APPLICATION
SITE PLAN APPROVAL APPLICATION
: '
City of Boynton Beach, Florida
planning and Zoning Board
II
,
This application must be filled out completely and accurately
and submitted in one (1) copy to the planning D~partment. Incomplete
applications will ,not be processed.
, Please Print Legibly or Type all Information.
I. GENERA~ INFORMATION
1.
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pro'ject Name: I~- (/ /./ '<I) /-;:
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~ 2. Date this Application is Accepted :
(to be filled out by Planning Dept.)
3. Applicant's Name (person or business entity in whose name this
application is made) :
_ ,,' ",.' .'.' JoS: c:/')~l cl LA s":::'
Address:
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Phone:
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4. Agent's Name (person, if any, representing applicant):
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Address:
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Phone:
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5. Property Owner's (or Trustee's) Name:
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JO.:;.t:':' /-': '?; .:.c._=: u' CJ L 4-S:;::) bCJ/-!.Al/-fuJ~,:= -/ L Vir A 4(<?:J",
Address: 3-.:>: we /4~h AvE.;- 30/ ~o= ;.jC::5 /)...:';1 /::"vl ~2o?
phone:
HA- CC A;.JO A. L /5 Ft..'.
30.s--d~~-O~c.5'
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6. Correspondence' Address (if different than applicant or agent)
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* This is the address to which all agendas, letters, and
other materials will be mailed.
Planning Dept. 10/82
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Page 2
interest in the 6remises affected?
,) ,,/ 6 (?5
~essee, Builder, Developer,
lser, etc.)
Ication of Site:
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5i te/~rOperty
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Control #s
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Engineer:
Surveyor:
J., V, J~A ere. iJ'J f:. Gk.::: c. c2... F.E-
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Traffic Engineer: _____
Has a site plan been previously approvod
for this property? ~~
by the City Council
Estimated constl'uction cost of propo:,:,'~l impl'ovemc/',ts sho\m on
this site plan: ::'.:::J/'/~;=<' ~ /T 00..':)
Planning Dept. 10/82
;l1~ -- N~T Apt L ! c It I-b c..e
Pa<]e 3
II. SITE DATA
The following information must be filled out below and must appe~
where applicable, on all six (6) copies of the' si,te p,lan.
..
,
1. Land'!'use Cateqor'( shown in
the Comprehensive Plan
2. Zoning histrict
1....1 c;' - _. <:::
, tf 0_ k' I '" r~ / ,;.--<"': 1 l. I! I c__
'ZO;../E C~'-
3. Area of Site
/) :2, Q
v~-" i
acres
/i~c.:Jg
sq. ft.
'4. Land Use -- Acreage Breakdown
"
"
a. ~esidential, includin<],
surrounding lot area or
grgunds
b. Recreation Areas *
(excludin<] water area) "
acres
% of site
acres
, of site
c. Water Area
acres
.% of site
d. commercial
c9, ~ '7
acres
., /<00
% of site
% of site
e. Industrial
acres
.'
f. Public/In-
stitutional
,acres
% of site
"..
<]. Puplic,Private, and Canal
Rights-of-Way
acr~s
% of site
.
h. Other (specify)
,
acres
, of site
i. Other (specify)
acres
% of site
j. Total Area of Site
0.39
100
, of site
* Including open space suitable for outdoor'. recreation, and
havin<] a minimum dimensipn of 50 ft. by 50 ft.
5. Surface Cover
a.. ~round Floor Building AliA sq. ft. , of site
Area ( "building footprint" )
., .
b. Water Area N/ /-" sq.ft. , of site
c. Other Impervious Areas,
includin<] paved area of
publ.ic& private streets,
paved area of parking
lots & driveways (ex-
cluding landscaped areas) ,
and sidewalks, patios,
decks, and athletic
courts. 2- c:; ~ 7
sq. ft.
'7 -
/ J l~
, of site
d. Total Impervious Area 2CjC- 7
e. Landscaped Area Inside
of Parking Lots
(20 sq.ft. per interior
parking space required--
see Sec. 7.5-35(<]) of
Landscape Code) .
D
sq.ft.
sq.ft.
17' 'S
, of site
o , 0 f site
Planning Dept. 10/82
~,---~-- nft_~ ,n/Q?
f. Other Landscaped Areas,
excluding Water Area
g. Other Pervious Areas,
including Golf Courses,
Natural Areas, Yards, and
Sw~~es, but excluding
Water Areas
h. Total Pervious Areas
i. Total Area of Site
.6. Floor Area
a. Residential
..
b. Commercial/Office
c. Industrial/Wa~ehouse
d. Recreational
e. Publici
Institutional
f. other (specify).
g. Other (specify)
h. Total Floor Area
~(c.
~' . ...; '..
()
9/,5
/) 0''::> 2'
;J/A
N/.4
/)1;'
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N/A
NIA
N/A-.
fi!A-
,
7. Number Of Reside~tial Dwelling Units
a. Single-Family Detached ~)/~
b. Duplex
,
,
c. Multi-Family (3 +
attached dwelling units
(1) Efficiency
(2) 1 Bedroom
(3) 2 Bedroom
(4) 3+ Bedroom
d. Total Multi-Family
e. Total Number of Dwelling
Units
N/p.
filA
filA
filA
NIA-
tl)A-,
~v/ A-,
sq.ft.
..r:1--
sq.ft.
sq.ft.
l:J,q.ft.
jt:' r,
./. "1""'
100
sq.ft.
sq. ft,.
sq. ft.
sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
dwelling units
dwelling units
,
dwelling units
dwelling un,its
dwellitiq"units
dwelling units
dwelling units
8. Gross Density ;.//4 Dwelling Units per llcre .
, ,NJA
9. Maximum Height of Structures on Site / feet
10. Required Off-Street Parking
a. Calculation of Required
Number of Off-Street
Parking Spaces
.8L!;6 AaF A - '_ J - , :-:;
f'v~ ~~-;/ 4'~ ;Z~t't7..Q. ~,/1"L
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. ", ."'''' of "',., MAl"\40 ," 10.,
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Page 4
" of' site
(J
, of site
, of site
, of site
IV/4
stories
b. Off-street Parking Spaces
Provided on Site Plan
~ / J
<<.-/x. lb
IV.' MISCgLLANEOUS
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Page 9
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(check)
The following materials must be~submitted 'in one (1) copy:
A check, payable to the City of. Boynton Beach, as per the
attached, fee schedule.
1.
.!,
y 2. For projects that generate at'least three thousand (3,000)'
vehicle trips per day or two hundred and fifty (250) single
directional vehicle trips in a one (1) hour period, a traffic
ir.,~u.~t 'a.4ul~i:; i:, :U\:.:j t be = ubmi t tad.
3.
Any other engineering and/or technical data, as may be re-
quired by the Technical Review Board to determine compliance
with the provisions of the City's Code of Ordinances.
."
"
".
V. 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 instructions below.
v "~4
S gn~tur Own r or Trustee,
or Autho zed P incipal if property
is owne by a corporation or other
business entity.
~.
~;2.- ~o-
Date
VI.
Agent
G /1..2-/88
, f Date
tI) (We) hereby designate the above signed person as (my)
(our) au~horized agent in regard to this application.
6- 22 -p,p-
s~ e of r Trustee, Date
or Au orized if property
is owed by a corporation or other
business e~tity.
SPACE BELOW THIS LINE FOR OFFICE USE ONLY
Review Schedule:
Date Received:
Technical Review Board
Planning & Zoning Board
Community Appearance Board
City Council
Stipulations of Final Approval:
Date
Date
Date
Date
\
Other Government Agencies/Persons to be contacted:
Additional Remarks:
Planning Dept. 10/82
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LOCATION'MAP
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GLASS BUILDING · PARKING LOT
;:~:,~'t#r'!.I't:r~~~Al':" "
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1/8
1/4
MILES
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1600 FEE;T
PMNNIN6 pc-pro "I..
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