Fillable City of Greenacres Application for Comprehensive Plan Application (City of Greenacres)

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City of Greenacres Application for Comprehensive Plan Application (City of Greenacres)

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The City of Greenacres Application for Comprehensive Plan Application (City of Greenacres) form is 5 pages long and contains:

  • 8 signatures
  • 0 check-boxes
  • 80 other fields

Country of origin: US
File type: PDF

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BROWSE CITY OF GREENACRES (FL) FORMS

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City of Greenacres
Application for
Comprehensive Plan Application
Instructions to Applicant:
Answer all questions completely.
A filing fee in the amount of One Thousand Six Hundred Sixty Dollars and advertising fees in the
amount of Six Hundred Fifty Dollars for a small-scale amendment (10 acres and under) OR Two
Thousand Two Hundred Ten Dollars and advertising fees in the amount of One Thousand One
Hundred Fifty Dollars for large-scale amendment (above 10 acres) must accompany this application.
Since advertising costs vary, the final amount will be reconciled upon receipt of invoices from
the newspaper.
Provide required attachments (warranty deed, survey, list of property owners and plans) as shown on
the attached checklist.
Project Name
Agent’s Name
Address
City State Zip
Phone Fax
Email
Owner’s Name
Address
City State Zip
Phone Fax
Email
Correspondence Address: (If different than agent or owner)
Address
City State Zip
Phone Fax
Email
This is the address to which all agendas, letters and other materials will be forwarded.
2
Petitioner’s Request
Property Information:
Location and Address
Parcel Identification Number(s)
Property Size (Square feet/Acres)
Present Use of Property
Other Local Government Approvals
Existing Future Land Use Designation
Proposed Future Land Use Designation
Existing Zoning of Property
Proposed Zoning of Property
Surrounding Future Land Use, Zoning Classification and Existing Use.
Comprehensive Plan Elements
Indicate the Proposal’s Consistency with all elements of the plan, including specific data. The
elements of the Comprehensive Plan are as follows: Use attachments as necessary):
a. Conservation Element
b. Infrastructure
Sewer
Solid Waste
Storm Water
Potable Water Aquifer
e. Housing Element
f. Future Land Use
g. Intergovernmental Coordination
h. Capital Improvement
i. Annexation
j. Public School Facilities
c. Transportation
d. Recreation and Open Space
3
Applicable Zoning Code Provision
Applicable Statutory Provisions
Justification for Request
Owner’s Authorization: Each petition must bear the signatures of all owners of property
in the petitioned area. A letter of authorization allowing a person other than the owner to
sign or represent such a petition must be attached to and accompany said petition.
(Please use attached form)
Signature of Owner(s) of Record Print Name
Signature of Applicant or Agent Print Name
Sworn to and subscribed before me this day of 20 by who
is personally known to me, or who has produced as identification.
(Type of Identification)
Signature of Notary Public Print Name
Notary Public State of County of
Commission Number Commission Expires
Notary Seal
(Print, Type, or Stamp Commissioned Name of Notary Public)
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4
Agent Authorization Form
City of Greenacres
I hereby give AUTHORIZATION to
to act on my behalf, to submit or have submitted this application and all required material and
documents, and to attend and represent me at all meetings and public hearings pertaining to the
application(s) indicated above. Furthermore, I hereby give consent to the party designated above to
agree to all terms and conditions, which may arise as part of the approval of this application for the
proposed use of
Applicant Information
Signature Print Name
Address City State Zip
Agent Information:
Signature Print Name
Address City State Zip
Notary Public Information:
The foregoing instrument was acknowledged before me this day
of 20 by Name of person acknowledging. He or she is
personally known to me, or who has produced as identification
(type of identification and did or did not take an oath (circle correct response).
Signature of Notary Public Print Name
Notary Public State of County of
Commission Number Commission Expires
Notary Seal or Stamp
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signature
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5
Affidavit
State of Florida
County of Palm Beach
City of Greenacres
Before me this day personally appeared who being duly
sworn, deposes and says:
That the accompany list of property owners, mailing addresses and legal
descriptions of all property within 300 feet of the below described parcel of land
is, to the best of his or her knowledge, complete and accurate as recorded in the
latest official tax rolls in the Palm Beach County Courthouse.
The subject Property is Legally described as follows. See attached.
Further Affiant sayeth not.
Signature
Sworn to and subscribed before me this day of 20 by who
is personally known to me, or who has produced as identification.
Signature of Notary Public Print Name
Commission Number Commission Expires
Notary Seal
(Print, Type, or Stamp Commissioned Name of Notary Public)
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signature
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signature
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6
Comprehensive Plan Amendment
Submittal Checklist
1. Completed application signed by owner and applicant. Agent’s authorization or power
of attorney must be attached if applicant is other than owner.
2. Copy of the Warranty Deed for the property.
3. A list of all property owners within a 300’ radius of boundary lines of the subject property
from the most recent tax roll information as provided by the Palm Beach County
Appraiser’s Office.
4. Executed affidavit signed by the person responsible for completing the property owner’s
list.
5. Vicinity map delineating the proposed annexation area and its boundaries contiguous to
the City limits.
6. Two sets (small-scale amendment) or three sets (large-scale amendment) of
STAMPED (meter stamps not acceptable), plain envelopes with the typed names of the
owners within a 300’ radius of the boundary lines of the subject property. No return
address.
7. Two copies of a signed and sealed survey (not more than a year old) and legal
description of the property, including any and all easements of record (referenced by
Official Record Book and Page), prepared by a surveyor registered in the State of
Florida.
8. Four copies of a Traffic Impact Analysis addressing the Level of Service (LOS) with five
year traffic at typical and at maximum project traffic. The analysis must also determine
the LOS for 2030 with the increase in traffic due to the proposed land use amendment at
typical and at maximum project traffic. The analysis must be prepared in accordance
with Palm Beach County Traffic Performance Standards Ordinance.
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City of Greenacres Application for Comprehensive Plan Application (City of Greenacres)

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Completed 19 February 2021

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