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APPLICATION ._...._ l" ill m: ~ 3U,O:' m ill CITY OF BOYNTON BEACH, FLOR PLANNING & ZONING BOARD CONDITIONAL USE APPLICATION NOTE: This form must be filled out completely and accurately and must accompany all applications submitted to the Planning Department. (2 copies of application required) PHONE: _PALM WAldS, ~~~J?&;Je~ah~ == fj.:~ ~ 'Vi ~ lJL(AbjUS ~~~' ?/!4/?4 '0 - 0 2. FAX: (Zip Code) PROJECT NAME: AGENT'S NAME: ADDRESS: PHONE: lRJo ASSOC~ LlJ>1 '1 ?J1J89A VIA VUUA~.0S . ~~r=L, '3~1P ~)LfCf) ~042 FAX: OWNER'S NAME: (or trustee) ADDRESS: Code) t~~f~~~~~l des~~~t~~AVE1IOO~ ~~~gm CORRESPONDENCE ADDRESS:* (if different than agent or owner) * This is the address to which all agendas, letters and other materials will be forwarded. PLANNING DEPARTMENT - APRIL 1991 A:CUse.App ( 2) Fee File No. . CONDITIONAL USE APPLICATION Date Submitted: ~AS<;! -132BC)A VIA VUVf\f\.ltlS ~~1W1 ?J?4K4 , , . ~ 201't-Fax: (Zip Code) Applicant Name: Applicant Address: Phone: Site Address: Legal Description: SEE- ~ ~EP ~Q Project Description: 4E>~ BE\) A\:Z -AEIMEl2.jLl~MENl1A..- ArC/I L,f, Yit V(Ur %J:k signature of OWNER The OWNER has hereby des- ignates the above signed person to act as his agent in regard to this petition. (To be executed when OWner designates another to act on his behalf. ) PLANNING DEPARTMENT - APRIL 1991 A:CUse.app ( 3 ) CONDITIONAL USE APPROVAL APPLICATION I . GENERAL INFORMATION: a. All property owners located within four hundred (400) feet surrounding the subject parcel shall be notified. b. The ownership of all surrounding properties as submitted by the applicant, shall be reviewed by the City Clerk, who shall notify the owners by regular mail of the date and-- purpose of the public hearing held in conjunction with the conditional use application. c. Notice of the public hearing shall also be advertised in a newspaper published in the City at least ten (10) days in advance of the hearing. d. At the public hearing held by the Planning and Zoning Board, evidence for or against may be presented. e. The Planning and Zoning Board may recommend approval, approval with modification or denial of the application subject to the standards provided in Ordinance No. 76-46. ~ written report of the Board's findings shall be forwarded to the City Commission. f. At a regular meeting, the City Commission may approve, approve with modification or deny the application subject to the standards provided in Ordinance No. 76-46. g. Each new application for conditional use approval shall be accompanied by a fee payable to the City of Boynton Beach as per the attached fee schedule. h. Each application for an extension in time of a conditional use approval shall be accompanied by a fee payable to the City of Boynton Beach for one hundred and twenty-five ($125 dollars. Such application shall be submitted to the Planning Director not less than 45 days prior to the expiration of the approval. PLANNING DEPARTMENT - APRIL 1991 A:CUse.app ( 4 ) CONTENTS OF THE CONDITIONAL USE APPLICATION II. CONTENTS OF THE CONDITIONAL USE APPLICATION. Application for conditional use shall contain two (2) copies of the following items: a. Statement of the applicant's interest in the property to be developed, including a copy of the last recorded Warranty Deed, and a certificate from an attorney-at-law or a title insurance company certifying who the current fee simple title holders of record of the subject property are, and the nature and extent of their interest therein, and 1. If joint and several ownership, a written consent to the development proposal by all owners of record, or 2. If a contract purchase, a copy of the purchase contract and written consent of the seller/owner, or 3. If an authorized agent, a copy of the agency agreement and written consent of the principal/owner, or 4. If a lessee, a copy of the lease agreement and written consent of the owner, or 5. If a corporation or other business entity, the name of the officer or person responsible for the application, and written proof that said representatives have the delegated authority to represent the corporation or other business entity, or in lieu thereof, written proof that he is in fact an officer of the corporation. b. Legal survey, prepared by a surveyor registered in the State of Florida, showing an accurate legal description of the subject property, and the total acreage computed to the nearest one-hundredth (1/100) of an acre (these two surveys are in addition to the surveys required on page 6 of this application, Sec. III.19.). c. Vicinity map, showing the location of the subject property in relation to the surrounding street system. d. Drawing showing the location of all property lying four hundred feet (400) adjacent to the subject parcel, and a complete list of the property owners' names, mailing addresses and legal descriptions. The owners of property shall be those recorded on the latest official County tax rolls. Such list shall be accompanied by an affidavit stating that to the best of the applicant's knowledge, said list is complete and accurate. PLANNING DEPARTMENT - APRIL 1991 A:CUse.app ( 5 ) III. SITE PLAN REQUIREMENTS The following materials are to be submitted in seven (7) copies. Each set of plans must be stapled together in a single package to submit 7 sets or packages of plans. Scale of drawings must be 200 ft. to the inch. For requests which require review by the Planning and Zoning Board, nine (9) sets or partial sets, comprised of only a site plan, landscape plan, typical floor plans and building elevations are required in addition to the seven (7) full sets mentioned above. For requests which do not require review by the Planning and Zoning Board, three (3) partial sets are required in addition to the seven (7) full sets. Incomplete site plans will not be processed. ( check); / -7 1. 2. ~ 3. 4. v/ ~- 6. eI -1liA I N{t\ 5. 7. 8. 10. Vi 11. t/ / 12. --+ l3. l4. t N(A 15. I 16. I 17. 7 18. Boundaries and dimensions of the parcel. Scale, graphic scale, north arrow, and date. Adjacent properties or land us~s. Pavement edge and/or right-of-way lines for all streets, alleys, sidewalks, turn lanes, drivew.ays and unimproved rights-of-way within one-hundred (100) feet of the site. Also, names of adjacent streets and rights-of-way. Location of all proposed structures, and any existing structures that are to remain on the site. Setbacks of all structures (over 3 ft. in height) from property lines. Use of each structure, indicated on the site plan. Number of efficiency, l-bedroom, 2 bedroom, etc., dwelling units in each residential structure, to be indicated on site plan. 9. Indication of height and number of stories of each structure. Indication of structures, equi?ment, etc., above 45 foot height, including heignt in excess of 45 ft. Floor plans or typical floor plans for all structures. Finish floor elevations of all structures. Uses within each structure, indicated on floor plans. Elevations or typical elevations of all structures; including materials, surface treatments, and color scheme of all exterior surfaces, including roofs. Indication of the numbers and types of recreational facilities to be provided for residential developments Indication on site plan of location, orientation, and height of all freestanding signs and wall signs. Location of walls and fences, and indication of their height, materials, and color. A landscape plan, showing conformance with the Landscape Code and Tree Preservation Code, and showing adequate watering facilities. Plants must be keyed out according to species, size and quantity. PLANNING DEPARTMENT - APRIL 1991 A:CUse.app / / 20. N!kr ,/ -V -; 19. 21. 22. 23. 24. ~-- 25. I 26. ( 6 ) A sealed survey, by a surveyor registered in the State of Florida, and not older than six (6) months, showing property lines, including bearings and dimensions; north arrow, date, scale, existing structures and paving, existing elevations on site, rights-of-way and easements on or adjacent to the site, utilities on or adjacent to the site, legal description, acreage to the nearest one-hundredth (1/100) of an acre, location sketch, and surveyor's certification. Also, sizes and locations of existing trees and shrubs, including common and botanical names, and indication as to which are to be retained, removed, relocated, or replaced. . Location of existing utility lines on or adjacent to the property to be indicated on the site plan, in addition to being shown on the survey. Also, location of existing fire hydrants on or adjacent to the site. Location of additional fire hydrants, to meet standards set forth in Article X, Section l6 of the Subdivision and Platting Regulations. Fire flow calculations justifying line size for both on/off site water lines. Sealed engineering drawings for proposed utilities, as per City specifications. Information regarding form of ownership (condominium, fee simple, lease, etc.). Location and orientation of ga~bage cans or dumpster facilities. All garbage dumpsters must be so located to provide direct access for thn City front-end loaders, and the dumpster area must be provided with adequate width and height clearance. The site must be so designed to eliminate the necessity for the front-end loader to back into any street. If any use requires the disposal of wet garbage, a ten foot by ter foot (10' x 10') concrete slab shall be provided. All dumpsters must be screened and landscaped in accordancE with the City Landscape Code (see Sec. 7.5-35(i)). A minimum 10 foot wide opening is required for dumpster enclosures. A parking lot design and construction plan showing conformance to the City Parking Lot Regulations, and including the following information. Any exceptions t( the Parking Lot Regulations that are proposed or that are to continue will require an application for variance to the Parking Lot Regulations. a. Location of all parking and loading facilities. b. A parking lot layout plan, includi~g curbs, car stops, and double stripirg. c. A cross-section of materials to be used in the construction of the parking lot. d. A lighting plan for the building exterior and site, including exterior security lighting, and lighting for driveways and parking lots; to include the location of lighting standards, direction of lighting, fixture types, lamp types and sizes, and average illumination level(s) in footcandles. PLANNING DEPARTMENT - APRIL 1991 A:CUse.app N\A \ 27. ~28. (7 ) e. Information showing conformance with the City Street and Sidewalk Ordinance, including construction of sidewalks along adjacent public streets. f. Location of existing and proposed public and private streets, including ultimate rights-of-way. g. On-site traffic plan, including arrows and other pavement markings, traffic signs, and stop signs at exits. h. Location of handicap parking spaces, plus signs and access ramps, consistent with the State Handicap Code. i. A drainage plan for the entire site, including parking area; to include finish grade and pavement elevations, drainage calculations, and details of the drainage system. If the total impervious area on site exceeds twenty-five thousand (25,000) square feet, then drainage plans and calculations must be prepared by an engineer registered in the State of Florida, and must be sealed. Percolation tests must be provided with drainage calculations. j. Existing elevations on adjacent properties, and on adjacent rights-of-way. Where conformance with the County's Environmentally Sensitive Lands Ordinance is required, an Application for Alteration of Environmentally Sensitive Lands (Environmental Impact Study) must be submitted to the Palm Beach County Department of Environmental Resources Management (copy to City) prior to or concurrent with the submittal of the site plan to the City. For projects that generate more than five hundred (500) net trips per day, a traffic impact analysis must be submittd which complies with the Municipal Implementation Ordinance of the Palm Beach County Traffic Performance Standards Ordinance. a. For projects that generate two thousand (2,000) OJ more net trips per day, the traffic impact analysis must be submitted to the City at least 6( days prior to the deadline for site plan approval, in order to allow for timely processing of the site plan application and review by the City's traffic consultant and Palm Beach County. The applicant shall be billed for the cost of review by the City's traffic consultant. b. For projects that generate between five hundred (500) and two thousand (2,000) net trips per day, the traffic impact analysis must be submitted at least 30 days prior to the deadline for site plan approval, in order to allow for timely processing of the site plan application and review by Palm Beach County. However, if it is the desire of th applicant to utilize the City's traffic consultan for review of the traffic impact analysis prior t review by Palm Beach County, then the procedure and requirements outlined under item "a" above shall be followed. NOTE: Failure to submit traffic impact analysis in the manner described above may delay approval of the site plan application. PLANNING DEPARTMENT - APRIL 1991 A:CUse.app / 29. /30. ( 8 ) In addition to the above requirements, the following items shall be submitted to the Planning Department no later than the site plan deadline: a. One copy of colored elevations for all buildings and signage to be constructed on site. These elevations must be of all sides of each type of building and signage proposed and the colors proposed must be accompanied by a numerical code from an established chart of colors. Elevations must also include information related to building materials. All elevations must be submitted on 24" x 36" drawings. Buildings constructed will be inspected on the basis of the elevations submitted to the City and approved by the City Commission. Failure to construct build':.ngs consistent with elevations submitted will result in the certificate of Occupancy being withheld. b. A transparency of the site plan (maximum size of 8-1/2" x 11"). At the discretion of the applicant, the Planning Department will prepare transparencies from the site plan document. However, the Planning Department will not be responsible for poor quality transparencies which result from the submission of poor quality site plan blueprints, and poor quality transparencies will not be presented to the Planning and Zoning Board or City Commission. c. Colored photographs of surrounding buildings (minimum size~" x l..QII). ~ r" 0 fL- Any other engineering an/or technical data, as may be required by the Technical Review Board to determine compliance with the provisions of the City's Code of Ordinances. Any of the above requirements may be waived by the Technical Review Board, if such information is deemed to be non-essential by the Board. PLANNING DEPARTMENT - APRIL 1991 A:CUse.app IV. SITE DATA ( 9 ) The following information must be filled out below and must appear, where applicable, on all copies of the site plan. l. Land Use Category shown in the Comprehensive Plan 3. R~3 If 0 to ?S5t (roC( sq. ft. 2. Zoning District Area of Site acres 4. Land Use -- Acreage Breakdown a. 1!4 /g b % of site Residential, including I~)SC, acres surrounding lot area or grounds b. Recreation Areas * (excluding water area) acres % of site acres % of site acres % of site acres % of site acres % of site acres ~ % of site acres ~ % of site c. Water Area d. Commercial e. Industrial f. Public/In- stitutional g. h. i. ~1r2 Other (specify) ~ ~~ Other (specify) % of site Public, Private, and Canal Rights-of Way acres j. Total Area of Site JiC)~ 100 % of site * Including open space suitable for outdoor recreation, and having a minimum dimension of 50 ft. by 50 ft. 5. Surface Cover Ground Floor Building Q.I, i11- sq. ft. 24/isb % of site Area ("building footprint") a. b. Water Area sq. ft. % of site c. Other Impervious Areas, including paved area of public & private streets, paved area of parking lots & driveways (excluding landscaped areas), and si~ewalks, patios, deck~ and AIr fA. athletl.c courts. _IAfOO1--- sq.ft.~ % of 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(~)~~Ll of Landscape Code . ----4-t-JL+- Other Landscaped Areas, AA ~I excluding Water Area ~ sq. ft. ~ % of site sq. ft. f. 5~ % of site PLANNING DEPARTMENT - APRIL 1991 A:CUse.app (10) g. Other Pervious Areas, including Golf Courses, Natural Areas, Yards, and Swales, but excluding Water Areas sq. ft. % of site ~ % of site 100 % of site i. Total Area of Site .L\-LJ9~ sq. ft. sq. ft. h. Total Pervious Areas 6. Floor Area a. Residential b. Commercial/Office c. Industrial/Warehouse d. Recreational e. PublicI Institutional f. Other (specify) A\C, If, g. Other (specify) sq. ft. sq. ft. sq.ft. sq. ft. sq. ft. ~ sq. ft. sq. ft. h. Total Floor Area -44~ sq. ft. 7. Number of Residential Dwelling Units a. Single-Family Detached dwelling units 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 Dwelling Units Per Acre 9. Maximum Height of Structures on Site ~5 feet \ stories 10. Required Off-Street Parking a. Calculation of Required b. Number of Off-Street Parking spaces I(b -fdk;7 :eP~ \((1 ,h~ Off-Street Parking Spaces Provided on site Plan ~c PLANNING DEPARTMENT - APRIL 1991 A:CUse.app (11) RIDER TO SITE PLAN APPLICATION The undersigned as applicant for Final Site Plan Approval does hereby acknowledge, represent and agree that all plans, specifica- tions, drawings, engineering, and other data submitted with this application for review by the City of Boynton Beach shall be reviewed by the various boards, commission, staff personnel and other parties designated, appointed or employed by the city of Boynton Beach, and any such party reviewing the same shall rely upon the accuracy thereof, and any change in any item submitted shall be deemed material and substantial. The undersigned hereby agrees that all aspects of the proposed project shall be constructed in strict compliance with the form in which they are approved, and any change to the same shall be deemed material and shall place the applicant in violation of this applica- tion and all approvals and permits which may be granted. The applicant acknowledges that the City of Boynton has all rights and remedies as provided for by the applicable codes and ordinances of the City of Boynton Beach to bring any violation into compliance, and that in the event of enforcement action by the City, the applicant shall indemnify, reimburse and save the City of Boynton Beach harmless from any costs, expense, claim, liability or any action which may arise due to their enforcement of the same. ~CKNOWLEDGED AND AGREED , 19~ TO THIS ~~ DAY OF PLANNING DEPARTMENT - APRIL 1991 A:CUse.app (l2) NOTICE TO APPLICANTS Effective october 12, 1984, the procedures for processing site plans for Community Appearance Board review have changed. In this regard, please read the following procedures completely and carefully and comply with all items, or you plans will not be approved in the standard 21 day format. On Friday (or Thursday in the instance of a holiday) preceding the Planning and Zoning Board regular meeting, the applicant shall submit to the Community Appearance Board Secretary, between the hours of 8 a.m. and 5 p.m. only, the following documents: 1. An original of the Community Appearance Board application filled out completely and legibly, and if the legal description is lengthy, it may be attached as an exhibit. 2. Three sets of the proposed landscaping plans, building elevations and tree survey when required. 3. A copy of the Technical Review Board staff comments to include a location map. These documents will be available in the Office of the Planning Director by 8 a.m. on the above-referenced Friday or Thursday in the instance of a holiday. Those applicants requesting relief from any section of the landscapin~ code must complete an application for Appeal of Administrative Decision. This form must be filled out completely and legibly to include the Administrative Official's explanation of justification. This form must be submitted in addition to all documents listed above and in the same time frame. Applications for Community Appearance Board review and for an Appeal of Administrative Decision are available from the Deputy Building Official or Community Appearance Board Secretary. PLANNING DEPARTMENT - APRIL 1991 A:CUse.app (13) A F F I D A V I T STATE OF FLORIDA ) ) SSe COUNTY OF PALM BEACH ) BEFORE ME THIS DAY PERSONALLY APPEARED J\f\~ R IZ :r. F ASS! , 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 official tax rolls 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 "An Sworn to and subscribed before Jh~d'" / A.D., 19 ill~~ W.~:tl~ Notary Public State of Florida at arge me this ~3~ day of FURTHER AFFIANT SAYETH NOT. C,\-f My Commission Expires: CARMEN M. RODRIGUEZ Notary Public, State ot Florida My Commission Expires Oct 22. 1995 Commission No. CC 223955 PLANNING DEPARTMENT - APRIL 1991 A:CUse.app (14) SOLID WASTE CONTAINERS 1. All dumpsters should be placed on a concrete pad ten (10) feet wide with an appropriate depth and be screened on three (3) sides. Ref: Boynton Beach Code (Environmental Regulations) 2. Collections and Removal of Solid Waste: (a) Frequency of solid waste removal - the owner or tenant of any premises, business establishment or industry is responsible for the satisfactory removal of all solid wastes accumulated by him on his property or his premises. Excepting disruptions in normal collection schedules, garbage should be collected a minimum of two (2) times a week. More frequent removal may be required. Ref: State of Florida - Resource Recovery and Management Chapter 17-7 17-7, 251 L 2.2A 3. To alleviate improper dumpster locations, all contractors, builders, superintendents, etc., are to request an on site inspection by Public Works personnel prior to pouring pads, and fencing in dumpster sites. Public Works telephone 734-8111 Ext 424 ROBERT EICHORST Director, Public Works PLANNING DEPARTMENT - APRIL 1991 A:CUse.app .. .. . , . .. . ',.. 'I. I 'mr-:-: -1 , - ~ "0 - ~, 11 ,~. r > Z -1 0 CJ -< (j) -0 :D 0 0, )> 0 - )> z u r > m z :0 0 () "11 m m -. 0 $: . co c - ..J.' - Z I :c - t\:) m $: t\:) s: c m 3: z -1 en ~=- V\ .. "....... " < c: " co e>. ,....- ca ;, 04 "oJ C II ,. " ,. 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Cf1 lit I :r "0 "0 : =-~;- , l ... 0 oQ _Ifr~-c~-, = 'l~ ~ l~~ ~ M .. ~ M .., o :0 rot )0 .n' ..= A" .. t'" ... % rot ~ ~ I !1 ;'14 ~'" ! I I / ,:r .. po ., <Il o .. . u.a. ""- .A. 'rf A^. .:! 0 .. 1. H.81 tt ~ ',OJ 18 f1 d ',' ~ ~. ~ ~ ~ ---.'- " I """,,,,ou ~ I I > ~I (15 ) .. 2 ~ \)' C OJ r - () :0 G) :c -I 0 -n - :E > -< -b. . 0 .. 1 Ut U, , en .~ J :0 m ,m -I "\ (l6) NOTICE TO APPLICANTS FOR REZONING AND/OR LAND USE ELEMENT AMENDMENT CONDITIONAL USE APROVAL BOARD OF ADJUSTMENT All applications received by the City of Boynton Beach after August 1, 1985 shall be accompanied by mailing labels with the names and addresses of all property owners within four hundred feet (400) of the subject property. Applications will not be accepted without these mailing labels. PLANNING DEPARTMENT - APRIL 1991 A:CUse.app NOTICE TO APPLICANTS FOR APPROVAL OF LAND (17) DEVELOPMENT ORDERS OR PERMITS Please be advised that all applications for the following land development orders and permits which are submitted on or after June 1, 1990 will be subject to the City's Concurrency Management Ordinance, and cannot be approved unless public facilities (potable water, sanitary sewer, drainage, solid waste, recreation, park, and road facilities) would be available to serve the project, consistent with the levels of service which are adopted in the City's Comprehensive Plan: _ Building permit applications for the construction of improvements which, in and by themselves, would create demand for public facilities. - Applications for site plan approval. - Applications for conditional use approval. - Applications for subdivision master plan approval. - Applications for preliminary plat approval. - Applications for final plat approval. Applications for rezoning to planned zoning districts. _ Applications for revisions to any of the applications listed above, which would increase the demand for any public facility. _ Any other application which, in and by itself, would establish the density or intensity of use of land, or a maximum density or intensity of use of land. * Applications for development orders and permits submitted after February 1, 1990 and which generate more than 500 net vehicle trips per day, must comply with the Palm Beach County Traffic Performance Standards Ordinance, unless exempt from that ordinance. Please be advised, however, that the following applications will be exempt from the Concurrency Management Ordina~ce, pending final approval of this ordinance by the City Commission: _ Applications for the development of property which was platted on 01 after January 13, 1978 and either the final plat or the preliminary plat and Palm Beach County Health Department permit applications were submitted or approved prior to June 1, 1990, and the use of the property is consistent with the general use which was intended for the property at the time of platting. _ Applications for the development of property which was platted priol to January l3, 1978, the area of the platted lots does not exceed 2 acres, and the proposed use would not generate more than 500 net vehicle trips per day. _ Applications for building permit, if a site plan or conditional use application was submitted prior to June 1, 1990 and subsequently approved, and the site plan or conditional use has not expired. _ Applications for the development of property within an approved Development of Regional Impact, and which are consistent with the approved DRI. _ Applications for approval of final plats, if the preliminary plat and application for Palm Beach County Health Department permits for utilities have been submitted prior to June 1, 1990. _ Applications for revisions to previously approved development order or permits, which do not increase the demand for any public faci1it Please be advised that these exemption rules are tentative and will b subject to final approval by the City Commission. If you have any questions concerning the proposed Boynton Beach Concurrency Managemen Ordinance, please contact the Boynton Beach Planning Department at (407) 738-7490. PLANNING DEPARTMENT - APRIL 1991 A:CUse.app CITY OF BOYNTON BBACH, FLORIDA PLANNING &: ZONING DBPARTMBN'l' SITB PLAN REVIBW APPLICATION FOR NBW SITB PLANS &: MAJOR MODIFICATIONS TO BXISTING SITB Application Acceptance Date: \...,... 91- Fee Paid: 1/"'1000) Receipt Number: oC-S'3 J This application must be filled out completely, accurately and submitted as an original to the planning and zoning Department. Twelve complete, sequentially numbered and assembled sets of plans including a recent survey and appropriate fee shall be submitted with the application for the initial process of the Site Plan Review procedure. AD inco.plete sub.ittal will not be processed. Please print legibly (in ink) or type all information. ~ ~ . I. GENERAL INFORMATION ~ALf\I\ tJ AL--/<. A- \<,A eO~~/D,J &f{eD~t€. I 1. Project Name: ('\0 t?E CALLED "PAi-/tI\ W,(lL-l< il) fr 4f> B ED A, C, L, F 2. Applicant's name (person or business entity in whose name this application is made): .:IlCJo ;ASScx-:{.A-rE~ k1P 1\ ~200 A \/rA \/UL.CArJ()S . DE51~~ B~H- I FL..- ,3484 007 :4 0 ~ - '2..- (Fax: ~~1iP Code) Address: Phone: 3. Agent'. Name (person, if any, representing applicant): --b.1ARt<- FA$V Address: ~?J'Z. B~ A '-lIp.. VUL-LANUS ~~~~ ,:~C~ I ~~: Phone: '834~ ~ (Zip Code) . AJlvt e. 4. Property' Owner's (or Trustee's) Name: MA~SSV Address: -1~IQ..e~ A V (A \/vr..-eAf\.\() <; . DEl.-RAY BEA-Cft I FL- Phone: ~ ^ 1 4Cj 0) - '20 4'2., Fax: ~ , ~~4~4 ~NkZiP Code) 5. Correspondence to be mailed to:* MARJ-<- rA-SS'Y - AR-af\-rr=C-r 131. e><3 A V fA V V leA NUS DEW?ft'l l5EAcJ..f, FL 3 5484- * This is the address to which all agendas, letters and other materials will be mailed. PLANNING & ZONING DEPARTMENT - November 1991 A:SITEPLAN 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. ( 2 ) What is applicant's interest in the premises affected? (OWner, buyer, lessee, builder, dev~~9per, contract purchaser, etc.) Of(\JN Elc - A-i2..CN--l-rEC-T _ W'Lj)e.(c I Street address or location of sitel S.W ('1 ~ ~E .J(X) Yf/.>;S EAST DF CbNG{CE~ (~j 5(C€ ') I Property Control II O~ 43 -4~ ~2 \'2 000 - Od1D -t '2'ZA..DDL J.Dr;= Legal description of sitel LoIS q lH-roOGdf ~4 lSlt\jt) d1:.:lli'f<~tf 4g (NCL-lh'r V E ACJD \lC.Acr I'A'I OU<J~f/8f\l VrW-AS SOF:>DI V(5;fON PL-AI4f~ PLAT fSQ?K AD I PAGe. t02 J ~l-Y\ f)EIlCI~ ( CoUf\J7Y , FL ' Intended use(s) of sitel ADoe.,-r CAeE. L(VtrJG --'fAG' t.. Ii'! - 4 f BE DS Developer or Builderl ...MARJ.!-. fASS'( / AfC6-trrF<-..G-r / ( ., DEvELOPEr<- Arcbi tect a flAA-f.2.l<- FA $5 V Landscape Arcbitect: -=rED bt2-A 5LEf Site Plannerl M~LFf\55Y __lneerl ..J VAN Of,.SAK Surveyor I Jn411J RE NtJEfG Traffic Bngineerl N/~ Has a site plan been previously app~9ved by. the City Commission for this property? ,~t? . Bstimated construction costs of proposed ~provements shown this site plana 12. /500 ,Q::;)O :t: ( PLANNING' ZONING DEPARTMENT - November, 1991 A:SitePlan 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 2. 3. Zoning District ~,~ Area of Site ~0 ( .1100 ~. e::L- acres \, C)l33 sq. f t .A. Land Use -- Acreage Breakdown a. b. c. d. e. f. g. h. i. j. Residential, including surrounding lot area of grounds Recreation Areas * (excluding water area) ---1JJL NIA- . Water Area Commercial Industrial Public/Institutional PUblic, private and Canal rights-of-way Other (specify) Other (specify) ~ Total area of site ~6 tfoq I acres ,'124, SG , of I acres , of I acres , of acres , of l acres , of acres , of : acres , of acres , of acres , of acres l,q05 , of * inclUding open space suitable for outdoor recreation, and having a minimum dimension of 50 ft. by 50 ft.! 5. Surface Cover b. a. Ground floor building t4<iS&. area ("building footprint") ~/A I Water area 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. acres 124, fft ~/A , of d. AiL .J r 54 , of acres acres 1(.14 , of -40 , of 54 \ of Total impervious area acres e. Landscaped area ~ inside of parking lots (20 sq. ft. per interior parking space required - see Sec. 7.5-35(g) of Landscape Code). acres PLANNING & ZONING DEPARTMENT - November, 1991 A : S I h, P 1'111 ( 4) . f. other landscaped areas, W(~ acres g. Other pervious areas, including golf courses, -- -- natural areas, yards, and ~(A- swales, but excluding water areas acres h. Total pervious areas .J , o'ifo acres 04 . t (t:t0t7 . . {O? i. 'ro~.l area of site aare. 6. rloor Area a. Residential sq. ft. b. commercial/Office sq. ft. c. Industrial/Warehouse sq. ft. d. Recrea~ional sq. ft. e. Public/Institu~ional sq. ft. f. other (specify) sq. ft. ftc L P It'JCwDIN~ ~ CAr-:oN f2~j ~( I l12- ft. g. Other (specify) (34-ttF..Q sq. , of s1 " of s1 , of si , of sl h. Total floor area i21,17'2..- sq. ft. 7. Number of Residential Dwelling Units a. Single-family detached sq. ft. sq. ft. tJ!A dwelling units dwelling units dwelling units dwelling units dweiilng units b. Duple. c. Multi-Family (3 + attached dwelling units) (1) Bfficiency (2) 1 Bedroom (3) 2 Bedroom (4) 3+ Bedroom d. Total mUltl-family e. Total number of dwelling units s. Gross Density 12 E? BEp~ dwelling uni ta per acre 9. ~~ b!!ght of structures an site 2l? feet 10. Required off-street parking \ at a. Calculation of required number of off-street parking spaces b. Off-street parking Spl provided on site plan ~.. fhkK (f\6 ~2- 3 tsE:DS -ACf> ~ ~;:- l Co \ B TOIA-L '2 OF w~\C:w ,Aef ++/c . . PLANNING & ZONING DEPARTMENT - November, 1991 ( So) III. CBRTIPICATION - (I) (We) understand that this-app1icatiPD 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 the best of (my) (our) knowledge and belief. ~hls appllcati will not be accepted unless signed according to the in ructions be ow. 1(28/34 Date IV. AUTHORIZATION or AGENT Slgnature of Authorized Agent Date (I) (We) hereby designate the above signed person as (my) (our) authorized agent in regard to this application. Signature of owneres) or Trustee, or Authorized Principal if property is owned by a corporation or other business entity. Date SPACB BBLOW THIS LINB rOR OPPICB USB ONLY Review Schedule. Date Received Technical Review Board Planning , Zoning Board Community Appearance Board City COIIIDission StipUlations of Final Approvall Date Date Date Date Other Government Agencies/Persons to be contacted I Additional Remarksl PLANNING & ZONING DEPARTMENT - November, 1991 A:SitePlan EXHIBIT "A" - , RIDER TO SITE PLAN APPLICATiON The undersigned as applicant for Final Site Plan Approval does hereby acknowledge, represent and agree that all plans, specifications, drawings, engineering, and other data submitted with this application for review by the City of Boynton Beach shall be reviewed by the various boards, commissions, staff personnel and other parti6s designated, appointed or employed by the City of Boynton beach, and any such party reviewing the same shall rely upon the accuracy thereof, and any change in any item submitted shall be deemed material and substantial. The undersigned hereby agrees that all plans, specifications, drawings, engineering and other data which may be approved by the. Ci ty of Boynton Beach, or its boards, commissions, staff or designees shall be constructed in strict compliance with the form in which they are approved, and any change to the same shall be deemed material and shall place the applicant in violation of this application and all approvals and permits which may be granted. The applicant agrees to allowing the City of Boynton Beach all rights and remedies as provided for by the applicable codes and ordinances of the City of Boynton Beach to bring any violation into compliance, and the applicant shall indemnify, reimburse and save the City of Boynton Beach harmless from any cost, expense, claim, liability or any action which may arise due to their enforcement of the same. READ, .J1ACKNOWLEDGED AND AG D TO this aP P-/ L , 19..ff.... ~.hi J @ \ A ---.^~ I ---..... ,-, , -- __:.~ L...::::::::::: Witness day of Witne.. . . SC:? 39 . '3';' } 1-: 1'3 rllF ~TE3 MT:;C: RECC~.:> ,~t.l!) I::.:J:-,:IIU WASHlr,GTij~1 !ii~;: 5~ =!'.:::~~ I:;'~. 300 N. W. ~~:'1~ A'" >:,;c: ::.,; . ~ ~~3 PLA~IT'\r1m:. ;;. 3;3Z.~ PRePARED BY AND RETURN TO: Wilton White, Esquire Moyle, Flanigan. Katz. ~1t~Gerald , Sheehan. P.A. P.O. Box 3888 we~t palm BeBch, FL 33402 Property control Numbers: 08_43-45-32-12-000-0090 08_43-45-32-12-000-0011. 08_43-45-32-12-000-0013 08_43_45-32-12-000-0015 08_43_45-32-12-000-0017 08_43-45-32-12-000-0019 08_43-45-32-12-000-0021 08_43-45-32-12-000-0023 08_43_45-32-12-000-0042 08_43-45-32-12-000-0044 oa_43_4S~32-12-000-0046 08_43_45-32-12-000-0048 1='.2''3 . 08_43_45_32_12-000-0010 08_43_45_32-12-000-0012 08_43-45-32-12-000-0014 08_43_45-32-12-000-0016 08_43-45-32-12-000-0018 08_43-45-32-12-000-0020 08_43_45-32-12-000-0022 08_43_45-32-12-000~0024 08_43_45-32-12-000-0043 08_4~_4S-32-12-000-004S 08_43_45-32-12-000-0047 Federal Employer 1.0. Number ot Grantee: 101-32-7848 082592 22821 ~PECIAL WARRANTY DEED THIS INDENTURE, made thi~ Z- day of September, 1992. between BARNETT BANK OF PALM BEACH COUNTY, a Florida bankinQ corporation. whose post office address is 625 N. Flagler Drive, We~t Palm BQBCh, Florida 33401 ("Grantor"), and MARK JOEL FASSY. whose post office address is 13289A Via Vulcanus, Delray Beach, Florida 33484 (.G'ante.~): WITNeSSETH. That Grantor, for and in consideration of t~e su~ of TEN AND NO/IOU DOLLARS ($10.00), and other 900d and valuable consideration to Grantor in hand paid by Graneee, the receipt whereof 1~ hereby aCknowledged, ha~ qrant:ed, bargained and sold to the Grantee. an<1 Gran\:.ee's 5uccessons and assigns forever. the fo-l1owing <1Qscribed lan<1, situate. 1y1n9 and being in Palm Beach County. Flori~a, to-wit: Lots 9 through 24 Bnd 42 through 48, inclusive. Chri~tian Villas Subdivision Plat #2, accordin9 to the plat thereof recorded in Plat Book 40L 'Page 102, Public Record~ of Palm Beach County, Florida. SUBJECT, HOWEVER, to taxes subsequent years; to all regulations; to all matters the intent hereof to reimpose for the year 1992 and applicable gov~rnmental of record (i t not being the same).. . SE? J2 ,-- -- 11: 19 .;u...; _ ,'~7E~ :1TGE P. ~/3 . and said Grantor doe~ hereby fully warrant the title to ~aid land, and will defQnd the same Iqainst the lawful claims of all persons claiming by, throu9h or under Grantor. IN WITNESS WHEREOF, Grantor has caused these pre:sents to be e~ecuted in its name, and its corporate seal to be hereunto affixed, by its proper officer thereunto duly authorized, day and year first above written. Si9ned, sealed and delivered in our presence BARNETT BANK OF PALM BEACH COUNTY by 5a rnett Banks, Inc. , 1 ts attorney-in-fact pur~uant: to Power Of Attorney dated November 21, 1991, and recorded in O~!icia1 Records Book 7093, Pa~e 1289, Public Record:s of Palm Beach County, Florida (l)~~tJz ( 1 ) (..::-;, R,' , pr1rt name I (2) ~:a':({~/ fb:MPt.lc1vr . I) I. . I (2) }.ft.':Vt.A ~R'~'SL!)F.rJ<.I{ print name . BY: ~ ALAN MERKUR, Reqional Asset: Manage~ of Barnett Bank" Inc. (BANK SEAL) STATE OF FLORIDA ) COUNTY OF PALM BEACH ) The foregoing instrument was acknowledged before me this ~~ day of September, 1992, by ALAN MERKUR, RGgional A5set Hanaqer of SARNETT BANKS, INC.. a~ attorney-in-fact for BARNETT BANK OF PALM BEACH COUNTY, pursuant to Power of Attorney dated November 21, 1991, and recorded In Official Records Book 7093, Page 1289, Public Records ot palm Beach County, Florida. He -" and he is personally known to me has produced ' as identi(ication did ~ did not take an oath. \In. J1 ,,: 1.) ~ ~- (\.1. (~1~ NOTARY PUBLIC I. . ':.~-. Print Name: ~~.1.~iC.~I1= C'l~f'N-A Serial (Comm ~)"'!lLimber: (' f' . I' C"~-:t"', '.;' '. c '- <:1.... ~ ft, .:? .c". -- " ..., ..: ........ , \" ,... .,- NOTA-tV ~~i~; ~i.~i-:.-~ f1.QRIOA MY cmtU!.~ij~a :-~;. QCIoZ,.J9t' !rotc:i~ tnR~ Gtt:EliA) lJa.. "llY.- : -2- - .. . .' .,,' . 22821 -'.. ...........,.~. : , ',;. .': r \,. J ..' .! . ... WARRANTY DEED ~1 WARRANTY DEED, made this day of en, 1993, bet~een CEDARWOOD VILLAS ASSOCIATION, INC., a Florida corporation, of 7,""<"'" :;.,/ l-(tf'-.. ,-!vl:-IV{./ '.:- , Boynton Beach, FL 33426, Grantor, and HARK JOEL FASSY, a single man (SSN ), yhose post office address is 13289A Via Vulcanus, Delray Beach, FL 33484, Grantee. WITNESSETH: That the grantor, for and in consideration of $10.00 and other good and valuable consIderatIons, receipt ~hereof is hereby acknowledged, has granted, bargained and sold, and by these presents does grant, bargain and sell to grantee, and grantee's heirs, legal representatives, 5\.1CCes:;ors and assigns forever, the folloYing described land, situate, lying and being in Palm Beach County, Florida: Tract A, CHRISTIAN VILLAS PLAT NO.2, recorded in Plat Book 40, Page 102, Public Records of Palm Beach CQunty, Florida SUBJECT TO easements, reservations, and restrictions of record; zoning regulations of applicable governmental authority; and real property taxes for 1993 and subsequent years. TOGETHER with all tenements, hereditaments and appurtenances thereto belonging or in anyYise a~~crtaining. TO HAVE AND TO HOLD the same in fee simple forever. AND that grantor hereby fully yarrants the title of said land and will defend the same against the layful claims of all persons yhomsoever, "Grantor" and "grantee" may be singular or plural as context requires. IN WITNESS WHEREOF, grantor has hereunto set its hand and seal the day and year first above written. /J.J ~/1-'W' e' p, >Jv~.h STATE OF FLORIDA COUNTY OF PALH BEACH CEDARWOOD VILLAS ASSOCIATION, INC. -~ /-J;z ~ By: - ..-----7 a-e--n-n-te--v-;--a~t '_ ,--a~-~e~-i-del'lt: Murray J. Rivette. as President The foregojng, instrument ~,s aCk~BYI~dged before me this 1 day of ~R, 1993, by ~A~4':V...-~st-i-c-e, as President of CEDARWOOD VILLAS ASSOCIATION, INC., a Florida corporation, on behalf of the corporation. He S~ Is personally known to me OR has produced Florida Driver License as identification, and (did) (did noL) take an oath. Print Na~e of Not~ AA 71q77fi NOTARY PUBLIC, st e of Florida My Commission Expires: Personally Knoyn OR Produced Identification Type of Identification .Produced: Flordia Driver NOTARY PU5LIC ST~T[ or rlOQI0^ r.Y COMMISSION EXP. FEn.Z5.1934 toltDEI> TIUIU GENERAL I HS. UNO. License 1/loJ I 11JA~- 1- la / I i~~n tlQJ.'\ Iv"' L ~ ': ::2 ~-;. '3 t-; .i~; ACLF LOG AREA 9 "'l'0'!l';Tl1-' - -., ...-; .. ',~-.. -'0, ..1 t "[__,A< r!'''~; : l~ ,: ' >i '.~ ..' ;... (,~; 1 ~ .~.,. .,.., ,,' t I ~ , ../.'..-1 "'-j ,'_,I.L ,,' ;0.-1;' ,c' REVISED 09/27/93 PALM BEACH COUNTY on .,,, I!\~_t . r,'-! .')J ADULT CARE RESIDENCE OF BOYNTON BEACH 1613 S.W. 3RD STREET BOYNTON BEACH, FLORIDA 33435 CAPACITY: 34 ADMINISTRATOR: Allan Dolan RUSTIC RETREAT 1120 NORTH FEDERAL HIGHWAY BOYNTON BEACH, FLORIDA 33435 CAPACITY: 30 ADMINISTRATOR: Sue Biesendorfer SIMPSONS GROUP HOME 1641 & 1691 N.W. 5TH STREET BOYNTON BEACH, FLORIDA 33435 CAPACITY: 6 ADMINISTRATOR: Cynthia Matthews VILLAGE AT MANOR PARK 3005 SOUTH CONGRESS AVENUE BOYNTON BEACH, FLORIDA 33426 CAPACITY: 120 ADMINISTRATOR: Vicki cupp p.. .... f~ ~~: /" !: /. -, - .. .. - i~ ...J ~ ~ U PAT ION A L e,-'j"': i ~.; '"if" J ., !, ~ ,. ,- - ,'- ...~..,......."" .." ~ ,..Jf .:'.L. 1...'J':!.:~,r:~'1' fncrPRkXIS "'- "-_.'_~;"""~ PHONE: 407-738-1707 ~ zoning: R3 ' .~ PHONE: 407-737-5887 ! zoning: C4 /(.3 il1.~ PHONE: 407-684-4564 zoning: R2' d"es 0/ PHONE: 407-738-4777':<5Z~.j zoning: C3 -":: ~ ~ f"I ":" --" ~'~,~ ,,:,,,. _.._... '__ -4_~__.___ - lnlS~S c~l1 LIe ENS E :~~LTl'./~ :: :-rc U IR Y'--Q;.r toY' lE-~~~S:ie .ti:"e~c--5' r-'.5-'~' . -- - - ,.- - - - - - - - - - - - - - - - - - -. - - - - - - - - - - - - - - - - - - - - - - -- - - lJ~).:.'Ln~'~:.=- N,:::'ITL'~'~ 14ZS S. CONGRESS AVE. 3] I G Hi 0 HG A It DEN 3 --B Y-fiARRIOrr------- zoning: C1 EusireS3 Addr?ss. 369 - 7:319 b "OJ.. -::; 1 :: ::? '5::: ~-J ~1 :J l'l 2 ~ , ., ... ,-" ""-. ,~ ..:.- .;.... -, ~l ~<'::-.. '~ :-. :: , '~.. ~ ,-. -"~ -:-. = '-' '" ~... '- ... -' ""-.:::.-:.=. '.....=- .~ ..: .-' -.-. - ~' -= . ~~2S S CGITGRESS AVElTUE ~~S5 R:1Sx ~~2RIOT! SR LIV SVCS ~: c: -:t 1\! T D 1f B E .~\ C H -r L 334 :-6--------- - J . '.oJ. '-,' - ..,-,.- , ~.,-..:.~~._~ M:.o..TJDTi-.'T''T' ...i,-:..io:..l......;.,"-:.l.,. ... '-' -,., ,...... -, - . ..... ..' -,. " ... '.,- '-" -. '- -,,' " ':' l.r .2 i:,-: ;~... R R r C T T DE =. vI I~ S H. ,. . ~ '7 .'. U ~{ L S r.T: = C, ~'1 P T R 0 L L E R = , -. -..... --'- .. - -.' '-' '_' ...i.. '_I ~ ',:'. -,.:-:; . :~ '.. '- - , -1/:Z./S4 .:- ,'- c:.. '-: n _ -:i. ~:.:; ~ ~ :~ 0 ...... S 4- ~-'~"~'!31 .-- .... '-, - -- . - - .- ,- '-' -' - -.. .... - -.-. .. [' '".:' :.~~_ T '=:~7C: ~:~...~...7E --t.:-,!,,~ :-:,r~ ? ?,~::::~.. = ,...... D.C. e o"cr=---- ~ 4 . \ 8/04/94 " 62'19 s-~"""np:ruIRY mnr----:; ~'Tfiis"rs~-an* rrTTVr-Rec'o rd,. __,_..~_......w,...:&o:,~~~"'~______''''''..o.-' "Licefise #: A.e.L.F. I o c cuP A T ION ALL ICE N S E 16:41:10 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -/ - - - - - - - - - - - - - ;:.- BU'Sl n e $ S 'N a 1tl eT --FL-OlU D A FQUR----s1rA"SUNS--KANUH; --rm:;-';:Tna--ST -; - ANDREWS-- MANGR--andl or Business Address~ 1708 N.E.4TH ST. . .....' .'. .' AYSELSGARDEN . .......... Business p~~_1~.:._.._.._,_.,__7_31 .~_,,~~~,SZOJ:1JJ:l(l;, R3" " ~ \.. .' Address: *52 ROOMS* 1708 NE 4TH STREET . ,-f---..---- Nam.e: Address lication Datel 01 Num.ber: !:!"'T?'P rr'-"'- 253 - 1112 o c CUP A T I ON A L"LI C~N<~ E 16: 4Z145' :. ",:, '-,':: :.':-:-.:_._'::__:;'::.:----:'--': .' ....._.._----"-'-'-'-'.;.-,---_................,:..-"~-~-~_.".~._---, .. Lie Ems e **: ...' ..--- (; Z-Sj:--Z' -~"I UQ UI RrOm-y--"=----.lnt sis-ai1ACTlVE'",-nReco fa; iii, l;r'SllS 1nes$ i.lf Business I' . i) Business ~ .1; i 1~! f Mailing Address: Nctm"': -----... ---'HEWPORT-PJrACE ____n'n Address: 4735 N,W. 7TH CT. Phone: 586 " 6455 Owners Name: '21, Owners Address: 1- ' 11" 'I 0 "~I n c r s P h 0 n E' : I~5 tl e D <1_ t e : Application Date: " Control Number: 'I -License Type: " --- 8/04/94 NEWPORT PLi,CE. INC. *770 RMS* {735 N W 7TH COURT LANTANA n--~'3 3"';; 6 Z- -- -- ---- A nOR 4442 PINE TREE DR. RONALD 732 - H55 ---17'-2 D,/~4--"c--"-' 12/27,,'93 177311 15'- A eLF ]I,nUL T~ CONGREGATELI-YIm; FACILITY'--' o C C UP A T ION A L LI C K N;S E 6"313 6"~' I NQt! IRT-OHtT-=.~'TnTs'~l 5-- an-A'CTIVe--""'Recof'a;- LicensE' tt: I II) 111 Business Business Business Name: Address: Phone: II', - I, Hailing Address: Owners Name: ", I'"~ Owners Address: _Us flcR1HG HOUS E'~S ENIO R--R E5I DENCES-----;-.,"'-n-zoning :C3- 1935 5, FEDERAL HWY, 736 .. HH ~127 RMS.* MANOR CARE. INC. 1935 S FEDERAL HWY .. BOYNTON'u BEAC H"FL---'3343 5 BArNUM. JR. STEWART 10750 COLUMBIA PIKE~ MARYLAND "u ___".u Uu""__,,, __,..__.._......_u,,"'.___ --- - '''~W'-~-'3'O-l ::--- ;'1 11 ,_,I Owners Phone: 681 " 9400 !;51 I ss ue---D ate r . ',..,----""~-77"Z9f9 4'.-----------------'--- -- ,--- ,. ---,--.--,- n_ ,"...uu, _u . _u,_,,_,~ _u___.._.,__ :;( ~ A p p lie a t ion D ate: 3/ Z 8 / 94- !~, Control I.lumber: 179311 , f L i C''E'n s e" Ty p e :_u_'____"~~_ l-S---A CLF"-=-----ADUI;!"-COlTG-REGA TE' LrVINGc-F~. C I I;I TY "~.c____,~,_______",__~'----_ ~-~