Special Exception Application
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: Commercial:
$500 for the first, each additional $100 $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 #:_________
SUBMITTAL DATE: ____________
TOWN OF LANTANA 500 Greynolds Circle Lantana, FL 33462 561-540-5034
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)
APPLICANT / AGENT
Name: __________________________________
Name: _______________________________
Address: ________________________________
Address: _____________________________
________________________________
_____________________________
________________________________
_____________________________
Phone: (_______) _________________________
Phone: (_______) ______________________
Fax: (______) ____________________________
Fax: (______) _________________________
Email: __________________________________
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 Name: ___________________________________________________________________________________ Property Address: _________________________________________________________________________________ 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? Is the site currently served by public sewer?
YES YES
NO 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 Name:
Name:
Company Name:
Company Name:
Address:
Address:
Phone:
Phone:
Email:
Email:
Planner
Architect
Name:
Name:
Company Name:
Company Name:
Address:
Address:
Phone:
Phone:
Email:
Florida Registration Number: Engineer
Landscape Architect
Name:
Name:
Company Name:
Company Name:
Address:
Address:
Phone:
Email:
Email:
Florida Registration Number:
Phone:
Email:
Florida Registration Number:
Surveyor
Attorney
Name:
Name:
Company Name:
Company Name:
Address:
Address:
Phone:
Phone:
Email:
Florida Registration Number:
Current Occupant of Building or Property
Email:
Other
Name:
Address:
Name:
Address:
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:
Address:
_____ Owner
___________________________________
_____ Optionee
___________________________________
_____ Lessee
___________________________________
_____ Agent
Phone: (____) ______ Fax (____) ________
_____ Contract Purchaser
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
______________________________ Signature of Owner
___________________________ Witness
______________________________ Printed Name of Owner
___________________________ Date
Page 6
Mailing Instructions – Page 1
Mailing Instructions – Page 2
SPECIAL EXCEPTION APPLICATION INFORMATION *Must have pre-application with Community Planner- Call 561-540-5034 to schedule. Application Fee: Residential: Commercial:
$500 for the first, each additional $100 $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 #:_________
SUBMITTAL DATE: ____________
TOWN OF LANTANA 500 Greynolds Circle Lantana, FL 33462 561-540-5034
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)
APPLICANT / AGENT
Name: __________________________________
Name: _______________________________
Address: ________________________________
Address: _____________________________
________________________________
_____________________________
________________________________
_____________________________
Phone: (_______) _________________________
Phone: (_______) ______________________
Fax: (______) ____________________________
Fax: (______) _________________________
Email: __________________________________
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 Name: ___________________________________________________________________________________ Property Address: _________________________________________________________________________________ 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? Is the site currently served by public sewer?
YES YES
NO 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 Name:
Name:
Company Name:
Company Name:
Address:
Address:
Phone:
Phone:
Email:
Email:
Planner
Architect
Name:
Name:
Company Name:
Company Name:
Address:
Address:
Phone:
Phone:
Email:
Florida Registration Number: Engineer
Landscape Architect
Name:
Name:
Company Name:
Company Name:
Address:
Address:
Phone:
Email:
Email:
Florida Registration Number:
Phone:
Email:
Florida Registration Number:
Surveyor
Attorney
Name:
Name:
Company Name:
Company Name:
Address:
Address:
Phone:
Phone:
Email:
Florida Registration Number:
Current Occupant of Building or Property
Email:
Other
Name:
Address:
Name:
Address:
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:
Address:
_____ Owner
___________________________________
_____ Optionee
___________________________________
_____ Lessee
___________________________________
_____ Agent
Phone: (____) ______ Fax (____) ________
_____ Contract Purchaser
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
______________________________ Signature of Owner
___________________________ Witness
______________________________ Printed Name of Owner
___________________________ Date
Page 6
Mailing Instructions – Page 1
Mailing Instructions – Page 2
