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APPLICATION SITE PLAN APPROVAL APPLICATION " '\ City of Boynton Beach, Florida planning and Zoning Board ;, This application must be filled out completely and accurately and submitted in one (1) copy to the planning Department. Incomplete applications will ,not be processed. Please Print Legibly or Type all Information. I.' GENERAL INFORMATION J..e tUU CV-I d ~' 1 " ~Oa ~ 1. Project Name: ',' 2. Date this Application is Accepted : (to be filled out by planning Dept.) - . " .. 'f . .... Name (person or business entity in whose name this is made) : tVJ {L Mua. ;l-e fI {fiU ~ { (JJ u/lL IL.~~ 3. Applicant's application Address: dOO ]38 Phone: , '. (person, if any, representing (l>fa~~ ;J I{) if jp.Z ~ " i3r lmL ~ R-<:.J\.., 73)' 3710 applicant) : 4. Agent I S Name Address: , Phone: ~ {li,i?J,/K /:3U/)[ZI./10 , 5. p~~perty Owner's (or ~ust~e'~Y'Name: ,2() I de /tJJ t!..(},~z.L jJ 6 :JI " ' '/3:; - 33 &/0 , Address: Phone: 6. Correspondence Address (if different than applicant or agent) * . . * This is the address to which all agendas, letters, and other materials will be mailed. Planning Dept. 10/82 Page 2 '. 7. What'is applicant's interest in the ~remises affected? , 1{/}Cf /.l Y-li f h 10 ~ Buyer, ~essee, Builder, Developer, Contract purchaser, etc.) 8. street Address or Location of Site: d.DO Jc /iU (,twiz of site/propert1 control * : ,", bttWj Ji.-i/i..a.4! ( )u:i-cU'r'~0<-) 9. Legal Description . 33- 45-13 ',. .. . 10. Intended Use(s) of site: fUAJi./IL..t LlM. I 4/ 11. Developer or Builder, " 12. Architect: 13. Landscape Architect: 14. Site Planner: 15. Engineer: 16. Surveyor: 17. Traffic Engineer: 18. Has a site plan been previously approved by the city council for this property? .-.--.... 19. Estimated constructi'on cost of propo~:(',l impl'ovemcnts sholm on this site plan: jJ[J[).OO Planning Dept. 10/82 pag-e 3 .- II. SITE DATA The following- information must be filled out below and must appear, where applicable, on all six (6) copies of the site p,lan. 1. Land'!~se Cateqory shown in the Comprehensive Plan 2. Zoning District '."..... 3. Area of site acres sq. ft. 4. Land Use -- Acreage Breakdown '~,,, a. Residential, including-, surrounding lot area or grgunds acres % of site b. Recreation Areas * (excluding- water area) " acres % of site c. Water Area acres .% of site d. cOllUllercial acres % of site % of site e. Industrial acres f. Public/In- stitutional ,acres % of site g-. Public,Private, and Canal Rig-hts-of-way acres % of site . h. Other (specify) . acres % of site i. Other (specify) acres % of site j. Total Area of Site 100 % of site * Including- open space suitable for outdoor , recreation, and having- a minimum dimension of 50 ft. by 50 ft. 5. Surface Cover a.. ~round Floor Building Area ("building footprint") b. Water Area sq.ft. % of site sq.ft. % of site c. Other Impervious Areas, including paved area of public & private streets, paved area of parking- lots & driveways (ex- eluding- landscaped areas) , and sidewalks, patios, decks, and athletic courts. sq.ft. % of site d. Total Impervious Area sq.ft. % of site sq.ft. % of site e. Landscaped Area Inside of Parking- Lots (20 sq.ft. per interior parking- space required-- see Sec. 7.5-35(g) of Landscape Code) . Planning Dept. 10/82 n'."~4"~ nO". ,n/Q? "..-'" Page 4 , ., of " site f. Other Landscaped Areas, '. sq.ft. excluding Water Area g. Other Pervious Areas, including Golf Courses, Natural Areas, "iards, and SwC!-,les, but excluding , of site Water Areas sq.ft. h. Total Pervious Areas sq.ft. , of site i. Total Area of Site i1,q.ft. 100 , of site 6. Floor Area a. Residential sq. ft. .' b. commercial/Office sq.ft. c. Industrial/Warehouse sq.ft. d. Recreational sq.ft. e. Publici Institutional sq.ft. f. Other (specify) sq.ft. g. Other (specify) sq.ft. h. Total Floor Area sq.ft. 7. Number Qf Residential Dwelling Units a. Single-Family Detached b. Duplex dwelling units dwelling units , c. Multi-Family (3 + attached dwelling units (1) Efficiency (2) 1 Bedroom (3) 2 Bedroom (4) 3+ Bedroom d. Total Multi-Family e. Total Number of Dwelling Units dwelling units dwelling un,its dwellin(j'\.1ni ts dwelling units dwelling units 8. Gross Density Dwelling Units per flcre ' feet stories 9. Maximum Height of Structures on Site 10. Required Off-Street Parking a. Calculation of Required Number of Off-Street Parking Spaces b. Off-Street Parking Spaces Provided on Site Plan "'P,.","i",,.., "O~.... , ^ It)" Page 9 IV.' MISCELLANEOUS The following materials must be.-submitted in one (1) copy: (checkl ~ 1. A check, payable to the City of-Boynton Beach, as per the attached fee schedule. " v 2. For projects that generate at least three thousand (3,000)' vehicle trips per day or two hundred and fifty (250) single directional vehicle trips in a one (1) hour period, a traffic .L'..~,:,,~t. 'a.-4Y.l:r" .:;..:; ::'.i.1~t be ::~:::.i ttcd. 1/. 3. Any other engineering and/or technical data, as may be re- quired by the Technical Review Board to determine compliance with the provisions of the City's Code of Ordinances. V. CERTIFICATION VI. (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 aa:.n:.;~o::~r.;he inotruction, be~~ 1-~ I gnature o~ne;rrJ) or Trustee, ate- or Authorized Principal if property is owned by a corporation or other business entity. OF AGENTj /l J CI/JJ c f,iL~.(.,{-Ltt Aut or~zed Agent 3';n.~~ Date (I) (We) hereby designate the above signed person as (my) (our) au1;-horized agent i regard to this apPl~i;;~ r a ure of Ow er(s) or Trustee, . Da e Authorized Principal if property is owned by a corporation or other business entity. SPACE BELOW THIS LINE FOR OFFICE USE ONLY Review Schedule: Date Received: Technical Review Board Planning & Zoning Board Community Appearance Board City Council Stipulations of Final Approval: Date Date Date Date , Other Government Agencies/Persons to be contacted: Additional Remarks: Planning Dept. 10/82 "\>--;.';:'c}. \_.' ~ ~:; __.'_." . '.. ~.r" ~),;,~:;-,:_:,~ 0 ~ ~" ~, .\2.::"" ~..' ," ,'1:1 . ." " :. ~. ,": .. ~..j'" ~"l. 1\' ~, ,'III.:!:,.,.. ~'.'~.1 ~ '4";';'(',. '~i-1C""~'~- "...r.... ,~ . 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