HomeMy WebLinkAbout2004 01 15 - Modification to Concept Plan AppPermit Application No.
.E.ST" City of Sebastian
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HOME OF FEUCAN ISSAND Development Order Application
Applicant If not owner, written authorization
notarized from owner is required)
Name: /-
SE13AS-f14N l�E!�'E2
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Address:
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Phone Number: (-t�Z) 569 - 5337
FAX Number:
E -Mail:
Owner If different from applicant)
Name: sk mt A5' 4 f F LIQ QT
Address:
Phone Number: ( ) - FAX Number:
E -Mail:
Title of permit or action requested: ,{
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PLEASE COMPLETE ONLY THOSE SECTIONS WHICH ARE NECESSARY FOR THE PERMIT OR ACTION THAT YOU ARE REQUESTING.
COPIES OF ALL MAPS, SURVEYS, DRAWINGS, ETC. SHALL BE ATTACHED AND 8-1/2" BY 11" COPIES OF ANY ATTACHMENTS
SHALL BE INCLUDED. ATTACH THE APPROPRIATE SUPPLEMETAL INFORMATION FORM.
A. Project Name (if applicable):
I S
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B. Site Information
Address:
F_LENI, h►h s-rrz�E-r
r'Ge StZ
Lot: Block: Unit:
Subdivision:
N/A
Indian River County Parcel #:
Zoning Classification:
Future Land Use:
Existing Use:
Proposed Use:
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CaMMt_%2G1,4Lr
C. Detailed description of proposed activity and purpose of the requested permit or action (attach
extra sheets if necessary):
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MV LTi-FAmll>4 MA-,[t✓nvem nF f6 vmI+`S 1A e-,
DATE RECEIVED: I/1S/ D't
FEE PAID: $ 12,5o - Oo
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,RECEIVED BY:
CM of
SET
HOME OF PELICAN ISLAND
Permit Application No.
Supplemental Information
Planned Unit Development,
Conceptual Development Plan
(ATTACH ADDITIONAL PAGES IF NECESSARY.)
1. Describe how the proposed conceptual development plan is consistent with the
elements of the Comprehensive Plan.
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2. Describe how the proposed conceptual development plan will be in conformance
with applicable requirements of the City of Sebastian Land Development Code.
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3. Would the conceptual development plan result in any incompatible land uses,
considering the type and location of the uses involved?
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4. Describe how the proposed public facilities are adequate to serve the proposed
conceptual development plan.
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Permit Application No.
J5. Describe how the proposed conceptual development plan would not result in a
significant adverse impact on the natural environment.
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6. Describe how the proposed conceptual development plan would not adversely
affect the property values of the area, the general health, safety and welfare of
the surrounding public, and not negatively impact the financial resources of the
city. CUgNIaE OF J5E -t'O tVVL-f I _. FAIO)L.V i/V UCCA OF
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1 7. Does the proposed conceptual development plan result in an orderly
development pattern?
8. Explain how the proposed conceptual development plan is not in conflict with the
public interest. P •A ,yt1Ev ioU-5t4 W;2r7oyM. 5e-F
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Permit Application No.
9. Attach the following:
U� ✓ a. A list of the names and addresses of all owners of parcels of real property
/ within three hundred (300) feet of the parcel to be considered.
,( b. A vicinity map. Cort PLA;)
✓ c. A map(s) of existing conditions including existing easements, streets,
buildings, land uses, historical sites, tree groupings, wetlands, water
'n L. FILA'( courses, contours, the names of the property owners and existing land
uses and zoning for all contiguous property, and the location and width of
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1, 114 all existing or platted streets, easements, drainage ways and utilities
'I i L t5 contiguous to the property.
d. A development plan including land use, circulation, conceptual drainage
plan, densities, and non-residential square footage.
e. A statement of planning objectives.
f. A proposed development schedule.
g. An environmental impact statement St;f A-"4000:7
h. A public facility impact statement. Rf✓ pow
i. A traffic impact statement and/or study.
Permit Application No.
D. Project Personnel:
Agent:
Name:
SAME As E�E,INL-E2
Address
Phone Number: ( ) - FAX Number:
E -Mail:
Attorney:
Name:
Address
Phone Number: ( ) - FAX Number:
E -Mail:
Engineer:
Name:
�CuVtrY-t
._a6cF4Ge.OVwv-ElFE'
Address p 7TIA GW2T S✓►TE `FI VEeo &5416-64 FL
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Phone Number: (-17Z )7'70 - 9(oZZ FAX Number:
trZ, )-7-7a-
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E -Mail: sbseiz a 5cL4e-, het
Surve or:
Name: '' I
H�JSTOiJ qND �jR ANT I1JG �ic/
fl►•� P,L.`,J'
Address
01 U , 5, 1
32 9151&
,
Phone Number: (-rz )3ia,0 - �5�ov3 FAX Number:
E -Mail:
I, JoSE �GVQl.1C E BEING FIRST DULY SWORN, DEPOSE AND SAY THAT: _ I AM THE OWNER V/1
AM THE LEGAL REPRESENTATIVE OF THE OWNER OF THE PROPERTY DESCRIBED WHICH IS THE SUBJECT MATTER OF THIS
APPLICATION, AND THAT ALL THE INFORMATION, MAPS, DATA AND/OR SKETCHES PROVIDED' IN THIS APPLICATION ARE
ACCURATE UE T KN EDGE AND BELIEF. 1
2
11Z I'94
SIGN RE DATE
6VIORN TOA'fiZ SUBSCRIBED BEFORE MI
WAQ]§y,KSONALLY KNOWN TO ME OR F
AS IDENTIFICAT10 , �AY OF
NOTARY'S SIGNATURE
PRINTED NAME OF NOTARY
COMMISSION N0./EXPIRATION
SEAL:
Permit Application No.
The following is required for all comprehensive plan amendments, zoning amendments
(including rezoning), site plans, conditional use permits, special use permits, variances,
exceptions, and appeals.
�9E, _ THE OWNER(S) / /THE LEGAL REPRESENTATIVE OF THE OWNER(S) OF THE PROPERTY DESCRIBED WHICH IS
THE SUBJECT OF THIS APPLICATION, HEREBY AUTHORIZE EACH AND EVERY MEMBER OF THE rr Z COvNG I L
BOARD/COMMISSION OF THE CITY OF SEBASTIAN TO PHYSICALLY ENTER UPON THE PROPERTY AND VIIfW THE PROPERTY IN
CONNECTION WITH MY/OUR PENDING APPLICATION.
IME HEREBY WAIVE ANY OBJECTION OR DEFENSE I/WE MAY HAVE, DUE TO THE QUASI-JUDICIAL NATURE OF THE
PROCEEDINGS, RESULTING FROM ANY BOARD/COMMISSION MEMBER ENTERING OR VIEWING THE PROPERTY, INCLUDING ANY
CLAIM OR ASSERTION THAT MY/OUR PROCEDURAL OR SUBSTANTIVE DUE PROCESS RIGHTS UNDER THE FLORIDA
CONSTITUTION OR THE UNITED STATES CONSTITUTION WERE VIOLATED BY SUCH ENTERING OR VIEWING.
THIS WAIVER AND CON ING SPW5D BY ME/US VOLUNTARILY AND NOT AS A RESULT OF ANY COERCION APPLIED, OR
PROMISE ANY EMS Y , �A_QENT, CONTRACTOR OR OFFICIAL OF THE CITY OF SEBASTIAN.
NATURE -�5�� G,G�FV�kt
Swain to and subscribed before me by —
who is personally known to me or produced
as identi Ica Ion, Is day of
Notary's Signature
Printed Name of Notary
Commission No./Expiration
Seal:
12 104 -
DATE'
20.
�' i . Rur r•;
WILLIAM STODDP.RD
�. /1/l J i1 ) rl i) �- Vy • I y` i . "'
{=Nofuiry Public - State of i=lnridtt
PAy GammLs,_w E pem Apr 12, roU5
Commi ;cion S DD017573