APPLICATION
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DE PAR. -:rME:NT OF DEVELOPMENT
BUILDING DIVISION
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APPLICATION FOR WAIVER OF SIDEWALK REQUIREMENT
PLEASE PRINT OR TYPE
& RETURN TO BUILDING DIVISION
Submittal Date:
~/6/Cj(,
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$100.00, payable to the
City of Boynton Beach
The undersigned owner(s) hereby respectfully petition(s) the City of
Boynton Beach to grant to petitioner(s) a waiver of sidewalk requirement.
Filing Fee:
Section to be Appealed: Boynton Beach Code of Ordinances, Chapter 22,
Section 22-25 Sidewalks Required.
Property involved is described as follows: Lot(s) ~9
Block , Subdivision f\/~ ~<:;" woo1 I{ILLS
Plat Book
, Page
or otherwise
described as follows:
Property Address: Lf 0'1 1J '^' ~ 7H fluG
Name & Address of Owner: gfZ-~,..JD,q- cClt'f
Name of Appl icant: - ~ I S.C;e-7 CLJ /LP
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Address of Applicant:J.O ,~~ 7/2'2. J)6Cf-;4,
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Applicant's Phone No.:
DATE:
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.e-/6/lb SIGNATURE OF APPLICANT
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THE APPLICATION SHALL CONTAIN:
1. The reasons for which the waiver is requested and a definite and
detailed statement of relief sought from the Building Official.
2. The application shall be signed by the applicant or his duly,
authorized agent and it shall have appended to it copies of any plans,
drawings, rules or regulations or other documents which would be
pertinent to the application.
bb . 3/9Z, rev. 1/95 . A:SIO.WALI.VAR