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APPLICATION ..~':."'I "', . . . ....'!.:4:....~... " I , ~ ". .' , SITE PLAN APPROVAL APPLICATION ~ City Qf 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 1. Project Name: #",0- 6// r;e/frlJ/ifC- /,vc, .$'/M/ />J3/7/b/Z"77A?O 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) : 77-13 /J.TC-i 0;:::- ~//YC" liVe. , a... ... Address: ~ .3'!J ~, ocrAN' /#'6. Phone: /.&o~ ~- >~7- 2.2-c;r H-. ~3Y:3S- --. ........ 4. Agent's Name (perso~, if any, representing applicant): ~tO ,g,;.';'- ,(. y:Oo'- Phone: .,.?lfo() $L< I .,.Go y /l"7'O"\r >3'1- >.2.90 / LJE::?dI- $r; Address: ~ 3g'l35" ' 6. Correspondence Address (if different than applicant or agent) 5t:L: ~~r /J~~~.s> *. . * This is the address to which all agendas, letters, and other materials will be mailed. " Planning bept~ 10/82 @ -, . . , ' .......~........_---- ". Page 2 . OAt. i~~ affected? . 7. What'is applicant's interest in the premises /~$5&:!:. (Owner, Bu~e~, ~essee, Builder, Developer, Con tract pu'rchaser, etc.) 8. Street Address or Location of Site: d3~ IE: ~ /h/l:- 9. Legal Description of Site/property control ~: .J.. /lZ<.f N5 -is d 6 PI 11/ S / t1/\/, CU -35' I.LJr /o~ ------..-.--------- . ' 10. ~~d Use(s) of Site: 1=?694///V6 ":;#0// (>9'~/- ,;7~~~ '11'. -Deve1oper--o.l. SId Id.er-. S/6tV co~: a/otJ~' CO'~ :;16~l'16Ch1~, /1/, IJ. 12. Architect: 13. Landscape Architect: /1". IJ, 14. Site Planner: /1'r.t1. 15. Engineer: 16. Surveyor: /J"': r1. /J~ 11 . 17. Traffic Engineer: /};-;/l, 18. Has a site plAn been previously appruv~d by the City council for this propel'ty? /v',4. -------..----... . ....--. -..... ..--------- . 19. Estimated construction cost of propo::('11 ifiiprover.l~rlts sho\,m on t.his site plan: f'loo Planning Dept.. lO~82 ~ " ". . Page 3 ~ .1;}j~ .II. SITE DATA The following information mus~ be filled out below and must appear, where applicable, on alr six (6) copies of the site plan. 1. Land Use Category shown in L~? the Comprehensive Plan ~~ 2. Zoning District ~ 3. Area of Site ff.rJ , acres ~ ~/t} sq. ft. ' 4 . Land Use -- Acreage Breakdown a. Residential, including acres % of site surround~ng lot area or grgunds b. Recreation Areas * acres % of site (excluding water area) ,. c. Water Area acres .% of site d. Commercial r SljI J2;ta-c-r-e s. /tJO % of site :::J /./0 , 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 i. Other (specify) acres % of site j. Total Area of Site -5' /./0 , 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 Z /:./ t} Area ("building footprint") b. Water Area sq.ft. !:Jj? % of site sq.ft. - % of site c. Other Impervious Areas, includfng paved area of public & pri~-stree-tsl paved area ~~rking ~ lots & driveway~ eluding landscaped areas) , and sidewalks, patio~, decks, and athletic courts. 3 t/OO' 0" I ! ~ II sq.ft. ..~/ % 0 f site i , d. Total Impervious Area e. Landscaped Area Inside of Parking Lots (20 sq.f~. per interior parking space required-- see Sec. 7.5-35(g) of Landscape Code) . 6'.6/0 , sq. ft. /(}o % of site sq. ft. % of site w Planning Dept. 10/82 .._-........ - g. Other (specify) sq. ft. h. Total Floor Area '" .?, / 0 sq.ft. 7. Number of Residential Dwelling Units Single-Family Detached - dwelling units a. 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 /1.". ,4. Dwelling Units per ~cre 9. Maximum Height of Structures on Site 10. Required Off-Street Parking I~ feet / stories a. Calculation of Required Number of Off-Street Parking Spaces /l/' / It b. Off-Street Parking Spaces Provided on Site Plan /f/,yf, ~ Planning Dept. 10/82 IV.' MISCE~ANEOUS QJf~~ Page 9 . ' . f, (check) 1. The following ~aterials must be submitted in one {l) copy: A check, payabl~ to the City of Boynton Beach, as per the attached fee schedule. ~1r 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 ~~.~~~~ .~,~~li~:~ ~~=t be =~b=~ttcd. 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 ~s~9'ne~uo .the instructions below. / (}) ~~-a:L. ~ ~~, . 0/J'/ S19na~e of Owner(s) or Trustee, Date or Authorized Principal if property ,is owned by a corporation or other business entity. VI. A~ATION OF AGENT . i.~ Signature of Authorized Agent '~~7 Date hereby designate the above signed person as (my) ori ed agent ip ~egard to this application. ~ ~~. /4 ~ M - >7 t. d' 9 o ~'. .-~. /' S1gnat re of Owner(s) or Trustee, Date or Authorized Principal if property is owned 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: Addit~onal Remarks: ~ ~".~..~..,