APPLICATION
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SITE PLAN APPROVAL APPLICATION
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City Qf Boynton Beach, Florida
. Planning and Zoning Board
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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.
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Address:
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ocrAN' /#'6.
Phone:
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4. Agent's Name (perso~, if any, representing applicant):
~tO ,g,;.';'-
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Phone:
.,.?lfo() $L< I
.,.Go y /l"7'O"\r
>3'1- >.2.90
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Address:
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3g'l35" '
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.
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Planning bept~ 10/82
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Page 2
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affected? .
7.
What'is applicant's interest in the premises
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(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~
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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~,
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12. Architect:
13. Landscape Architect: /1". IJ,
14. Site Planner: /1'r.t1.
15. Engineer:
16. Surveyor:
/J"': r1.
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17. Traffic Engineer: /};-;/l,
18. Has a site plAn been previously appruv~d by the City council
for this propel'ty? /v',4.
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19. Estimated construction cost of propo::('11 ifiiprover.l~rlts sho\,m on
t.his site plan: f'loo
Planning Dept.. lO~82 ~
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.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
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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
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a. Ground Floor Building Z /:./ t}
Area ("building footprint")
b. Water Area
sq.ft.
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% of site
sq.ft.
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% 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"
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sq.ft.
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% 0 f site
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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
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Planning Dept. 10/82
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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
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feet
/ stories
a. Calculation of Required
Number of Off-Street
Parking Spaces
/l/' / It
b. Off-Street Parking Spaces
Provided on Site Plan
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Planning Dept. 10/82
IV.' MISCE~ANEOUS
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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. /
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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 .
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Signature of Authorized Agent
'~~7
Date
hereby designate the above signed person as (my)
ori ed agent ip ~egard to this application.
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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:
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