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APPLICATION " -.... ',' I CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING DEPARTMENT SITE PLAN APPROVAL APPLICATION Site Plan - Major Modification to Existing Site Application Acceptance Date: Fee Amount Paid: 11' 7~-o -.- Receipt Number: tJ Lf 9/;7 This application must be filled out completely and accurately and submittel in one (1) copy to the Planning Department. Incomplete applications will: be processed. Please print legibly or type all information. I . GENERAL INFORMATION 1. Proj ect Name: ~ N'1Of\) 'be ~ -:r ("0 VV\L.('J 0... ~ "- 2. Applicant's name (person or business entity in whose name this application is made): Phone: W\ ~"l(. ~\)Q. \0,) ~~ J':iN c. . \\0 \ N ~('~ ~~JL z>",4ct... Z-o\ " ~(.,") ~L ~~~VJ (Zip Code) FAX: 114'1-1, ~ l- 2-, SR "OO'\.\N<tb-N " L.(07/,~I-- 1(,3, l) . Address: 3. Agent's Name (person, if any, representing applicant): N'~ Address: (Zip Code) Phone: FAX: 4. Property OWner" s (or Trustee's) Name: S&.L. l.., ~ CI \ t-~ VOl\. ~ L.. Address: (Zip Code) FAX: s. Correspondence address (if different than applicant or agent)*: Nlp.. * This is the address to which all agendas, letters, and other materials will be mailed. PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan / I ( 5) III. CERTIFICATION (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 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 instructio below. 7nv;,l....~ er s) or Trustee, Principal if property by corporation or other entity. ":) I\e~ ~~'\ "S. 0'\('(' '-~ AUTHORIZATION OF AGENT ?f'c2.A~\ A~ 3~ \ \ ~ Date IV. Date Signature of Authorized Agent (1) (We) hereby designate the above signed person as (my) (our) authorized agent in regard to this application. Date Signature of OWner(s) or Trustee, or Authorized Principal if property is owned by a corporation or other business entity. SPACE BELOW THIS LINE FOR OFFICE USE ONLY Review Schedule: Date Received Date Date Date Date Technical Review Board Planning & Zoning Board Community Appearance Board City Commission Stipulations of Final Approval: Other Government Agencies/Persons to be contacted: Additional Remarks: PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan / , , (2 ) 6. What is applicant's interest in the premises affected? (OWner, buyer, lessee, builder, developer, contract purchaser, etc.) Ow ~ 4...(" 7. Street address or location of site: ~~/- \\0' (\) ~G{l.ll)O ~~""'.J....... 8. Property Control I: Legal description of site: :5DJL ~*...(,~J 9. Intended use(s) of site: 1\~~O\\l S~~~,~ ~--Lr Lv..t+h 1, I ~ \~ ~, U- a~ c;p""c.JL; 10. Developer or Builder: ~\'H_\.t\lf1-^ - 0 ~ (3.\.4" \ J..0i'\ - ~t..~~1- ~VV\ ?~ \ 11. Architect: ~\..~N ~~\Q.-r ~C'c..:,,\k.a..c.~.s, ';\:.~C. I 12. Landscape Architect: .:c,~\ ("' 0"'- ~"'\. QQ.. <'::.,~ N ~ {'ov.. -r 13. Site Planner: ~l'b~ S~("~co~\"'r ~~~.)..~ l :t:NL 14. Engineer: C:",,^-\fUL\..,^, ~ whQ."il.\.5lC I 5:..Nc-. 15. Surveyor: ~,,^~-l.\.~ q ~\l.r L'" l~ 16. Traffic Engineer: tv \ ~ 17. Has a site plan been previously approved by the City Commission for this property? ~~ ' Estimated const~ction costs of proposed improvements this site plan: '!..-lc '2...00 ,c"lc) () 18. shown on PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan ;' I ...' ( 3 ) II. SITE DATA The following information 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 Plan c..-.3 (. . E;2- C. M ~\I\"::'\""- c.. M ~ (,,~J... '\ 2. 3. Zoning District Area of Site acres 2-~'i S~ sq. ft. 4. Land Use -- Acreage Breakdown a. b. c. d. e. f. g. h. i. Residential, including surrounding lot area of grounds Recreation Areas * (excluding water area) acres , of sitE acres !Ii of sitE Water Area !Ii of sitE acres Commercial f, ~ Z-- acres ~~ !Ii of sitE Industrial acres !Ii of sitE Public/Institutional Public, private and Canal rights-of-way Other (specify) acres !Ii of sitE acres !Ii of sitt acres !Ii of sitt Other (specify) acres !Ii of sitl j . acres Total area of site I. <?; 2- 2..8" !Ii of sitl * including open space suitable for outdoor recreation, and having a minimum dimension of 50 ft. by 50 ft. 5. Surface Cover b. c. a. Ground floor building 1 . L.-J.5 area ("building footprint") Wa ter area 0 acres !Ii of sit 2-- z.. . '"l.- !Ii of sit acres o Other impervious areas, including paved area of public & private streets, paved area of parking lots & driveways (ex- cluding landscaped areas), and sidewalks, patios, decks, and athletic courts. Lj. 0 \..{ acres L. J. ~ !Ii of sit d. Total impervious area '5. L( q acres , of sit ~L{. Z- e. Landscaped area I . 0 ~ acres inside of parking lots (20 sq. ft. per interior parking space required - see Sec. 7.5-35(g) of Landscape Code). ) s. 9 , of sit PLANNING & ZONING DEPARTMENT - November, 1991 I A:SitePlan f. g. , (4 ) .' Other landscaped areas, Other pervious areas, including golf courses, natural areas, yards, and swales, but excluding water areas acres , of site , of site acres h. acres , of site Total pervious areas i. acres Total area of site , of site 6. Floor Area a. Residential sq. ft. . b. Commercial/Office ~ ,"3 \Cb sq. ft. €.{. ~~ ~c. '" ~ \\ oS \ " 5 ~(<6lJI , oJ c. Industrial/Warehouse sq. ft. d. Recreational sq. ft. e. Public/Institutional sq. ft. f. Other (specify) sq. ft. g. other (specify) sq. ft. h. \'\ ~\<& " Total floor area sq. ft. 7. Number of Residential Dwelling Units a. b. c. d. Single-family detached sq. ft. sq . ft. Duplex Multi-Family (3 + attached dwelling units) (I) Efficiency (2) 1 Bedroom (3) 2 Bedroom (4) 3+ Bedroom Total mUlti-family dwelling units dwelling units dwelling units dwelling units dwelling units 8. 9. e. Total number of dwelling units Gross Density dwelling units per acre , I' Maximum height of structures on site t-f s - ~ feet stories 10. Required off-street parking a. Calculation of required number of off-street parking spaces !~. 3' ~ S~ ~ 1/1-0 D -::. 3~ c.. . 5,\ Off-street parking spaces provided on site plan b. .. 3'\ '\ PLANNING & ZONING DEPARTMENT - November, 1991