft.
%of site
c. Other impervious areas,
~ncluding paved are~ of
public & private streets,
paved area of parking
lots & driveways (ex-
cluding landscaped areas),
and sidewalks, patios,
decks, and athletic
courts.
sq. ft.
sq.ft.
% of site.
% of site
d. Total impervious area
e. 'Landscaped area
inside of parking lots
'(20 sq. ft. per interior
parking space required-
see Sec. 7.5-35(g) of
"Landscape Code).
Planning Dept. 1/89
sq. ft.
% of sitel
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Page 9
IV. MISCELLANEOUS
(check)
The following materials must be submitted in one (I) copy:
1. A check, payable to the City of Boynton Beach, as per
the attached fee schedule.
2. Any other engineering and/or ,technical data, as may be
required by the Technical Review Board to determine
compliance with the provisions of the City's Code of
Ordinances.
V.
CERTIFICATION
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(I) (We) understand that this application and all papers
and plans submitted herewith become a part of the permanent
records of the Planning and Zoning Board. (I) (We) hereby
certify that the above statements and any statements or
shqwings in any papers or plans submitted herewith are true
~o the best of (my) (our) knowledge and belief. This '
application will not be accepted unless signed according to
the instructions below~
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Signature of Owner(s) or Trustee,
of Authorized Principal if property
is owned by a corporation or other
business entity.
0/24~Cf()
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VI.
AUZATI~
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Signature of Authorized Agent
crZ4/QO
. Date,
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(I) (We) hereby designate the above signed person as (my)"
(our) authorized agent in regard to this application.
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Signature of Owner(s) or Trustee,
or Authorized Principal if property
is owned by a corporation or other
business entity. '
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Date
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SPACE BELOW THIS LINE FOR OFFICE USE ONLY
Review Schedule:
Date Received:
Technical Review Board
Planning & Zoning- Board
Community Appearance Board
City Commission
Date
Date
Date
Date
stipulations of Final -Approval:
Other Government Agencies/Persons to be contacted:
Additional Remarks:
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Planning Dept. 3/90
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DATE ~- '3 - 90
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TIME
1.tv.,~ 44 ~. j
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Jean
Carrie
Wilfred
, Joyce'
laura
Cheryl
Ca 11 ed D
Pl ease Ca 11 D
.. Returned Your Call D
f
Will Call Again D
, D
Requested Appt.
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. RE:
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MESSAGE: I~~s'~n ..h.as ~~ ~\-mE.I~
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