TOWN OF LANTANA. Preserving Lantana s small town atmosphere through responsible government and quality service.

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TOWN OF LANTANA Preserving Lantana s small town atmosphere through responsible government and quality service. SPECIAL EXCEPTION APPLICATION INFORMATION *Must have pre-application with Community Planner- Call 561-540-5034 to schedule. Application Fee: Residential: $500 for the first, each additional $100 Commercial: $700 for the first, each additional $100 Number of Copies: For your initial submittal, provide two (2) applications with the original signatures and twenty-five (25) copies of the application form and back-up documents, plans, surveys, support letters, agent authorizations forms, etc. These copies are needed for the Plan Review Committee, Planning Commission and Town Council meetings. Complete application packet: A complete application packet must include the following: the application form, any necessary surveys, site plans, drawings, elevations, etc., and the appropriate fees. Applications must be submitted to the Lantana Development Services Department located at Town Hall, no later than twenty one (21) days prior to the first Wednesday of the month. Public Notice: A notice of your request must be mailed to neighboring property owners. You must obtain from the Palm Beach County Property Appraiser s office and provide to the Town a verified list of mailing addresses of owners of all real property within a three hundred (300) foot radius of subject property, along with a map of said area and a set of mailing labels. Provide to the Town #10 envelopes with mailing labels and attach the appropriate forms (Certified Mail Receipts & Return Receipt Cards) and postage in place for Certified Mailing with return address and return receipts made to: Town Hall Development Services 500 Greynolds Circle Lantana, FL 33462 The Town will prepare the appropriate Legal Notices for mailing, and submit to local newspaper for publication. Meeting Schedule: The applicant will be notified of the schedule of Town meetings and public hearings. The Plan Review Committee (PRC) meetings are held on the first Wednesday of each month at 10:00a.m. A public hearing will be held by the Town Council on either the second or fourth Monday of the month, at 7:00pm. The Town Council will render its final decision on the issue at this time. All meetings are held in the Town Council Chambers at Town Hall, 500 Greynolds Circle. All meeting and hearing dates are subject to change pending holidays and Town Council Agenda schedules. Preliminary Review: Prior to submitting the completed application packets, a draft application packet must be reviewed by the Community Planner at Town Hall, located at 500 Greynolds Circle. Call for an appointment 561-540-5034. Electronic Drawing Submittals: Please provide a copy of all drawings in a digital format acceptable to the Director of Development Services Department. **Do not submit this page**

CASE #: TOWN OF LANTANA 500 Greynolds Circle Lantana, FL 33462 561-540-5034 SUBMITTAL DATE: SPECIAL EXCEPTION APPLICATION A complete submittal must include: two (2) application forms with original signatures and twenty-seven (27) sets of drawings with applicable seals or stamps, along with copies of all plans, plats, elevations, surveys, etc. as indicated below and proof of property ownership or an agent authorization letter if the application is submitted by anyone other than the Property Owner(s). All information must be printed or typed. PROPERTY OWNER(S) Phone: ( ) Fax: ( ) Email: APPLICANT / AGENT Phone: ( ) Fax: ( ) Email: TOWN OF LANTANA USE ONLY ACCEPTED FOR REVIEW Town Official: Date: / / Fee Paid: Confirmation letter for water and sewer service included? YES NO Traffic concurrency letter included? YES NO Town Action Town Council: Date: / / Conditions of Approval: Page 1

General Information about the Property Property Property Property Control Number: - - - - - - Existing Zoning: Proposed Zoning: Existing Comprehensive Plan Designation: Proposed Comprehensive Plan Designation: Existing Use of Property: Proposed Use of Property: Total Site Area: sq. ft. OR Acres Total Building Square Footage: Front Footage of Property (feet): Is the site currently served by public water? YES NO Is the site currently served by public sewer? YES NO RESIDENTIAL Total Number of Dwelling Units: Existing: Proposed: Density (Units per acre): Existing: Proposed: COMMERCIAL Total square footage: Number of Buildings: A Special Exception is requested relative to Section # of the Town of Lantana Zoning Code to allow: Page 2

Justification Statement Each standard noted below must be addressed by applicant or the application will be deemed incomplete and will not be advertised for hearing. 1. Appropriate Screening and Separation- Please describe how all structures will be separated from adjacent and nearby uses by appropriate screening devices. 2. No Excessive Traffic. Explain how excessive vehicular traffic will not be generated on residential streets. 3. No parking or Traffic Problems. Explain how this will not create a vehicular parking or traffic problem. 4. Appropriate Drives, Walks, and Buffers. Explain how appropriate drives, walks and buffers are installed and utilized. 5. Substantial Contribution. Explain how the proposed use will make a substantial contribution to the neighborhood environment and will not infringe on the rights of properties in the vicinity of the 6. Public Safety. Explain how the proposed use will not endanger, restrict, or impair public safety. Page 3

EXACT LEGAL DESCRIPTION OF PROPERTY (Attach if insufficient space) Page 4

As applicable, please provide the name, address, email and telephone number for the following persons or firms who are involved in the development: Agent Developer Company Company Phone: Phone: Email: Email: Planner Architect Company Company Phone: Phone: Email: Email: Florida Registration Number: Engineer Landscape Architect Company Company Phone: Email: Phone: Email: Florida Registration Number: Florida Registration Number: Surveyor Attorney Company Company Phone: Phone: Email: Email: Current Occupant of Building or Property Florida Registration Number: Other Phone: Email: Phone: Email: Page 5

Applicant s Certification (I) (We) affirm and certify that (I) (we) understand and will comply with all provisions and regulations of the Town of Lantana, Florida. (I) (We) understand that if this application is approved by the Town, the aforementioned real property described herein will be considered, in every respect, to be part of the Town of Lantana, (if not already) and will be subjected to all applicable laws, regulations, taxes and police powers of the Town including the Comprehensive and Zoning Ordinance. (I) (We) further certify that all statements and diagrams submitted herewith are true and accurate to the best of (my) (our) knowledge and belief. Further, (I) (we) understand that this application and attachments become part of the Official Records of the Town of Lantana, Florida, and are not returnable. Witness Signature of Applicant Witness Printed Name of Applicant Date Applicant is: Owner Optionee Lessee Agent Contract Purchaser Phone: ( ) Fax ( ) Email: OWNERS AUTHORIZATION (I) (We) affirm and certify that, the applicant, is hereby authorized to represent me in all dealings regarding this petition with the Town of Lantana. Witness Witness Signature of Owner Printed Name of Owner Date Page 6

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