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APPLICATION " . 4 . ___..-.:.;:;:~..,.-;-=--~............ r :' ....:...'1'.. '" '~ ..c.('...."..........,..eof',"..."'...r..., ._, ..',.,...........--........__..._______,.._.....__~.__..._ ~ ., ~ ~ITE PLAN APPROVAL APPLIC^T~ON 7f' 'If';{, -.' city of Boynton Beach, Florida planning ~nd Zoning Board \, . This application must be filled out completely and accurately and submitted in one (1) copy to the Planning Department. Indomplete applications will not be processed. Please print legibly or type all information. , I. GENERAL INFORMATION 1. Project Names J:)(re~~f.3QVAn6tJ~ TO :eOVtJTd tJ "\lIS A~Pt-A -%-A. 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): . ., " Phone I ~ ~ ~5 '-OMI" l!-rt,C.IAt.. 'ate.. Vb j.A.U f)e~A~'< ~ ~eA, ~o5 LtJ- q'l~ ~~()&e ,1~et8' ,.. Address: 4. Agent's Name (person, if any, representing applicant): Phone: .b1\ '-""I A &tt O$Bo a\ tJ J ~ N. A.t.:aOR.IfW~ ..FT. LA(J"~Af:.6 ~()5' 1'~-~ A~~r A~r! ~ k.T.. 1~~1( . . : Address: tt C ()~ t.. 5. Property Owner's (or Trustee's) Name: Phone: It ~6 G6MMet..CI4~~L.\1D ~(()e'B J,..A.ulJEtI- DALE. leaY llI6 '1!-4 '"'; ~ogo~ T..,)J'( S p,A.vo - c.rFP.:t~ ~ bCS 1:U · C( " 1'1 {J<'sJ i'r3 " 'llf-f:3 Address: 6. correspondence address (if different than appllcant,or agent)*: * This is the address to which all agendas, letters, and other materials will be mailed. f 'l Pla~ning Dept. 1/89 /' ~' ....--...-,,-- Page 2 ']11-'%4 7. What is applicant's ,interest in the premises affected? (OWner, buyer, lessee, builder, developer, contract purchaser, etc.) Pa l2-CK l,-t! C.r ,~ . 8. street address or location of site: JJ&jLl /-., ~'1'~~~~ f\lt\Jt>>. 9. Legal description of site and property control I: 10. Intended use(s) of site: ~ XC~TIt.Jq s ~ ppl ,.,,~ c.. ~ I'J Ttf rz. ... " 11. Developer or builder: A . S". (J:,~IV. ~~rf( \ 1\rchitect: W'l..\..'At\l L. O~aof1.,.) Landscape Architect: LA""}) ~\l1N'C::'<<' site Planners J::j'L.l..IAttt L. O&~D{t,J Engineert .JPMt.\ e.. ~M'-n-i etJa.... & tJC. Surveyor: _"- \C. (-I'AltD L. St4c-~A.eo I. /~ ~ Traffic Engineer: ~~~ , Has a site plan been previously approved by the city conunission for this property? ~ ~ Estimated construction~osts of proposed improvements shown on this site plan: '(:.. ~-r~t!)t:'t:J.~~ ~ Planning Dept. 1/89 " . ,...,.,.,.,,,,.. ,.t'l'. T"~. . - , . . . . . b . , r) t ?'IIL% :,J:\"~ 'l~m' . ~:,'j\!; ~ . I~,"'" .', , .}~(l;~ i ;~ 1'J; .l/~"'I . '(~t: 'i1~.f , ..~.~ ~.' i'At;fft ~ !' IV. ttI SCELt.1\1tBOUS , i!~:~ \ ~ ~.:~~ 'rhe [ollot.,r!ng mntl!tlnls must be t;ubinH:t:~c11tt ot\t! (1) ~b~Yl :}4' (dl~ck ) ..' -I 1. 1\ check, rnynble to the C! \:y of ~o~htbtt tMA~h, Aft t;8t tho attached tee schedul~. ..,' j" "'a: ,lI 2. " I J, t' tor projects that gen~rAt~ at leAgt: t:h~~ft t:hdU~Art4, ~ (3,000) vehicle trips rcr dt\y or t:Wo hUhdtf!d Ahd t!!~fl' ; (250) s!ngle dlrectionnl vohicl~ t:tlp~ 1" A 6"@ (1) , 110ur rottod, a traffic i~pnct AnfilY~is ~u~t bd ~UbMl~~8d 3 . lmy other engln~eritlg and/or t:ech"lcH\l d!\:A, A~ tt\~y b6 '/\ requtred by the 'l'echnlct\l ttovlt!w nOl\td \:0 dt!\:fttf1\lt\~ ::f cOlnpll~nce ",ith l:he provltdo'l!~ bt t:h~ Cl\:y'ft codf! ol '.. orult1l1nces. I,', ~. ; ,,j I v. CERTIFIC1\Tlolt " ..J " (1) (We) undetst^nd that: \:hl~ appl1eA~~O" And jil ~A~fttl l~_~ plans ~ubmitted herewi\:h b~eomo A ~dtt o! thft ~~tManft"t :~ records of thtl Planning and. ZOl\lh~ lHiAtd. (1) (Wft) h@t6bY d,.. certIfy \:hfi\: t:.he abov~ ~ttl\:~tnat\t:~ Ahd AfiY Its.tftl1\Afltn ot ,.\ ~ho\>,ln~!t in allY pap~rs or ~lAhn ftubt"ltt@d h@tftWlth, itA t:t'U..~W \:0 tho h~s\: bt (tny) (bUt) khtMl@d~ft Aftd b~11ft!. !rtlll ;\.:~ nrl,lica\:lon wl11 ito\: b~ aeeot>\:@d ut\lftltl IlonAd A~~OrdltlO ~8\.f; the tUct:Ion~ beloW. '?~t~ I'~,f , VI ~ ,! , "C3/Z0 I '/0 OatG " , ";" ,~ ~d ,;;.: "';f ,!', . , :.~; , )~~l ,'~J~ ~ " I .. , '0"3/ A_/O .....'~. }u-~ ,10 OatG ftlort~d ~ftfAOn Aft (MY) fe, ,II' authori2"d ag"nt ill r~,d ,t:. "..t:~ !I Ap~l!eAtJbtt. L .'/ '. ,';,,~ ~~ ,:03 2,tJ, 90:.".:.;....' -"'~f; 1! atUrt;! 'pf~O ron o~ .Tt'~~tG~,---1 ,,' Da~i '...~'. .~W{ , ^uth2t1~ed r inclpal' If ~to~@tty " ~~ S ownaa b /'ort>otatIort bt oth~t ~1 buslnes~-~ttEl ty. : ~ SP1\CE BELO\'l 'I'HIS LutE FOR otF!C~ tiS! oNLY ~ \ " 'i Review Schodul~! Techtllcnl lteview Board Plnnnlhg ~ zonIno Bo^rd comnunity ^pp!arancG BoArd city commission stipulal:lons of Finnl ^p!,toval! bA\:ft Ih\~A1Vftc1l bAt:@ \ bt\ \:~ JJAl:~ bAle ',,-: 'I';, , ~, ,; , ' . .I. ... , ~' "..L ~' " " 1 ',. ~~ . ,..t"'tj other Goverhmenl: 1\genciesJpersons to bt! oOh\.:aot:~c1l -( ,L ,', .'t",y '. l' ..I ~ddltlonal ltemarks! L , '. 't~,>, I , .... , '; i ..:.~: rl 1'" :n'lt' ,~.. n.....l. 4' n f'\