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Application Form-2025.09.5825Proj ect/Case # 20 25 .0 9.58 25 E n ter Pre -Appl ica tion Proj ect N u mbe r Pre-Application #20 25 .0 7.42 23 Addre ss:Pa rcel Num ber(s):Loca tion De tai ls: 2 40 0 HYPOL UXO R D, Boynton Beach, FL 3 34 62 08 43 45 08 02 00 00 01 0, 08 -43 -45 -08 -00 - 00 0-1 00 0 L ocated on the south side of Hypoluxo Rd, w est of I -95 MINOR DEVELOPMENT APPLICATION FORM Pre-Applic ation Details / Projec t Information Address 2400 HYPOLUXO RD, Boynton Beach, FL 33462 Parcel 08434508020000010, 08-43-45-08-00-000-1000 Project Number 2025.07.4223 S ubmiss ion D ate 07/01/2025 Project Coordinator Gabe Sevigny Minor Land Dev elopment Applic ation Ty pe Adminis trative Adjustment Administrative W aiver Certificate of Conf ormity Lot Line Modif ic ation Minor Mas ter Plan Modif ic ation Minor Site Plan Modif ic ation Minor S ite Plan Modification (Architectural / Elevation Changes ) Minor Site Plan Modif ic ation (Repaint) Mobile Vending Unit New Minor S ite Plan S idewalk Cafe S ign Program S ign Program Amendment Site Plan T ime Extens ion Projec t/C as e Name High Ridge Country Club Estimated C onstruc tion V alue 1 Parc el Siz e 239 ac res Total Square Footage Des cription of Ex isting U se(s ) of Property Site Membership only club with 18-hole golf course. Desc ription of Propos ed U se(s ) of Property Site Modif ication to 18-hole golf course. Prev ious Site A pprov al on Subjec t Property No Yes Is the propos ed use eligible for the C ity ’s Ex pedited Dev elopment Rev iew Program purs uant to C hapter 2, A rticle I, Section 5 of the Land Dev elopment Regulations ? No Yes Indicate the proposed use(s ) and/or des cribe the project's c haracteristics that av ails its elf the opportunity f or Program Eligibility Ex is ting Land U se C lass if ic ation Recrea tiona l (R) Propos ed Land U s e C lass if ic ation Recrea tiona l (R) Ex isting Zoning Designation REC Recreation Propos ed Zoning Designation REC Recreation Is the property located w ithin the C ommunity Redev elopment Areas (C RA) No Lis ted in the C ity 's Inv entory of Historic Sites No Yes Will the applicant be the primary point of contact? Y es No A pplicant Information First Name Ry an Last Name Artim C ompany Name High Ridge Country Club, Inc. Street A ddress 2400 Hypoluxo Rd C ity Lantana State Florida Zip 33462 Phone #5615863333 Email ryan@highridgecc.com Interes t in Property Owner Less ee Contract Purc haser Property Ow ner (Trus tee) Inf ormation S ame as Applic ant First Name Ry an Last Name Artim C ompany Name High Ridge Country Club, Inc. Street A ddress 2400 Hypoluxo Rd C ity Lantana State Florida Zip 33462 Phone #5615863333 Email ryan@highridgecc.com A gent Information All correspondence will be emailed to the agent unless there I no agent of record, in which case, all correspondence will be emailed to the applicant. This party will receive agendas, letters, and other materials. S ame as Applic ant Firs t Name Summer Las t Name Stevens C ompany Name Cotleur & Hearing Street Addres s 1934 Commerce L ane S uite 1 C ity Jupiter State Florida Zip 33458 Phone #5614061032 Email sstevens@cotleur-hearing.com A uthoriz ation of Agent Signature of Ow ner or A gent 1 Summer Stevens Signature of Ow ner or Agent 2 Date 1 09/08/2025 Date 2 C ertification (I) (W e) understand that this application and all papers and plans submitted herewith become part of the permanent records of the planning and zoning division. (I) (W e) hereby certify that the above statements or showings in any papers or plans submitted herewith are true to the best of (my) (our) knowledge and belief. This application will not be accepted unless signed according to the instructions below. Signature of Ow ner(s) or Trustee(s), or authoriz ed principal if property is ow ned by a c orporation or other bus ines s entity , or c ontract purc haser (if applic ant). Summer Stevens, Cotleur & Hearing Date of A uthoriz ed A gent Signature 09/08/2025 Rider to the Site Plan Applic ation The undersigned as applicant for site plan approval does hereby acknowledge, represent, and agree that all plans, specifications, drawings, engineering, and other data submitted with this application for review by the City of Boynton beach shall be reviewed by the various boards, commissions, staff personnel, and other parties designated, appointed, or employed by the City of Boynton beach, and any such party reviewing the same shall rely upon the accuracy thereof, and any change in any item submitted shall be deemed material and substantial. The undersigned hereby agrees that all plans, specifications, drawings, engineering, and other data that may be approved by the City of Boynton Beach, or its boards, commissions, staff, or designees shall be constructed in strict compliance with the form in which they are approved, and any change to the same shall be deemed material and shall place the applicant in violation of this application and all approvals and permits which may be granted. The applicant agrees to allow the City of Boynton Beach all rights and remedies as provided for by the applicable codes and ordinances of the City of Boynton Beach to bring any violation into compliance, and the applicant shall indemnify, reimburse, and save the City of Boynton Beach harmless from any cost, expense, claim, liability, or any action which may arise due to their enforcement of the same. A representative must be present at all Development Application Review Team (DART) meetings. Read, Ac know ledged, and A greed No Y es Applic ation Rider Applic ant Signature S ummer S tevens Applic ation Rider Witness Signature