APPLICATION
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SITE PLAN APPROVAL APPLICATION
City of Boynton Beach, Florida
Planning and Zoning Board
This application must be filled out completely and accurately
~ and submitted in one (1) copy to the Planning Department. Incomplete
applications will not be processed.
Please Print Legibly or Type all Information.
I. GENERAL INFORMATION
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1. Project Name: \~9De. -S C)~r-:\c...0i2 ~e. V>h.L....zA.
~A.-ra-:::> il.., 24("")4 ~ ~eb..G~-'S.l: 1=3..'-JD
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) :
~KHM/ennrv~ /Lt. ~/ZA
Phone:
3 7~s- ..:b,'/HV IF dJ.R I
/bYN7h-) /3~H/ IZ '33~~r
73q -5' 2-/3
Address:
4.
Agent's Name
(person, if any, representing applicant) :
~~E.e1 E. < \-€""{~.. ~.
~U:~'~\~~.~'~ ~;iY~
a ~ -- ~ ,"t:~--t 1~ ~ ~~~
~0~~ - (~0-t~1
Address:
Phone:
5. Property Owner's (or Trustee's) Name: L4i<i-r/L1ICH/M/2>
'l'1Zf.J S l' e c ,
/LI.~IZ/}
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Address:
3702.)" ..2>/~c-F ~.
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'C1() Y#TW7 '<J(.i- /t elf / Pc...: 33 y:- .sS
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Phone:
734 -s- 2-/1
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6. Correspondence Address (if different than applicant or agent) *:
A (;t?-v 7 J /J ~ ~ _. IN 1 " c-"-? / 'r I /1-(J.(! f/~ ,
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* This is the address to which all agendas, letters, and
other materials will be mailed.
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Planning Dept. 10/82
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7. What'is applicant's interest in the premises affected?
e:; f-,J Iv G-te
(Owner, Buyer, ~essee, Builder, Developer,
Contract Purchaser, etc.)
8.
Street Address or Location of Site:
~'!.CL__
~c:)4 ~,--6-Et'v-'~9-
9.
Legal Description of Si te/Property Control #: l.-CJ1. \ ,I
lE."'?~ ~~' ~~-\...A..L-. ~~b.G'?~~1 ___
~b.."T C?~ --_1J,~Ptt-~___'______'____'__'h'_
r-\<~{ ~~'?3,.., ~1~ Zc.-?~,.:R,-"",, -:geh.G'-~ c:;;.
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10. Intended Use{s) of Site:
L>t::Jc..roR ~ tJF PIC~.
11. Developer or Builder.
12. Architect:
'wl b..
13. Landscape Architect:
~/b.
14.
15.
16.
17.
Si te Planner: ~c:. e."'9\~ Ge<L..
Engineer: ~A..\~2 ~~ltJEE.e.l~, ~e~y:-~~- Q~T R.~\-era
Surveyor: --~l-\.ib.e.D l. ...s..J.€-"'PHA.e..o ~ I~~~
Traffic Engineer: ~~
18. Has a site plan been previously approv~d by the City Council
for this property? __._-----------__ ______., ,___.__,___.__________.._
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19. Estimated construction cost of propo::('ll impl:oveiil~rlts sho\vn on
tf
~his site plan: ~.I~
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Planning Dept.. 10/82
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Page 3
II. SITE DATA
The following information must be filled out below and must appear,
where applicable, on all six (6) copies of the site plan.
1. Land Use Category shown in
the Comprehensive Plan
2. Zoning Oistrict
3. Area of Site .. 4<::::0 acres \C)C1\1 sq. ft.
4 . Land Use -- Acreage Breakdown
a. Residential,. including acres % of site
surrounding lot area or
grgunds
b. Recreation Areas * acres % of site
(excluding water area) I'
c. Water Area acres . % of site
d. Commercial ,4~ acres \. (!:) 0 % of site
e. Industrial acres % of site
f. Public/In- .acres % of site
stitutional
g. Public ,Private, and Canal
Rights-of-Way acres % of site
, h. Other (specify) acres % of site
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i. Other ( specify) acres % of site
j. Total Area of Site
A0
100
% of site
* 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 J~2 sq. ft.
Area ("building footprint")
8
% of site
b. Water Area
sq.ft.
% of site
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. ~~.:::;: sq. ft.
:3c:5
% of site
e. Landscaped Area Inside
of Parking Lots
(20 sq. ft. per interior
parking space required--
see Sec. 7.5-35(g) of
Landscape Code) .
~c:r-J sq. ft.
'> ~C/sq.ft.
43 % of site
d. Total Impervious Area
% of site
Planning Dept. 10/82
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Page 4
;;. f. Other Landscaped Areas, \\ ~CcC:> sq. ft. ' '-:::> --C:...' % 0 f site
excluding Water Area
g. Other Pervious Areas,
including Golf Courses,
Natural Areas, Yards, and
Swales, but excluding
Water Areas sq. ft. % of site
h. Total Pervious Areas \\~~ sq. ft. ~~1- % of site
i. To tal Area of Site l:3q.ft. 100 % of site
6. Floor Area
a. Residential sq. ft.
b. Commercial/Office \~2 sq.ft.
"- Industrial/Warehouse
c. sq.ft.
d. Recreational sq.ft.
e. Publici
Institutional sq. ft.
f. Other (specify) , sq. ft.
g. Other (specify)
sq. ft.
h. Total Floor Area ,~c:::> 7- sq. ft.
7. Number of Residential Dwelling Units
a. Single-Famil~ Detached dwelling units
b. Duplex dwelling units
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
e. Total Number of Dwelling
Units
,
8. Gross Density Dwelling Units per .1\cre
9. Maximum Height of Structures on Site
10. Required Off-Street Parking
feet
stories
a. Calculation of Required
Number of Off-Street
Parking Spaces
\~-;?~.. ~
b. Off-Street Parking Spaces
Provided on Site Plan
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Planning Dept. 10/82
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~IV.' MISCELLANEOUS
Page 9
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The following ~aterials must be submitted in one (1) copy:
(check) ~
~l. A check, payable to the City of Boynton Beach, as per the
attached fee schedule.
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
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...,..&J....'-' '- ".&............1..,...... ...r....,... #IJ.... _ ""...,u..... ... ..."-.... .
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.
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V~ CERTIFICATION
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(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 belie(. This application will not be accepted
unless 'gned according to the instructions below. .
Ilpe/it
Date
S 9 ture of Owner(s) or Trustee,
o Authorized principal if property
s owned by a corporation or other
business entity.
VI.
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, Date
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(I) (We) hereby designate the above signed person as (my)
(our) authorized agent in regard to this application.
ItjU!pt-
ture Owner(s) or Trustee, Date
Authorized Principal if property
is owned by a corporation or other
business e!ltity.
SPACE BELOW THIS LINE FOR OFFICE USE ONLY
Review Schedule:
Date Received:
Technical Review Boa~d
Planning & Zoning Board
Community Appearance Board
City Council
Stipulations of Final Approval:
Date
Date
Date
Date
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Other Government Agencies/Persons to be contacted:
Additional Remarks:
Planning Dept. 10/82