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APPLICATION ',- " '\ CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING DEPARTMBNT SITE PLAN RBVIBW APPLICATION FOR Application ACCjPtance Date: Fee Paid: ~o-- / NEW SITE PLANS & MAJOR M DIFICATIONS TO EXISTING SITE ~.-, - Receipt Number: I &''lz- This application must be filled out completely, accurately and submitted as an oriqinal to the planning and Zoning Department. Twelve complete, sequentially numbered and assembled sets of plans including a recent survey and appropriate fee shall be submitted with the application for the initial process of the Site Plan Review procedure. An incomplete submittal will not be processed. Please print legibly (in ink) or type all information. I. GENERAL INFORMATION 1. Project Name: Ir. Ce;;MUE&~ /!;:LJtLDt ~ fOe. La Do(.;CE /,)./~SE-S 2. Applicant's name (person or business entity in whose name this application is made): UfAl';:'l-FS J, Co Doc..ai Address: 4740 5, DClMAJ ~ 0 Jlttll-lLPrN D ~c:;t I H.. t1. 0 ' r- I J~ ,JJ~ip Code) Phone: Tt:>? -.3~(J - "167.;:; Fax: '1f,)7. 37~- 7~r~ 3. Agent's Name (person, if any, representing applicant): ~~/2M~ G; O~S' I A-llorr1Ft.r Address: J I W .s, ~1CIJ.IrL ~ I -#:3 . 16rtJ7ON ~, m 33~~~ Phone: '107'" ,/32- - (p/-!'-/ Fax: l.fo7, ?(~~_cz,drs:-i.f 4. Property Owner's (or Trustee's) Name: C#~tdJ~S J, WCo~ Address: Lf?,!o 5' I O(~tJ ~O J.It~H~/JD ~.~ H- - i.Z.~ codel Phone: lfo7. "3(,~ - tI" i~ Fax: ,+07. s 7 'f. 7 ~7~ 5. Correspondence to be mailed to:* ~et?a(j.e C, OA1//~ IIIIV' s,fiG,Oet2KL- .;/w"J ,#3 ; ~Nr()N ff:1e~, Fe * This is the address to which all agendas, letters and 3J~~ other materials will be mailed. PLANNING & ZONING DEPARTMENT - November 1991 A:SITEPLAN ,.... ( 2 ) 6. What is applicant's interest in the premises affected? (OWner, buyer, lessee, builder, developer, contract purchaser, etc.) l'~^,~ . I 1. Street address or location gf sitel .6, IV L ~47k- ~~06 8. Property Control t, t;1 Y, glib b!i - olJ CffD 0 I 0 J Legal description of sitel Lt:> T to L~..so Ii tNOt) S TI?-J A-G- {/A-IZ ~ 9. Intended usetsl of aitel lA.lkl2/!!H-Nt.6t;, 10. Developer or Buildera To &s ~~7/SI) 11. 12. 13. 14. 15. 16. 11~ 18. tI/?t:)/ltRe C # ~IC !loll' Site Plannera ~~~ Engineer a ~/6t CI4~1 ~/r4 t:JeAlJ/Jt,4 : Nt I-r:ESIL, J~ Surveyor I bCH~jll) tJ4.ep~,(/,,() No tJE . Architect: Landscape Architecta Traffic Engineera Has a site plan been previously approved by the City M~ Commission for this property? ~~ Estimated construction costs 9fjProposed improvements shown this site plana ~ ;3 i OJ ~'4"0 ' t'~ ~ PLANNING & ZONING DEPARTMENT - November, 1991 A:SltePlan ( 3 ). II. SITS-DATA ,The following informatlon must be filled out below and must appear, where applicable, on all copies of the site plan. 1. Land Use category shown in the comprehensive Pial! 2. Zoning District M..} 3. ~rea of Site t>, '1tt8 acres 'II () '1 'f=- sq. ft. .. . LalJd Use -- Acreage Brealtdown Residential, including surrounding lot area of grounds b. Recreation Areas * (excluding water area) a. acres , of 81 acres , of 81 \ of sl 14-0 \ of st .. of sj , of sj , of sj , of s: \ of s acres c. Water Area e. Industrial f. Public/Institutional g. public, private and canal rights-of-way d. 0, ~4~ Commercial acres acres acres acres h. Other (specify) acres i. Other (specify) acres j. Total area of site () I '14'3 acres .. of s 1(>,-0 * including open space suitable for outdoor recreation, and having a minimum dimension of SO ft. by SO ft. , I 5. Surface Cover a. b. c. Ground floor building .,J75'; area ("building footprint") I~?')R ~~ of1 . 0 Water e.rea .~Cf~ , of Ii acres o , of Ii acreI' Other impervious areas, including paved area of public , private streets, paved area of parking lots' driveways (ex- cluding landscaped areas), and sidewalks, pat1ps, decks, and athlstia' I c;fp"'~ court~ , " F l' ~:I ,5~C> ,.iIo~ ~ 5~1 , of I acres d. Total impervious area . tc-~ '7 acres .ee~.. of . 0 I.L./ ~ , '0 f e. . 0/32 Landscape\:! area inside of parking lots (20 sq. ft. per interior parking space required - ~~~ Pi see Sec. 7.5-35(g) of \ Landscape Code). acres PLANNING & ZONING DEPARTMENT - November, 1991 A : sit- 0. P 1 .'111 ( 4) . f. oth.er landscaped areas, . 0 ~ D~ acres g~ Other pervious areas, ~~.~~ ~ f1 including golf courses, natural areas, yards, and swales, but excluding 0. water areas " ! acres b. 'rotal peJ:'v l~~"-Tareaf ,O':l"4 acres \fl.? ~6 T , t ()t:.JL4-1, . . 1. ~ot.l area at alte ae1:e. 6. 1'100r Area a. Residential sCJ. ft. b. commercial/Office sq. ft. c. Industrial/Warehouse , ~ f)tJtJ sq. ft. d. Recreational sq. ft. e. PUblic/Institutional sq. ft. f. otheJ:' (specify) sq. ft. , ~L, I . ..~-.. .. of sit o , of sit o. tt \ of sit ~t?P \ of slt g. other (specify) sq . ft. h. Total floor area .J"'1.. to 0 sq. ft. sq. ft. sq. ft. dwelling units dwelling units dwelling units dwelling units dwelling units ~ 8. Gross Density lSD dwelling units per acre 9. ~~_of structures on site 2\ feet , stOI 10. Required off-street parkin~ a. , Calculation of required number of off-street parking spaces \ ~rta pea t;oo~fr \',J~~/'7~O : 2A I b. Off-street parking spaCt provided on site plan 14 PLANNING & ZONING DEPARTMENT - November, 1991 EXHIBIT "A" RIDER TO SITE PLAN APPLICATION The undersigned as applicant for Final Site Plan Approval does hereby acknowledge, represent and agree that all plans, specifications, drawings, engineering, and other data submi tted with this applicat:ion for review by the City of Boynton Beach shall be reviewed by the vari9us boards, commissions, staff personnel and other parti6s 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 which 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 allowing 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 ich may arise due to their enforcement of the same. day of ..