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APPLICATION . . \. . be~Q_~2~_e~~~Q~~~I_e~QLQB_6~ZQ~1~~_eEEb!~er!Q~ City of Boynton Beach, Florida .'''." -- Planning and Zoning Board This.application must be filled out completely and accurately a~d submitted, ~ogether with the materials listed in Section II below, in two (2) . copies to the Planning Department. Incomplete applications will not be processed. Ple~se Print Legibly or Type all .Information. I. E~~~Beb_l~EQB~eI!Q~ 1. Project Name: _~~_~_~____________~______----_-- 2. Type of Application (check one) "," --~~---~-- a. Rezoning only b. Land Use Amendment only ---~ c. Land Use Amendment and Rezoning --- ---- ,- 3. . Date this Application is Accepted (to be filled out by Planning Department): -------------------------------------------------------- 4. Applicant~s Name (person or business entity in whoSe name this application .is made): :.--.:...------<-""-~--t-~~--~-----.LA&-e.~-(~JJ-e.-- Address: _gi.jQ__~gJJJ,)_";:rU~~l~E..J?,-.O:..ll.(g-OJ~L- -~L~'i~AJ-~~-Q~~~--rJ~(gJJJL------------------ ~~~~~~~ne ____~C>~_:_t&_~1Jt~_~_~~f2_______-___~_____________ * 5.. Agent. s Address: Name (person, i~ any, representing applicant): -~AL.<Jll~~-~- J~at--~~~ft----------- -(Q.<1.1J--~- ~I:.Qf; -- L_I:t~'{,-_6.iJJ_ __ZO(g--- ~. j-' ~~~~--~~--~~-~~~----------------- 4-86 : page 1 Planning Dept. "V~ '. \ Telephone _~:l~-~~_~_~_l___-_-------------------------------' Number: 6. Property. Owner~s (or Trustee~s) Name: 1;~l_~~~~f\~Ji:(-~~~~<'--------------- Address: ~.fu2~_~T~UU~J:-DJ2:0~--------- {,g_6_00._GQ_f\}~~~-S-Mf.JJ.~-~-f~A-2~{P-Z- Telephone __~~~::~~l_CJL____________________________________ Number: . 7. correspond::~~:::_~~~_:~~~:::::_::::-:::~~::::-::~:::::~~:___ ----------------------------------------------------~--- * This is the address to which all agendas, letters, and other materials will be mailed. 8. What is the applicantPs interest in the subject parcel? ~ (Owner, Buyer, Lessee, Builder, Developer, Contract Purchaser, etc.) _. ') ~,,- ~~~ r n.. 1117 AL . r ~AIt7,. t.J ~sr- f"? .. _~~:"~"4 iv :;'l~ :;;L~_-:-_~~~\..~~t--T-'t..L.Y]n-~-l~--------------- 9. Street Address or Location of Subject Parcel: _------------------ \\Je--2-r:~-~.:rf r-rr~ ')_~-~~.LQl2-~~ :1- . ~-i~;"''''''' -~ WIAX..~~n.. 10. Legal Description of Subject Parcel: ------____----------------~~- -----~~-~1\_\~~~~-------------------------------- ------------------------~----------------------------------------- -------------~---------------------------------------------------- . ------------------------------------------------------------------ ------------------------------------------------------------------ 11. Area of Subject Parcel (to the nearest hundredth (1/100) of an acre): ------~-----~-~~-~~~~-------------------- Planning Dept. 4-86 page 2 1---) '. \ 12. Current Zonlng District:' ~Jbl;l~'~~C26J_l~~:-------------- 13. Proposed Zoning Di~:t..rict: _!...___1. /', ""2. 14. Current Lan<!,,~se Category: -=~mm~~~======== 15. Proposed Land ~e Category: _~_~~_~~~___ 16. Intended Use of Subject Parcel: -~l~t;-~=tO~--r------------ _~pQJ~_~D__'6~llOl~~_______________________ ------------------------------------------------------------------ 17. Developer or Builder: ~-~~~--------_---------- lB. :~::~::::~--==~~~~========~================== 19. Landscape Architect: ____________________________________________ 20. Site Planner: -_~t2~~-~t:r:~---~-----------~---~- 21. Civil Engineer: _~~~~~__~_~_~~___~-------------------- 22. Traffic Engineer: ~~----------------------------------------- 23. Surveyor: ~~-~--~-~~~y-~~Q~:(~~---~----------- II. ~eI~B!eb2_IQ_~~_2Y~~!IIgQ_~lI~~eEEb!~eIIQ~ The following materials shall be submitted, in two (2) copies, unless otherwise noted. - (check) _~. This application form (3 copies for PUDs, PCDs, and PIDs). ____b: A copy of the last recorded warranty deed (3 copies for PUDs, PCDs, and PIDs). ____c. The following documents and letters of consent (3 copies for PUDs, PCDs, and PIDs): __~(1) If the property is under joint or several ownership: A written consent to the application by all owners of record, and _~(2) If the applicant is a contract purchaser: A copy of the purchase contract and written consent of the owner and seller, and'. _~(3) If the applicant is represented by an authorized agent: A copy. Planning Dept. 4-86 page 3 q,,"\ , . III. eEEb!~erlQ~_E~~2~ Fees shall be paid at the time that the application is submitted~ according to the fees which have been adopted by resolution. A fee schedule is attached to this application. All fees shall be paid by check~ payable to the City of Boynton Beach. IV. ~sBIIE!~aIIQ~ v. (I) (We) understand that this application and all plan and papers submitted herewith become a part o"f the permanent records of the Planning and Zoning Board. (I) (We) hF2reby certify that the above statements and any statements or showings in ~ny papers or plans submitted herewith are true to the best of (my) (our) knowledge and beliei. This application will not be accepted unless signed according to the instructions below. ..~ ~Ctn:-- ~~-~---------------------------- Signature of Owner(s) or Trustee~ or Authorized Principal if property is owned by a corporation or other ~ i~~~. , =_ _H _ Z~~;~~___-::.___ 1 nature of AU~~d-Agent _~-cf/.l3-qJ Date ~EgEJD ~~-~ Date i- (I) (We) hereby designate the above signed person agent with regard to this application. K;~;;{;~T;::;;;;tee, or.Authori=ed Principal if property is owned by a corporation or other ~Zi?~~_ .~~ as (my) (our) authori=ed _ ~-{-J~~~. _~12~ ~~~ Planning Dept. 4-86 page 7 iV5 hi ,ee s Architecture/Interior Design LEGAL DESCRIPTION FOR ANNEXATION THE EAST 75 FEET OF AND THE tIEST 75 FEET OF THE EAST 150 FEET OF THAT PORTION OF TRACT 6, PALl.! BEACH FARHS COI1PANY, PLAT f18' LYING NORTa OF THE NORTH RIGHT-OF-WAY LINE OF STATE ROAD S 804, ACCORDING TO THE PLAT THEREOF ON FILE IN THE OFFICE. OF THE CLERK OF THE CIaCUIT COURT IN AND FOR PALM BEACH COUNTY, FLORIDA, REcohDED IN PLAT BOOK 5, PAGE. 73, TOGETHER WITH THAT PORTION OF THE RIGHT-OF-WAY FOR L.H~D.D. CANAL L-24 LYING NORTH OF AND ADJACENT TO SAID PARCEL. SUBJECT TO EASEHENTS AIm RIGHTS-OF-t-1AY OF RECORD. CONTAINING 36,155.45 SQ. FEET OR .83 ACRES. 6971 N. Federal Highway, Suite 206 . Boca Raton, Florida 33431 · 305.994.4581 L']),.(J .....- ...--; ./ ,- .' , 1-: A F F IDA V I T ~ STATE OF FLORIDA ) ) SSe ) .. COUNTY OF PALM BEACH BEFORE ME THIS DAY PERSONALLY APPEARED RANDALL E. STOFFT , WHO BEING DULY SWORN, DEPOSES AND SAYS: That the accompanying Property OWners List is, to the best of his knowledge, a complete and accurate list of all property owners, mailing addresses and legal descriptions as recorded in the latest offi- cial tax roles in the County Courthouse for all property within Four Hundred (400) feet of the below described'parcel of land. The property in question is legally described 'as' follows: SEE ATTACHED EXHIBIT "A" LEGAL DESCRIPTION: (PARCEL' ONLY) The East 75 feet of, and the West 75 feet of the East 150 feet of, that portion of Tract 6, Palm Beach Farms Company, Plat U8 lying north of the north right-of-way line of State Road S-804, according to the plat thereof on file in the office of the clerk of the circuit court in and for Palm Beach 'County, Florida, recorded in Plat Book 5, Page 73, less the right of way for L.~~.D.D. Canal L-24. Subject to easements and right-of-ways of record. Containing 0.54 acre, more or less. FURTHER AFFIANT SAYETH NOT.' before me day of A.D. (' . ", . t .' 0.: iif~ OA. Y 1<V\ ~9. - I NOTARY PUBUC, STATE OF FLORIDA. MY COMMISSION EXPIRES: JULY ~. 1991. .O"O'D 1HftU HOTARY 'U8LIC UHOIIIWIIITlftS. ,. .,;.,0 .~ .... ., ~'"\ '-. ------