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APPLICATION .1 't $1?D · / CITY OF BOYNTON BEACH, FLORIDA PLANNING , ZONING DEPARTMENT SITE PLAN APPROVAL APPLICATION site Plan - Major Modification to Existing Site Application Acceptance Date: Fee Amount Paid: ~ '/ srI . (";0 Receipt Number: ,:) I ..:s1p This application must be filled out completely and accurately and submitte in one (1) copy to the Planning Department. Incomplete applications will be processed. Please print legibly or type all information. 1 I . GENERAL INFORMATION 1. Project Name: ~ 2. Applicant's name (person or business entity in whose name this application is made): Phone: .&\P..S · \JANET ~ J~(" ~~ ISf ~ eoy~ ~, ~ lfo 1-1'!1- 6'-Cflf Address: 'n-f35 _ ~uL ( Zip Code) FAX: ~ 3. Agent's Name, (person, if any, representing applicant): ~14.& ~.oI ( Iq1.cMl"1EC,t :]2..1 ~tJG... tU6HUlM ~1f: C I fpy tJ1{)1 pJ;AQA. fI,-- '3 JY'.lS 'jp1- 'n1- q~r. FAX:~coge) Address: Phone: 4. l?1....,t"....J:r.l e"u...~.~ (or Trustee's) Name: ~ fl!MJl,,\.f ~ Address: .3~ SW-J S1 ~ ~ ~I 1'V '3112f 401-1'l1- &2.f~4 FAX: ~ZiP Code) 5. Correspondence address (if different than applicant or agent)*: * This is the address to which all agendas, letters, and other materials will be mailed. PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan 6. What is applicant's interest in the premises affected? (OWner, buyer, lessee, builder, developer, contract purchaser, etc.) ~ 7. Street address or location of site:~ ~ ~~ aEM~~~ ( 2 ) 8. Property Control *: Legal description of site: ~ ~~~ 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. I 'j ~ 1 Intended use(s) of site: ~ Developer or Builder: ~ Archi tect: ~v,1IfE({)J Landscape Architect: Site Planner: ~VI"~ Engineer: ~ . II\.U..1 (;J)~ c Kl. ' Surveyor: ~ ~ Traffic Engineer: ~I ~p.. Has a site plan been previously approved by the City commission for this property? N~ Estimated constructi~lcosts of proposed improvements shown on this site plan: ~gbo/~ PLANNING & ZONING DEPARTMENT - November, 1991 1\:SitePlan ( 3 ) II. SITE DATA The fOllowing information must be filled out below and must appear, where applicable, on all copies of the site plan. 1. Land Use Category shown in the Comprehensive Plan .. .(fa[tU<\., ~~ ~C;r Zoning District ~ Area of Site 5'.b 2. 3. acres l:Y- 3 I Q % sq . ft. 4. Land Use -- Acreage Breakdown a. b. c. d. e. f. g. h. i. Residential, including surrounding !ot a~ea .P~v._..--._..~__ grounds Recreation Areas * (excluding water area) acres , of si acres , of si Water Area .,4- ~ I RG, acres · ''1 .~ acres , of si Conunercial, , of si Industrial acres , of si Public/Institutional acres % of si Public, private and Canal rights-of-way Other (specify) acres , of si acres , of si Other (specify) acres % of si j . acres Total area of site $.G. too % of si * including open space suitable for outdoor recreation, and having a.minimum dimension of 50 ft. by 50 ft. 5. Surface Cover a. b. c. d. e. .1~ . oS' , of si Ground floor building area ("building footprint") acres Wa ter area .1'+ , l\.f % of si acres 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. 1.1. .~~ % of si acres Total impervious area ~.'1. , Lf'1. % of sj acres Landscaped area .~~ inside of parking lots (20 sq. ft. per interior parking space required - see Sec. 7.5-35(g) of Landscape Code). .0\\ % of si acres PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan h. Total floor area ~ sq. ft. 7. Number of Residential Dwelling Units a. Single-family detached - sq. ft. b. Duplex I sq. ft. c. Multi-Family (3 + attached dwelling units) ( l) 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 dwelling units per acre 9. Maximum height of structures on site 4J? feet ~ star. 10. Required off-street parking a. Calculation of required number of off-street parking spaces :llfl- ~s.:: 3 ~ g ( {;/J(J..i 1. .(p~ ceo ~ ~ (;I(t.s b. Off-street parking space provided on site plan - 1:1 SJ ')..() ~ S~~ ~~ MIst ~ CMJ PftO\ll~ CM.S ~ulfb N-- PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan ( 5) III. 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.. ~ ure of OWner(s) or Trustee~ of uthorized Principal if prope~ty is owned by a corporation or other business entity. I / /9 /93 Date IV. AUTHORIZATION OF AGENT ized Agent ",tJJ~ Date signate the above signed person as (my) agent in regard to this application. ~ ture of OWner(s) or Trustee, Authorized Principal if property is owned by a corporation or other business entity. / //? /9? , Da'te SPACE BELOW THIS LINE FOR OFFICE USE ONLY Review Schedule: Date Received Technical Review Board Planning & Zoning Board Community Appearance Board City Conunission Stipulations of Final Approval: ". Date Date Date Date Other Government Agencies/Persons to be contacted: Additional Remarks: PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan