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APPLICATION vUIVIIVIUI'I1 I 1 I-\~'- t:.f\Hf\I~vt= t:SUAH U REVIEW APPLICA TIOf\; PLEASE PRINT OR TYPE APPLICATION nPB: ( ) PLAT DOCUMENTS ( ) SITE MODIFICATION (~CONDITIONAL USE ( ) SITE PLAN ( ) SIGN ( ) CBD ( ) OTHER CAB MEETING DATE: FEE PAID:. RECEIPT NO.: RECEIVED BY: Y---i5-- q/ '-)0 ( '" C " , , ___ ' - \ I. , ;" '",(/ 'J'~ ::;y', - PROJECT NAME: l.u ~ \ \\ ~vv-.S \\v..\o ~O- \e .s \ DO ~ N. ~~~Ct..\. \A-',\c.. ~ PROJECT ADDRESS: LEGAL DESCRIPTION OF PROPERTY (If too lengthy to fit on application, legal descriptio~ ~~ be o~ aAseaarate sheet of paper - Not a part of the plans). ~ ~ ~rL \) ~ ~PL-rl0N' BRIEF DESCRIPTION OF WORK: --kdo.:-, \ ~~c\l'V-b\o'o \~ Sa.\'e 5 OWNER: --1d-~\fo..Le.. A., LiJ \ \ \ \ 0"'.\f\.1 S Phone Number: (~) 7 3 ~ '3 ::rL/ I ARCHITECT: r""":)e~~e. C \ \)~\ s A-\.k. Phone Number: ("',<)7) 73<- 'ffr A REPRESENTATIVE OF TIlE PROJECT MUST PRESENT THE PROJECT TO THE BOARD. R.EPRESENTATIVE:J-~~Le ~ ~ \ \ \\ ().\MS Phone Number: (~) 73(0 s~L{( APDRESS:--')...~ Sw ~D"\.~ ~ ~V\.~ ~c:-....l. ~ l 55t5,) Street City State Zip Code = = = = = =.= = = = = = = = = = = = = ~ = = = = = = = = = = = = = = = = Identify the type of architectural theme that 1s specified on the Community Design District Boundary Map for your project location. The aFchitectural themes are identified ,in Chapter 7.5 Article V Boynton Beach Community Design Plan. ARCHITECTURAL THEME CHECK ONE: ~OASTAL VILLAGE [] M~DITERRANEAN/SPANISH [] MODERN [] NOT APPLICABLE . = = = = = = =.= = = = =',.= '= = = = = = = = = = = = = = = = = = ----- ----- COMPLB'l'B THE FOLLOWING INFORMATION FOR THE PROPOSED PROJECT EXTERIOR SURFACE MATERIAL COLOR:NAME,NUMBER AND MANUFACTURER ROOFING CANOPY FUtT, EIJIt...;- "fJ FASCIA SOFFIT BEAMS AND/OR COLUMNS WALLS VENEER DOOR/WINDOW FRAMES SCREEN ENCLOSURE FRAMES GLASS W{)f) &> ~ Ti/ c..co W/# TE 5 Tf/(;;CO Vl)1-H l:E A WMI}/V'1 J tvD-oO I LI~Hr Y/5/,UJ; Ct,6A.e See other side - RAILINGS RAISED AND/OR RECESSED BANDS D~CORATIVE TRIM AWNINGS SITE WALL/FENCE DECORATIVE WALKING SURFACE DECORATIVE DRIVING SURFACE SIGN STRUCTURE t!,l#l-ltJ t-IIJt IP I J ~ /rt-VA-IVIZG() . SIGN FRAME SIGN FACE SIGN COpy , . . \ .' . .. 'I . " MFPM _ Mt€r-Ay ptfi-'rXJ I t:L.ks , fJtrA/~t.1r$ . . ' /JAIL-I'- I8I$WAJ .', ".'~ ;J>IUJ)I)AJ, ," '_ ,'WJ.lt7'IE t-t'#lr YEt...L.DW OTHER SUBMIT'l'AL REQUIREMENTS: ... 1. ~ Application form filted out completely and legiblY~ 2. v Application fee off$50~-00l(payable to City of Boynton Beach) ). ~ Locator Map designating"site (Must be on separate sheet of paper - Not a part of the plans) 4. v Three (3) sets of plans to include ONLY those items pertinent for commupity Appearance,~ard review. This includes but not limit~d to: a si~~lan, a landscape pl~n, front and side building elevation dra-WIngs, ~sit'e'-slgna.ge; and an exist-inci'tree"survey, if applicable. ALL PLANS, DRAWN BY A PROFESSIONAL, REGISTERED IN THE STATE OF FLORIDA, MUST BE BE SIGNED AND SEALED. {OTE: When the project requires review by the Technical Review Board (TRB), their approval is required prior to submitting for Community' Appearance Board (CAB) review. COMMUNITY APPEARANCE BOARD MEETINGS ARE OPEN TO THE PUBLIC t-l"n~<-e 4. LO~ W~ Name of Applicant ~d~ S gnature of Applicant /~I ?/y / Date ld :CABAPP.SDD 0/90 -.. CITY OF BOYNTON BEACH, FLORIDA PLANNING & ZONING BOARD CONDITIONAL USE APPLICATION NOTE: This form must be filled out completely and accurately and must accompany all applications submitted to the Planning Department. (2 copies of application required) PROJECT NAME: tv/II/l1iH f #V7t:t cf~s AGENT'S NAME: MDRESS : (Zip Code) PHONE: FAX: PHONE: lfveA--eG A. N/~ t,1.4-M~ /~ S w /0 't"1o. AvB/...JUE PovfAJ u>v I!:eAeA FtA 73(, - "3 S1JI FAX: 3 3 L/:JS (Zip Code) OWNER'S NAME: (or trustee) ADDRESS: PROJECT ~ fIm..I.,-.... ~ R LOCATION: /001 1J t F f$I:)~ J.:JIJY -'/ ~u.;AJ (not legal description) 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 ; 15fJ t,~3 File No. CONDITIONAL USE APPLICATION floit A. {).JJ (.,(..-, M1~ /;lIp S w / () 'fit. A'11 e tJ"1/L ~AJz:DU ~ AA ?3b - ~/ Fax: /'()()f A/:. ~ ~ I$'jV1bAJ ~ M ' Legal Description: Lor.3 ~ 'tk N.. 40 ' t:Jr- l&>r 4- ~U)(~ I, ~~o I ~s R~o, w. roll V,S. Jtw.; 11-1 Date Submitted: Applicant Name: Applicant Address: Phone: '3 ~ rJ;J G' (Zip Code) Site Address: Project Description: ,C1~/tJe trSJ:a ~ ..J'A-f.A1-S tP/"'P1-ee -A,A:> OI5p~. NO MF~~ WOU ON 11715: . ~Ibti~ S~gnature 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 ~ IV. SITE DATA 2. 3. Zonino District Area of Site (), '-, (!'3 acres r "gt./......:- sq. ft. 4. Land Use -- Acreage Breakdown i. j . a. Residential, including surrounding lot area or grounds AlA acres b. Recreation Areas * (excluding water area) NA }fA ()IU fJ:J. /VA' IJA acres acres c. Water Area acres d. Conunercial acres e. Industrial acres f. Public/In- stitutional acres g. Public, Private, and Canal Rights-of Way h. w-A acres Other (specify) I lID (9 ) , of site , of site , of site , of site , of site , of site , of site , of site Other (specify) !VA acres , of site Total Area of Site o,~1 , of site 100 * 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. Ground Floor Building dr~ Area ("building footprint") sq. ft. Water Area NA sq. ft. Other Impervious Areas, including paved area of public & private streets, paved area of parking lots & driveways (excluding landscaped areas), and sidewalks, patios, dec~I~9d athletic courts. ~7~ sq.ft. Total Impervious Area "511- sq. ft. Landscaped Area Inside of Parking Lots (20 sq. ft. per interior parking space required--see Sec. 7.5-35(g) of Landscape Code ;Jbo Other Landscaped Areas, excluding Water Area PLANNING DEPARTMENT - APRIL 1991 e. f. A:CUse.app ~ b1 7/ , of site , of site , of site , of site sq. ft. (),O7.8, of site sq.ft. , of site II) (10) q. Other Pervious Areas, includinq Golf courses, Natural Areas, Yards, an4 Swales, but excluding ,:J~1)- :2b,.).. Water Areas' sq. ft. , of site h. Total Pervious Areas ~7 '?J:J- sq. ft. :J-1 '.of site i. Total Area of Site Cf'lrcf sq. ft. 100 , of site 6. Floor Area a. Residential N:A sq. ft. b. commercial/Office ~SZ sq. ft. c. Industrial/Warehouse ~ sq. ft. d. Recreational WIt- sq. ft. e. Publici fv"A Institutional sq. ft. f. Other (specify) ~ sq.ft. g. Other (specify) tv:A sq. ft. h. Total Floor Area ~" sq. ft. 7. Number of Residential Dwelling Units a. Single-Family Detached /VA 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 N Gross Density Dwellin Units Per Acre 4 g 8. 9. Maximum Height of Structures on Site feet stories 10. Required Off-Street Parking a. Calculation of Required Number of Off-Street parking spaces E!4<; Sf Fl / 6rO ~ 2 b. Off-Street Parking Spaces Provided on Site Plan ..3 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, 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, 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 application 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. ACKNOWLEDGED AND AGRED TO THIS ~ DAY OF , 19 'iL. .. ~a~ PLANNING DEPARTMENT - APRIL 1991 A:CUse.app , .. A F F I D A V I T STATE OF FLORIDA ) ) ss. COUNTY OF PALM BEACH ) ,;,. . BEFORE ME THIS DAY PERSONALLY APPEARED ':-ora..~ I), {J,i / /Cl t-t-/1-- , 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 i~ legally described as follows: SEE A'rrACHED EXHIBIT "A" FURTHER AFFIl\NT SAYBTH NOT. Sworn to and subscribed before me this -;:r;;L~ A.D., 19 91 N~ -P----Uc State of Florida at Large ~11~ (Signature) qii day of . -, ~ .... - "'. .... ..... ......... ~.... ""..... -,~...~" ..~......~ ~~ '..'..... :.. _.. e.:, ;. .~ i' ~ : :: ~ -:.. ~ --: - .. .. : ~ =: ...~ -.. ':" ::::-.:.. - .:... .~ '.;-:' . .'.~ .i . ~,.... --:'.-,' ..... ..: ......./ ;..,....... ~'...,,,,. .... . ': ~,. ......~ My Commission Expires: ....,.. ........ II... rtr: r' ...... PLANNING DEPARTMENT - APRIL 1991 Iptl.l/~~D ~'1I'tND ILeJVA.N W; SAHUEL SUSI, ESQ. z.. 1900 GLADES ROAD SUITE 280 BOCA RATON, FL 33431 APR-11-1991 11: S8am 9 j -098799 ORB h785P, 125 Con 50,000.00 Doc 275.00 JO~ B OUNKLf, CLfRK - P8 COUNTY, FL TRUSTEE'S DEED THIS TRUSTEE'S DEED is made and executed as of the 5th day of April, 1991, by HARRY S. HAMILTON, individually and as Trustee, with full power and authority under Florida statutes 689.071 to protect, conserve and to sell, lease, encumber or otherwise manage and dispose of real property, hereinafter called the Grantor, to HORACE A. WILLIAMS, a single roan, whose address is 126 S.W. 10th Avenue, Boynton Beach, Florida 33435, hereinafter called the Grantee. flI~HE~!iE~H THAT, the said Grantor, for and in consideration of the sum of $10.00 in hand paid by the said Grantee, the receipt and sufficiency of which is hereby acknowledged, does hereby remise, release and quit-claim unto the said Grantee forever, all the right, title, interest, claim and demand which the said Grantor has in and to the following described land, situate, lying and being in the County of Palm Beach, state of Florida, to-wit: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF Grantee's Federal Tax I.D. Number: 259-62-5456 Parcel Identification Number: 08-43-45-21-32-001-0030 TO HAVE AND TO HOLD the same together with all and singular the appurtenances thereunto belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity and claim whatsoever of the said Grantor, either in law or equity, to the use, benefit and behalf of the said Grantee forever. THIS Trustee's Deed ls executed by Grantor individually and as Trustee, as aforesaid, in tha axercise of the power and authority conferred and vested in it as such Trustee, and such Trustee hereby warrants that it possesses full power and authority to execute this instrument. IN WITNESS WHEREOF, the said party has signed and sealed these presents the day and year first above written. Signed, seal~~~~nd delivered ir;~}ri?~)'fJk ' /,~'U~~l d~-ltJ.-tr ~:/ ~ - ~HAHILTON Individually and as Trustee STATE OF FLORIDA COUNTY OF PALM BEACH ) ) ss: ) The foregoing instrument was SWorn to, subscribed and acknowledged before me this 5th day of April, 1991, by HARRY S. HAMILTON, Individually and as Trustee.. ,--" / ' STATE / My Commission expires: ~")T^R.Y H1nLtC. STAT~ OF nORmA. .. ':,y COM~!'~Slnl" E:~~~~~~ g~~i:~lv~t. , ~SOl:1l TH:U; flcO'CAR (NOTARIAL ;, ---- --- qg h 7~5 pg 1 ~"'6 EXHIBIT "A" LEGAL DESCRIPTION OF THE PROPERT~ Lot 3 and the North 40 feet of Lot 4, Block 1, LAKE ADDITION TO BOYNTON, FLORIDA, according to the Plat thereof on file in the Office of the Clerk of the Circuit Court in and for Palm Beach County, Florida, as recorded at Plat Book 11, Page 71, less the right-of-way for U.S. Highway No.1. .. . .t., ~. ...