SITE PLAN APPLICATION
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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
1. Project Name:
)Ot-l S
0Rl\J7-. \0
'2.
Date this Application is Accepted :
(to be filled out by Planning Dept.)
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)aYl ua (/1
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3. Applicant's Name (person or business entity in whose name this
application is made) :
Phone:
~oV\-l gY\JSc.o
.wO S:7. s+-~qus
,.@ VV) p~ Y\. 6 € c[" l:= L
33oG:>o
(3o~)
1~ 3- ~ .)S7
Address:
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4. Agent's Name (person, if any, representing applicant):
t76tM.~~
Address:
Phone:
5. Property Owner's (or Trustee's) Name:
I
~
\
~WvJL
Address:
Phone:
\
6. Correspondence Address (if different than applicant or agent) *:
0~
* This is the address to which all agendas, letters, and
other materials will be mailed.
Planning Dept. 10/82
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7. What'is applicant's interest in the premises affected?
OW tlf \<
8.
" I
(Owner, Buyer, ~essee, Builder, Developer,
Contract Purchaser, etc.)
street Address or Loc:ation of Site: g-I").. ~ f?1'-I 2/ ~
~-k-dej2G \ ~*_,_.l39~.~Jn(l,_.~~0~h._.____
II
9. Legal Descriptioh of Site/Property Control #:
/Uk (j~ ~~~ _____~,~.
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10.
Intended Use(s) of Site:
Rf+c.\ \
LOm 1N\f' KCI () \
1M eR-~~Q,h+t(e'
,
~l. Developer or Builder.
12. Architect: SO'S e f\ h L.-rh.\' es ('"
13. Landscape Architect: ,C:;O\fV) -e \ 2
14. Site Planner: S nVY\ f' \ ~
15. Engineer:
(505) 7R~~ 9~~()
16. Surveyor: ~I' c:; C (A~U} f>
17. Traffic Engineer:
18. Has a site plan been previously appruv~d by the City Council
for this propc1.'ty? __-1).JJ------__.. , ..__..... ..__.__________
C V>5 f'f\'Y\ er!. (V)8
'LjD 7 5??;2:J 700
. .
. 19. Es tima ted cons truc tion co s t of pl'Opo::('ll iJ;'lp1.'Over.l~J'1 ts shoh'n on
this site plan:
/OJ 000 ,00
I
Planning Dept., 10/82
.
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, . II. ' SITE DATA
The following information must be fi~led out bel~w and must appear,
where applicable, on all six (6) cop~es of the s~te plan.
2.
3.
Zoning Distric't
Area of site
Lo ra {
C~- L/
I<e fa, I
~m h1 e (1~ 10..)
1.
Land Use Cateqory shown in
the Comprehensive Plan
"
,~3
acres
_IY- I 5(00
sq. ft.
4. Land Use -- Acreage Breakdown
.
a. Residential, including
surrounding lot area o~
grgunds
acres
% of site
b. Recreation AreaS *
(excluding water area) I'
acres
% of site
c. Water Area
acres
'% of site
d. Commercial
~3
acres
10 6
% of site
e. Industrial
acres
% of site
f. Public/In-
stitutional
,acres
% of site
g. Public,private, and Canal
Rights-of-Way
h. Other (specify)
acres
% of site
acres
% of site
i. Other (specify)
% of site
acres
j. Total Area of Site
!'-/15(o()
100
% of site
* Including open space suitable for outdoor recreation, and
having ,a minimum dimension of 50 ft. by 50 ft.
5.,' Surface Cover
I
a. Ground Floor Building 3 ,( D 0
Area ("building footpr~nt")
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-
cluding landscaped areas) ,
and sidewalks, patios,
decks, and athletic
courts. t 1400 sq. ft.
I' '-It! % of site
r2L % of site
,3 .<) % of site
d. Total Impervious Area
3.;1 () 0
5 , {)(oo
sq.ft.
sq.ft.
e. Landscaped Area Inside
of Parking Lots
(20 sq.ft. per interior
parking space required--
see Sec. 7.5-35(g) of
Landscape Code) .
P1~nnin~ ~~pt. In/~2
Planning Dept. 10/82
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f. other Landscaped Areas,
excluding Water Area
g. Other Pervious Areas,
including Golf Courses,
Natural Areas, Yards, and
Swales, but excluding
, . Water Areas
sq. ft.
Page 4'
. . % of 'site
sCJ.ft.
% of site
h. Total Pervious Areas
i. ~otal Area of Site
6. Floor Area
.5\ OCoo
sq. ft.
~q.ft.
,,'35
% of site
100
% of site
a., Residential
b. Commercial/Office
c. Industrial/Warehouse
sq.ft.
d. Recreational
e. publici
Institutional
f. Other (specify)
sq.ft.
sq.ft.
g. Other '(specify)
sq.ft.
h. Total Floor Area ~ 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 - ~ feet
10. Required Off-Street Parking
I
stories
a. Calculation of Required
Number of Off-Street
Parking Spaces
---15 ,S ,Sro. ~es
b.
Off-Street Parking Spaces
Provided on Site Plan
II ,Spcce ~
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IV.' MISCE~ANEOUS
The following ~aterials must be submitted in one {l) copy:
(chepk)
Y 1.
A check, payabl~ to the City of Boynton Eeach, as per the
attached fee schedule.
.,
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 traff;c
It .' . . _ ,.1. . _ . _, .. ~ .. _.. _ 4. .\.., _ __.. \......... ~ "'".. "",,'::
.....,.,.t"'\.4'-''- f.,4.,c......JW>_w .Uw.....w 61J...... -............_______.
3. Any other engineering and/or technical data, as ~ay be re-
quired by the 'Technical Review Board to determine compliance
with the provisions of the City's Code of Ordinances,
V. 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
unle s .signed according to the instructions below. /
.3/ d-. _P9
S gnature of Owner(s) or Trustee, Date
or Authorized Principal if property
is owned by a corporation or other
business entity.
VI. AUTHORIZATION OF AGENT
Signature of Authorized Agent
Date
(I) (We) hereby designate the above signed person as ,(my)
(our) authorized agent in regard to.this application.
Signature,of Owner(s) or Trustee,
or Authorized Principal if property
, is owned by,a corporation or other
business e,nti ty.
Date
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:
, ' i
'~dditional Remarks:
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LOCATION MAP
"JOE'S "DRIVE-IN
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Ml LES
1600
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