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BUI LOING
OEPARTMEN T
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APPLICATION FOR WAIVER OF SIDEWALK REQUIREMENT
PLEASE PRINT OR TYPE Submittal Date:
& RETURN TO BUILDING DEPARTMENT
Filing Fee:
$100.00, payable to the
City of BOYnton Beach
The undersigned owner(s) hereby respectfully petition(s) the City of
Boynton Beach to grant to petitioner(s) a waiver of sidewalk
requirement.
Section to be Appealed: Boynton Beach Code of Ordinances, Chapter 22,
Section 22-25 Sidewalks Required.
Property involved is described as follows: Lot ( s ) /0 B:... J f
Block E , Subdivision ~4AwAY P/tf{l~
Plat Book
13
, Page
17
or otherwise
described as follows:
DATE:
:l /;.11 ?.3
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ct05". $'. E. 3(0
OWner: 0/FTDAl J..Jvn~
~ ;L'I rAe, NrV-f
I(..t'J 7 - 3b'2 - tJLW-Lf
SIGNATURE OF APPLICANT~
Property Address:
Name & Address of
Name of Applicant:
Applicant's Phone
No. :
THE APPLICATION SHALL CONTAINI~~)
1. The reasons for which the waiver is requested and a definite and
detailed statement of relief sought from the Building Official.
2. The application shall be signed by the applicant or his duly
authorized agent and it shall have appended to it copies of any
plans, drawings, rules or regulations or other documents which
would be pertinent to the application.
3/92 - bh
A: SIDEWALK. DOC