Fillable Payment In Lieu Of Parking PILOP (Town of Lauderdale By The Sea Florida)

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Payment In Lieu Of Parking PILOP (Town of Lauderdale By The Sea Florida)

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The Payment In Lieu Of Parking PILOP (Town of Lauderdale By The Sea Florida) form is 2 pages long and contains:

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U.S.A. forms for Town of Lauderdale By The Sea Florida

BROWSE TOWN OF LAUDERDALE BY THE SEA FLORIDA (FL) FORMS

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Page 1 of 2
U:\APPLICATIONS - FORMS- HHA\2016 Applications and Checklists\PILOP Application.docx
Applicant Name: __________________________________________
Property Address: _________________________________________
Property Owner (if different than Applicant): ______________________________________________
Legal Description: Lot _______ Block ________ Folio Number: ____________________________
Zoning District: _________
Contact Information: Phone: _______________________ E-mail: ___________________________
Square Footage
Number of Spaces
Required Parking @ 1:___ Square Feet
Provided On-Site @ 1:___ Square Feet
Parking Deficiency
Parking Spaces Required: ________________ Parking Spaces Provided: ________________
Parking Deficiency: _____________
This application for payment in lieu of parking is submitted with the understanding that, if approved, the permit will
be issued to the property owner subject to applicable conditions as specified in Chapter 30, Section 30-321 of the
Code, including the payment of all applicable fees. The property owner understands that these conditions will be
set forth in the permit and that such permit shall not be effective until all application conditions have been met.
Signature of Applicant: ________________________________________________________
Signature of Property Owner: ___________________________________________________
OWNER’S AFFIDAVIT: I certify that the foregoing information is accurate.
TOWN OF LAUDERDALE-BY-THE-SEA, FLORIDA
DEVELOPMENT SERVICES DEPARTMENT
4501 N. Ocean Dr. LBTS, FL 33308
Phone (954) 640-4210/Fax (954) 634-4654
PAYMENT IN LIEU OF PARKING
(PILOP) APPLICATION
Page 2 of 2
U:\APPLICATIONS - FORMS- HHA\2016 Applications and Checklists\PILOP Application.docx
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may found in the public record of the Town or County, and there may be additional permits required
from other governmental entities.
_____________________________________ _________________________________ _________________
Signature (Property Owner) Printed Name Date
_____________________________________ ________________
Notary Date
My Commission Expires _________________________
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Payment In Lieu Of Parking PILOP (Town of Lauderdale By The Sea Florida)

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Completed 14 July 2020

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