CAB APPLICATION
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COMMUNITY APPEARANCE BOARD ~pt: \00.
REVIEW APPLICATION :Lo3W
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PLEASE PRINT OR TYPE
. APPLICATION TYPE:
( ) PLAT DOCUMENTS
( ) SITE MODIFICATION
( ) CONDITIONAL USE
(vi SITE PLAN
) SIGN
) CBD
) OTHER
CAB MEETING DATE: 1-/7.-91
FEE PAID: </ So, DO
RECEIPT NO.: /~3~
RECEIVED BY: (' Ah:/' 'j)1c lad..
PROJECT NAME:
(l (j!2 f)eJi to AD!", >If--k
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5/0 NE. \3rci AVfnL'('...
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PROJECT ADDRESS:
LEGAL DESCRIPTION OF PROPERTY (If too lengthy to
description MUST be on a separate eet of pap r
plans) . I t- T (, t~ 'i
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BRIEF DESCRIPTION OF WORK:
N~ ,J
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OWNER:
L -< 6--. S'"vz__(-e .~
1-</ ~-d--< ;U
Phone Number: ('1("'7) r1- p fIr- l'IJ 'l' ~
Phone Number: ('fi'l7 ) 3Y r - Ii 1 / I
ARCHITECT:
A REPRESENTATIVE OF THE PROJECT MUST PRESENT THE PROJECT TO THE BOARD.
REPRESENTATIVE: L- P(fL..... SdtL I-€ .s, Phone Number: (~7) ;< 7/('- '1 y'1f("
ADDRESS: r..( 0 7 cS If f;o ;''''/ ~1-- jJ '>-[1; r/u~ r- ~ ?:> ":> { 'i >-
Street City State Zip Code'
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Identify the type of architectural theme that 1s specified on the
Community Design District Boundary Map for your project location. The
a~chitectural themes are identified ,in Chapter 7.5 Article V Boynton
Beach Community Design Plan. '
ARCHITECTURAL THEME
CHECK ONE:
[] COASTAL VILLAGl: [] M~DITERRANEAN/SPANISH {} MODERN [..( NOT APPLICABLE
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COMPLETE THE FOLLOWING INFORMATION' FOR THE PROPOSED PROJECT
EXTERIOR SURFACE
MATERIAL
COLOR:NAME.NUMBER
AND MANUFACTURER
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ROOFING
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CANOPY
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FASCIA
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SOFFIT
BEAMS AND/OR COLUMNS
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WALLS
VENEER
DOOR/WINDOW FRAMES
SCREEN ENCLOSURE FRAMES
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GLASS
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See other side
RAItINGS
RAISED ANO;CR RECESSED
BANDS
DECORATIVE TRIM
AWNINGS
SITE WALL/FENCE
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(~L- (7 ~ € fl:
DECORATIVE WALKING SURFACE
r::-:.Ih'O 4- UJI.., fc.
DECORATIVE DRIVING SURFACE
SIGN STRUCTURE
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SIGN FRAME
SIGN FACE
SIGN COpy
OTHER
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SUBMITTAL REQUIREMENTS:
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1. Application form filled out completely and legibly.
2. Application fee of $50.00 (payable to City of Boynton Beach)
3. Locator Map designating site (Must be on separate sheet of paper _
Not a part of the plans)
4. Three (3) sets of plans to include ONLY those items pertinent for
Community Appearance Board review., This includes but not limited
to: a site plan, a landscape plan, front and side building
elevation draWings, site signage, and an existing tree survey, if
applicable. ALL PLANS, DRAWN BY A PROFESSIONAL, REGISTERED IN THE
STATE OF FLORIDA, MUST BE BE SIGNED AND SEALED.
NOTE: When the project requires review by the Technical Review Board
(TRB), their approval is required prior to SUbmitting for Community'
Appearance Board (CAB) review.
CO~ITY APE
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BOARD MEETINGS ARE OPEN TO THE PUBLIC
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Signabure of Applicant
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ald
A: CABAPP. SOD
10/90