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APPLICATION J ' j- .1, r ,-" ,,: :, .. ~/ :.' J r"" ~t\,,_( t .:........ ...... .~. '0 ,.. ::, 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 (l) copy to the Planning Department. Incomplete applications will not be processed. Please Print Legibly or Type all Information. I. GENERAL INFORMATION 1. Project Name: ~NS V&\-{i--1Tet-..1 CH~~Ol.J A UIO TlZ-o N I e-s , " 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): . E3a{mafl SitwlMoAn;nmJc . __c;t:-.A 7('n:/I~HtI~ /) e: 1 (S()y/Vp;:r 8R-~~ r~~~ t ' 732--s{'""72-- - . .- . ... .. . .... .:." .... .,';.. ;. :. ....~...-:':..... ,', ......:.Address: . i ,J ,) Phone: .. 4. Agent's Name (person, if any, representing applicant): D Av 10 \Oe-f\ 6l-~ Address: -H44 ~.vJ\ 3u-rH p...'o} ENu~ :tB t30-ft--t,w -\-'.)ct'\C+\ \-=l.-O ~lOV\ '3 3~ ""2.J... ... Phone: ---9-0'1 l3~ '1"'110 s. Property Owner's (or Trustee's) Name: ~~.c; /}j/4~ Address: Phone: 6. Correspondence Address (if different than applicant or agent) *: Ac"l t::\..h- · '. * This is the address to which all agendas, letters, and other materials will be mailed. Planning Dept. 10/82 "'~" '. .'- - . . ...........~......... #9 ' . . . . . ~ . .' "'. .. ....~~ . '.......,..-~...:~ .. ;.r..w-...s.. '.,,'~.............,..~').. .... .... : "# :: ; ... .. "" .. :. ...; . '.~, ..' Page 2 7. ~'1hat is applicant's interest in the premises affected? Ow tJe-rL (Owner, Buyer, Lessee, Builder, Developer, Contract Purchaser, etc.) I] 0 VIVtJ{;/I( ~c...-I!' Y'/cL--' I / 2- c-/~ 3 s:-' ;e~~ 1-// c- Y; ., ~ ~~(../.3S 8. Street Address or "Location of Site~ 9. Legal Description of Site: La-r-;R\9 J, 20 ~oBI1-\Set--' ~nPlnq.J 10. Intended Use{s) of Site: p"v H..I N. C.. ON ~orz:n.\ ~'\PE eF ' \?u\l-{)I~ ("\ To P-Al2-\L Ow N. C12-S CAIZ- ll. Developer or Builder: G ~Gt'2...C"t 'E: LuL...J Ef2-'-\OL>S E: Lt9t..l$T\LUL-T\ eN. l'"k:.. _'441 S.w. '30,.-...1 p..~E.NLi::- ita ~m-efo..l PEAc..H Ft-~OA 33-1zJo 12. Architect: "'D A ~h D t3 q!\ So L-E::"1 .. .. 13. Landscape Architect: \\.\A 14. Site Planner: ~A 15. Engineer: \-\ f) 16. Surveyor: CWIt\~ 1~" I~~ Sul2.\J~O~ 17. Traffic Engineer: ~\A 18. Has a site plan been previously approved by the City Council for this property? '( 1iS'$ 19. Estimated construction cost of proposed improvements shown on h' ~ I~ 0_0 t ~s site plan: 'If '""~ Planning Dept. 10/82 sY ,_'_...,....1..._..... '\~ _".__._;...,..,.~.~......_........_....~~....;..~-.r ~ .. r~ ~ ,..~... .' ;'." . , .~ 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. l. Land Use Cateqorv shown in the Comprehensive Plan 2. Zoning District c,- ~ 3. Area of Site sq. ft. acres 4. Land Use -- Acreage Breakdown a. Residential, including surrounding lot area or grgunds acres % of site b. Recreation Areas * (excluding water area) co % of site acres c. Water Area .% of site acres d. commercial % o-f site acres e. Industrial acres % of site f. Public/In- stitutional acres % of site g. Public,Private, and Canal Rights-of-Way h. Other (specify) % of site acres acres % of site i. Other (specify) acres % of site " j. Total Area of Site 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 Area ("building footprint") sq.ft. % of site J b. ~vater 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. !S 0 f site d. Total Impervious Area sq.ft. % 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) . sq.ft. % of site ~ Planning Dept. 10/82 ...,--_.:_- ___L. ,n/O., . ..-.......rl..;........~...."' ..._-:_.. ",,". '........ ~~~u.~~_ .... ....... .' .. . :...~ -. ......:.. . . ,.' ~ Page 7 . IV. MISCELLANEOUS The following materials must be-submitted in one (1) cOFY: (check) i. 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 (l) hour period, a traffic irL,~~ct .u&1~1}"~i:; ~~:;t 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 unless signed according to the instructions below. g~~J~~' .?-/I--~ Signature of Owner(s) or Trustee, Date or Authorized Principal if property is owned by a corporation or other business entity. VI. AUTHORIZATION OF AGENT ~~ Signature Of-Auth -'zed Agent 7--1-10 Date .. (I) (We) hereby designate the above signed person as (my) (our) authorized agent in regard to this application. ~~~~~ 7--II-to Signature of Owner(s) or Trustee, Date or Authorized Principal if property' is owned by a corporation or other business entity. /' 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: Additional Remarks: Planning Dept.--'lO/82 ,{(? . . ......' .......l.,....;:_ .' ~