APPLICATION
Total Project Cost
Estimate:
City Codes Accessed via Website www.boynton-beach.org
www.amlegal.comlboynton_beach-fl.us
CITY OF BOYNTON BEACH, FLORIDA
PLANNING & ZONING DIVISION
MINOR LANDSCAPE PLAN MODIFICATION
This application must be filled out completely and accurately and submitted to the Planning and Zoning
Department. Incomplete applications will not be processed. M..-
I. GENERAL INFORMATION: d4Cb ;Y. ~
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1. Project/Business Name & Street Address l.c- -;..~ lJ}:iL IlD'MJZH t"}d/. 8/J/l/4 tv, c;.,i./t?~ e~S db;:.
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2. Applicant's Name & Address (person or business entity in whose name this application is made):
;I~J.Ct-u9h tZffLI~/} Jtt/'ftl ;17. bt/Jet1 /D6/th.135fJ k~tJ;rfI{ ,/Z3396o
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Phone: Sv!-f;;fr5f#(,8" , Fax: 0&/5ry-I!/S'7
Proposed Landscape Plan - 60 % Native species required for Replacement Trees.
a. Detailed description of new landscape plan showing all tree species.
b. Symbol for trees removed.
c. Total caliper inches of trees removed.
d. Symbol for tree replacements.
e. Total caliper inches of replacement trees.
Is this work the result of a code enforcement action? )( Yes _No
Name of citing code enforcement officer: 5Kll' L f!...WI ~
Do you require a permit for other site work (Le. Irrigation)? _Yes -X-No
Name of Removal Company:
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Qty Species Height Trunk Caliper MonthlYear of
Removal
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Total Tree
Caliper Inches ... ... ... -+ ...
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Start of Removal: Month/Year:
Completion of Removal: Month/Year:
Gross Time Frame for removal:
CALL FOR INSPECTION UPON START OF REMOVAL: 742-6265
Name of Replacement Company: 7Ic k,u,\ ~ 'Ulc/l
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Qty Species Height Trunk Caliper Month Near of
Plantin
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Total Tree
Caliper Inches ----+
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Start of Planting: Month/Year:
Completion of Planting: Month/Year:
Gross Time Frame for Replacement:
Call for inspection upon start of Replacement: 742-6265
ALL CONTRACTORS HIRED FOR SERVICE MUST HA VE OCCUPA TIONAL LICENSE IN THE
City Of Boynton Beach AND PROVIDE PROOF OF INSURANCE.
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VI. CERTIFICATION
(I) (We) understand that this application and all papers and plans submitted herewith become a part of
the permanent records of the City of Boynton Beach. (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.
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Sisfiature of Owner(s) or Trustee, or Authorized principal if
property is owned by a corporation or other business entity.
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/ /Date
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Print name
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or
Letter of Authorization from Property Owner
Fee Schedule
Estimated Value of Improvement: < $5,000.00 =C~ ,
>$5,001.00 =~
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Inspection Deposit: " $500.00 ) - 7 ,
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Two separate checks are required. The Inspection Deposit fee is refundable upon
completion of a successful final inspection (no later than 60 days from
commencement). In the event that the applicant fails to call for a timely (GO days) final
inspection, the deposit amount will be forfeited and an inspection will be completed by
the forester at that time.
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