Use Approval Application (2-2011)
CITY OF BOYNTON BEACH 1 PLANNING & ZONING DIVISION 100 East Boynton Beach Boulevard Boynton Beach, FL 33435 Phone: (561) 742-6260 City Applications and Codes Accessed Via Website www.boynton-beach.or
gwww.amlegal.com/boynton-beach_fl.us 07-13-2010 USE APPROVAL APPLICATION I. GENERAL INFORMATION: This application must be filled out completely, accurately, and submitted as an original
to the Planning and Zoning Division; an incomplete application will not be processed. Print legibly (in ink) or type all information. In addition to the original, provide a copy of the
completed application as part of the submittal, and pay the applicable fee as adopted by the City Commission. This process is further described in Chapter 2, Article II, Section 3.C
of the Land Development Regulations. A. PRE-APPLICATION CONFERENCE*: Yes: _____ Date(s): ________________________________ * Pursuant to Chapter 2, Article II, Section 1.C.2 of the Land
Development regulations, a pre-application conference shall be required prior to the submittal of this application. B. PROJECT INFORMATION: 1. Name: __________________________________________________
____________________ 2. Proposed Use: ________________________________________________________________ 3. Name of Planned Industrial Development (PID): ______________________________________
4. Is this request for use approval in connection with a property located within a Mixed Use Pod of a PID? Yes*: _____ No: _____ * This application does not apply to any use that is
proposed within a Mixed Use Pod of a PID. All such uses shall comply with the Mixed Use Pod regulations of Chapter 3, Article IV, Section 3.C.6.b of the Land Development Regulations.
5. Site Plan: Is this request for use approval in connection with a new development or construction? Office Use Only Yes*: _____ No: _____ * If yes, the applicant shall be required to
complete a site plan application and submit it concurrently with this request for use approval. Corresponding Site Plan File #: ________________________________ 6. Is this request for
use approval in connection with a use that is indicated on the sustainable and green checklist? Yes*: _____ No: _____ * If yes, pursuant to Chapter 2, Article I, Section 6 of the Land
Development Regulations, the application shall not require a public hearing, and the Director of Planning and Zoning or designee may approve such use administratively if determined to
be in compliance with the review criteria of Chapter 2, Article II, Section 3.C.3. In such instances, the public noticing requirements of Part III of this application may be waived.
7. Existing Land Use Classification (from Future Land Use Map): __________________________ 8. Existing Land Use Option*: ______________________________________________________ * Only
applicable for applications for lots located in the Quantum Park PID.
2 9. Existing Zoning District (from Official Zoning Map): ___________________________________ 10. Parcel Control Number (PCN)*: ____ -____ -____ -____ -____ -______ -_______ CTY RNG
TWP SEC SUB BLK LOT * List all PCN’s on an attached addendum for applications comprised of multiple lots. 11. Address and Legal Description*: __________________________________________________
____________________________________________________________________________ ____________________________________________________________________________ * Provide on attached addendum
if more space is needed. C. APPLICANT: 1. Name: ______________________________________________________________________ Company Name: ______________________________________________________________
2. Address: ____________________________________________________________________ City: _______________________________ State: ________________ Zip Code: __________ Phone: ____________________________
_ Email: ___________________________________ 3. Interest in Property (check one)*: Owner ( ), Lessee ( ), Contract Purchaser ( ) * Include a copy of the last recorded Warranty Deed with
all applications. a. Include written consent of all property owners of record if subject property is under joint or multiple ownership; b. If a lessee, include a copy of the Lease Agreement
and written consent of the owner(s); c. If an authorized agent, include a copy of the Agent Agreement or written consent by the seller(s) and owner(s); d. If a corporation or other business
entity, the name of the officer or person responsible for the application and written proof that such representative has the delegated authority to represent the corporation or other
business entity, or in lieu thereof, written proof that he is in fact, an officer of the corporation or other business entity; or e. If a contract purchaser, a copy of the Purchase Contract
and written consent of the seller(s) and owner(s). D. PROPERTY OWNER INFORMATION: 1. Name of Property Owner (Trustee): _______________________________________________ 2. Owner Address:
______________________________________________________________ City: _______________________________ State: ________________ Zip Code: __________
3 E. AGENT INFORMATION*: 1. Name: ______________________________________________________________________ * All correspondence will be mailed to the agent unless there is no agent of
record, in which case, all correspondence will be mailed to the applicant. This party will receive agendas, letters, and other material. Company Name: ________________________________________________
______________ 2. Address: ____________________________________________________________________ City: _______________________________ State: ________________ Zip Code: __________ Phone:
_____________________________ Email: ___________________________________ F. AUTHORIZATION OF AGENT: Signature of authorized agent. Date Signature of Owner(s) or Trustee, of authorized
principal if property is owned by a corporation or other business entity. OR Date Signature of contract purchaser (if applicant). Date G. CERTIFICATION: (I) (We) understand that this
application and all papers and plans submitted herewith become part of the permanent records of the Planning and Zoning Division. (I) (We) hereby certify that the above 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. Signature of Owner(s) or Trustee, of authorized principal if property is owned by a corporation or other business entity. Date OR Signature of contract purchaser (if applicant).
Date II. REPORTS: In an attached addendum, the applicant shall be required to provide two (2) sets of the following: 1) detailed explanation of the use being requested; 2) justification
for the proposed use at the subject location; and 3) written responses that address the review criteria of Chapter 2, Article II, Section 3.C.3 of the Land Development Regulations. The
Planning and Development Board and City Commission shall review this justification when evaluating each request for use approval. S:\Planning\Forms\Applications\New Applications (LDR
LDR Rewrite)\Use Approval.doc