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APPLICATION . " .~ ,.,J; -/ po ., , ;4-/\fl~{~ t! M"' I\1rFJ. 1/4/f5" "./'" CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING DEPARTMENT SITE PLAN REVIEW APPLICATION FOR NEW SITE PLANS & MAJOR MODIFICATIONS TO EXISTING SITE Application Acceptance Date: <j, A. 0 r> Fee Paid: lbO, -:;.~ Receipt Number: oa t / S- This application must be filled out completely, accurately and submitted as an original 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: 12iJR.J.sTI~tJ (!O/Vlt" flLlvJT' }JPLIVJr'KAI"I(!"'C 4N b CON Fe:R. e- /"J e E"" {! t-tJ,n:... 4-/tJf!., . 2. Applicant's name (person or business entity in whose name this application is made): Phone: _ .wll.-LI~ LtfJN ;fAit) A-NNle SlID N, W, S'i-~ S.J."Rt1~-f- 130YIJ t"o/V 1SFAIL~J FL C~ ?:~). - 192:2- .D A-R.l); UIF Address: 3-3~a~- (Zip Code) Fax: 3. Agent's Name (person, if any, representing applicant): MI/hN' ~u.s.-S1?LL ,:r;, Address: 'PO tI J( Lv" S~J 5t-~Jrq r- /?;OtlQlon A/?~)/ PL / . Phone: &to?) 73-:J.,......&1 a 7 Fax: 4. Property Owner's (or Trustee's) Name: J1/'/))II--I'" J..i:o/ll MD Jt/'(/JJI C ])/tRLJJ IIJT Addre s s: -S1 h I\UU, .s- 'I-i1 ..sl-tu- e-f- l3tvyA/foAl IiF'RUI ;:;/ ..13</ 3 ~../ Phone: (1)7J 73;;}- '9 :J.:^~ Fax: (Zip Code) 5.~correspondence to be mailed to:* IV} I , kAt 'f?U.sSb ~LL .J(; IO#/f A!:w.3rcP SI-, 130r/fflun &J.I. FI S3~5.s- * This is the address to which all agendas, letters and other materials will be mailed. PLANNING & ZONING DEPARTMENT - November 1991 A: SPl'EPLAN .... ( 2 ) 6. What is applicant's interest in the premises affected? (Owner, buyer I lessee, builder, developer, contract purchaser, etc.) t9uJN~~ I 7. Street address or location of site: _. ~ 6 bl/ t/LJ) ,])/k/l:t }4.''1h~ ~()f/J1t;t1 IJ~A<LH- PI .:S~-,~ 8. Property Control I: Legal description of site: 9. Intended use(s) of site: ~J.I.u~ 10. Developer or Builder: j::1{)1:t'~ lf3u;/cI€-~s. t()t!J4NW3~ $/.ae:-gr-, iBD-'1d~ ,.e~t ~/ fj3~$r- 11. Architect: }./ItMkJL~ S~he#-e--- 12. Landscape Architect: HAIZ.LJ4.JtJ SUNl.HFH<>>- 13. Site Planner: 14. Engineer: 15. Surveyor: 'k,(' UJ4-R.1:J /..1.5#(;( "J>HIIJ) iJ t A.~<:. 0(1,1 ~~ tAle- 16. Traffic Engineer: 17. Has a site plan been previously approved by the City conunission for this property? Nt::ft. 7lJ /h Y 1CN1k.n~e-1!:i1 ~ 18. Estimated construction costs of proposed improvements shown this site plan: \.. ;0, /"r({1~ 0(:1 PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan ( 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. ~~nd Use Category shown in ~ the Comprehensive Plan 'P-.t::4b'fLA- L ~yYlfY"lc-"'~e...,{ ~ (:,3 IrS 2. 3. Zoning District Area of site ~1 f:AD sq . ft. - I ~ p.~ acres .A. Land Use -- Acreage Breakdown a. b. c. d. e. f. g. h. i. _ 7 I \ of s1 Residential, including surrounding lot area of grounds - acres - ~lf Ia-.O .> ,- , '-I KS,- acres \ of s1 Recreation Areas * (excluding water area) Water Area \ of si acres -- Conunercial -- \ of sj acres Industrial acres - \ of sj Public/Institutional Public, private and canal rights-of-way ------ acres , of SJ - acres -- \ of s: Other (specify) CI4u.~ttJ~t ~~"11.() ,- other (specify) (j'700 ~p:> / -a acres \ of s ~Cf acres \ of s j . \ of s Total area of site . /PJ r- acres /dD * including open space suitable for outdoor recreation, and having a minimum dimension of 50 ft. by 50 ft., 5. Surface Cover a. Ground floor building / ot?P ,Sp acres area ("building footprint") ~ \ of I: b. \ of ! Water area - acrep c. 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. 7~3f SF acres , of d. Total impervious area f 17 t7D .sF acres , of e. Landscaped area acres inside of parking lots (20 sq. ft. per interior parking space required - see Sec. 7.5-35(g) of Landscape Code). \ of PLANNING & ZONING DEPARTMENT - November, 1991 " : S \ t- r P 1111 ( 4 ) f. Other landscaped areas, acres \ of sit g. Other pervious areas, including golf courses, natural areas, yards, and swales, but excluding water areas acres % of sit h. Total pervious areas acres , of sit . . - i. Total area of site I"l'~ acres 10-0 \ of sit 6. Floor Area a. Residential sq. ft. b. Commercial/Office sq. ft. c. Industrial/Warehouse sq. ft. d. Recreational sq. ft. e. Public/Institutional sq. ft. f. other (specify) Ib~{p sq. ft. CJIa IU!.- U- g. Other (specify) sq. ft. h. Total floor area lohb sq. ft. 7. Number of Residential Dwelling Units NA- a. Single-family detached sq. ft. b. Duplex sq. ft. c. Multi-Family (3 + attached dwelling units) (1) Efficiency dwelling units ( 2) 1 Bedroom dwelling units ( 3 ) 2 Bedroom dwelling units ( 4 ) 3+ Bedroom dwelling units d. Total mUlti-family dwelling units 8. e. Total number of dwelling units Gross Density --- dwelling units per acre Maximwn height af structures an site ~ feet 9. / stOI 10. Reguired aff-street parking a. Calculation af required number of off-street parking spaces (thl1-P e.-I. ~F.: 41 r b. Off-street parking spaCt provided on site plan t> Rcr-/l~ 1fFhUL- ~~ /6D f '"Rc-c t ~/ ~~ J 1 ?rtJ u\ckJ [I Hc..J PLANNING & ZONING DEPAR'fHENT - November, 1991 ( 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 tl the best of (my) (our) knowledge and belief. This applicatio will not be accepted unless signed according to the instructions below. ~:2~ Trustee, of Authorized Principal if property is owned by a corporation or other business entity. 1~-.2j)-7V Date IV. AUTHORIZATION OF AGENT ~/k~ Signature of Authorized Agent /CR-:2J1-?~ Date (I) (We) hereby designate the above signed person as (my) (our) authorized agent in regard to this application. V~ V~J Signature of OWner(s) or Trustee, or Authorized Principal if property is owned by a corporation or other business entity. /C1.- :<p - ;~ Date SPACE BELOW THIS LINE FOR OFFICE USE ONLY Review Schedule& Date Received Technical Review Board Planning , Zoning Board Community Appearance Board City commission Stipulations of Final Approvall Date Date Date Date Other Government Agencies/Persons to be contacted I Additional Remarks& PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan / P ROJ I:.: C'l' '111'1' LE : LJEsdIP'}1'rON: 'l"t fIE : J LJA'l'E REC I D: THACKING LUG - ~lT~ PLAN REV~~W .... ~UtlMl'l"l'Al, ... Cc,,yp~c-e.- Cr IZ I 7.ve... , ,. t- . fILl'.: NO. : m.sp m 9,":a::Jf " --f r (';.. T:J lJf' ';J ,(,.. H SITE PLAN MODIFICATION RECEIP'r NO.: ~ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * MAJOR 7~o.oo TWELVE (12) SETS SUBMITTED: COLORED ELEVATIONS RECID: / Vo 4 ~ C"" (Plans shall be pre-assembled. The Planning & zoning Dept. will number each sheet of their set. The Planning Dept. set will be used to check the remaining sets to ensure the number and type of sheets match.) .. * ~ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~7~i~D I --BEN I ED c: ~ or APPLICATION & SUBMITTAL: DATE: DATE: DATE OF LETlfER TO APPLICANT IDENTIFYING SUBMISSION DEFICIENCIES: 2nd SUBMIT'l'AL ~ ACCEPTED DENIED DATE: DATE: LETTER: I/qlq~ ~1}~11 )..j~ ~k.-ea.- / ' WlI ICL. 1-1 irA- v- I " ~ '\ DATE OF SUBMITTAL ACCEPTANCE REVIEiWER'f' NAMS; * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * \ 'J,,19~ RETURN DATE: I ' '/dO/q~ I t 1 ~ \ "$: 9.s:-00b ~ (Label TRC Departments on each set of plans) DATE AND MEMO NUMBER OF MEMO SENT TO TRC TO PERFORM INITIAL REVIEW. DATE SENT: util. P.W. Parks Fire Police PLANS NcJ l) ~ -t- MEMO NUMBER: 1st REVIEW COMMENTS RECEIVED PLANS ';0 # / DATE / "c" Planhin<< ~ I '" (;y / 1t: / :ii~;~~ ~).>, -- >O~l~_: I~~~ io . Engineer ~ J.s-Oll//~ I . Forester ~ 9S"'...o;) 7 I~I _' DATE OF MEETING: TYPE OF VARIANCE{S) -' DATE OF LEirTER SENT TO APPLICANT IDENTIFYING TRC REVIEW COMMENTS: I -d7 -7~ (Aesthetic Review App., dates of board mtgs. & checklist sent out wi comments) f ~ d ? - 91 ,- 4/.j/ 9S- , documents) NINETY DAY CALENDAR DATE WHEN APPLICATION BECOMES NULL AND VOID: DATE 12 COMPLETE SETS OF AMENDED PLANS SUBMITTED FOR 2nd REVIEW: (Must be assembled. Reviewer shall accept amended plans & support Do COLORED ELEVATIONS REC I D: MEMO SENT TO DA'l'E SENT: util. P.W. Parks Fire Police PLANS i I LETTER TO PLACED AT TR~ 10 ftRFORM 2nd REVIEW. 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