APPLICATION
CITY OF BOYNTON BEACH, FLORIDA
PLANNING & ZONING BOARD
LAND USE AMENDMENT AND/OR REZONING APPLICATION
This application must be filled out completely and accurately and
submitted, together with the materials listed in Section II
below, in two (2) copies to the Planning Department. Incomplete
applications will not be processed.
Please Print Legibly or Type All Information.
I. GENERAL INFORMATION
1. Project Name: ~k(f2ENCZ;: CA~S - AP? ~L/
. AI'V/Vckl'(r/c:J/y 'PR..o<5J?A,/Yf
2 . Type of Application (check one) ? r-/A SF ,; - 6/2. G' L) P 0<.
a. Rezoning only
b. Land Use Amendment Only
)( c. Land Use Amendment and Rezoning
3. Date this application is accepted (to be filled out by
Planning Department):
IVuVEMlsE;<:;.-:> ~/ t95'Ll
4. Applicant's Name (person or business entity in whose
name this application is made):
Address:
Uf~.f;eENcEC)Af{s - GI2(CJL_~ IN~.
to t./FL.-I IIomE5
-
(Zip Code)
Phone:
FAX:
5. Agent's Name (person, if any, representing applicant):
CI/.Y uF 'AG,,4TO/ll l5EACf(
Address:
(Zip Code)
Phone:
FAX:
6. Property Owner's (or Trustee's) Name:
Address:
(Zip Code)
FAX:
PLANNING DEPARTMENT - APRIL 1991
A: LandUse
( 2 )
7. Correspondence Address (if different than applicant or
agent) :
*This is the address to which all agendas, letters, and
other materials will be mailed.
8. What is the applicant's interest in the subject parcel:
(Owner, Buyer, Lessee, Builder, Developer, Contract
Purchaser, etc.)
oWNER
9. Street Address or Location of Subject Parcel:
)(c,R-rHkI'E:51 CGI2NEK OF LA (II-! RFN~E k'D"
AN'D i:! NoLL wooo A2p-
10. Legal Description of Subject Parcel: ~~~
/\ // rtC f/ ;vr rNT
11. Area of Subject Parcel (to the nearest hundredth
(1/100) of an acre): C{:< ACRES
12. Current Zoning District: K S - S E
13. Proposed Zoning District: ~L\~
14. Current Land Use Category: I'<rEtJ..T6!/? RI:S. 0-
15. Proposed Land Use Category: (..c:.::>(.r.tPEA/SITy RES~
16.
Intended Use of Subject Parcel:
'R
SINGLE
F /( f77 / / Y :< T,,:: I D r;: Nr / A C
(
17. Developer or Builder: l)2 Io!.f: /-k.c;)l'T E5 I
{nU~U /KJW7E5
18. Architect:
19. Landscape Architect:
20. Site Planner:
21. Civil Engineer:
22. Traffic Engineer:
23. Surveyor:
PLANNING DEPARTMENT - APRIL 1991
A: LandUse
(7)
III. APPLICATION FEES. Fees shall be paid at the time that the
application is submitted, according to the fees which have
been adopted by ordinance or resolution. The Planning
Department will inform the applicant as to the fees which
are required. All fees shall be paid by check, payable to
the City of Boynton Beach.
IV. CERTIFICATION
,
(I) (We) understand that this application and all plans and
papers 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 unless signed according to
the instructions below.
,4/ViY5^ ff7/CJN ?Rc. G RA rrr
sre &fItTERSEKV/CE' A6REE~--rF/VT
Signature of Owner(s) or Trustee, Date
or Authorized Principal if property
is owned by a corporation or other
business entity.
V. AUTHORIZATION OF AGENT
I
Signature of Authorized Agent
Date
(I) (We) hereby designate the above signed person as (my)
(our) authorized agent with regard to this application.
Date
Signature of Owner(s) or Trustee,
or Authorized Principal if property
is owned by a corporation or other
business entity.
PLANNING DEPARTMENT - APRIL 1991
A:LandUse