Z-CASE DEVELOPMENT APPLICATION (Incomplete applications will not be accepted.)

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FOR STAFF USE ONLY: Revised May/2009 Community Development 7525 NW 88 th Avenue Tamarac, FL 33321 Telephone (954) 597-3530 Fax (954) 597-3540 CASE #: Master File #: Project #: Date Received: Received by: Zoning district: Land Use Classification: Surrounding zoning: North: South: East: West: Fee Collected: Z-CASE DEVELOPMENT APPLICATION (Incomplete applications will not be accepted.) Type/Purpose of Development Request: Project Name: Limited Parking Waiver Special Exception Rezoning Project Address (if applicable): Project Location: Parcel Size: Project Description: acres/sq. ft. Folio No. (identify proposed use that you are seeking) Agent/Contact: Phone: Address: Fax: E-Mail Address: Property Owner s Name: Phone: Address: NOTE: Must also include notarized designation of quasi-judicial form.

SPECIAL EXCEPTION, REZONING, AND LIMITED PARKING WAIVER CHECKLIST The following checklist is designed to assist applicants in preparing required materials for review. The applicant should check each item to ensure that it is included. If all items are not present the application will not be accepted. The following items are required as part of a complete application for Special Exception, Rezoning or Limited Parking Waiver: 1. A completed City of Tamarac Z-Case Development Application. 2. Justification Letter a) For Special Exception please narrate the proposed project, including, but not limited to, scope of work, proposed use, hours of operation, size, number of employees, history, etc. (Sec. 24-552). b) For Rezoning please show that proposed change is consistent with comprehensive plan, is compatible with surrounding zonings, will not adversely affect surrounding living conditions, property values, etc. (Sec. 24-67). c) For a Limited Parking Waiver address Sec. 24-584(4)a-e. 3. Proof of property ownership (i.e. deed, property appraiser, or contract to purchase). 4. Traffic Consultant Fee form. (Limited Parking Waiver applications only) 5. Designation of quasi-judicial form. This form names that person who will represent the said application at required meetings and shows that the property owner, if other than the applicant, gives the applicant permission to do so. 6. One (1) copy of a survey (signed and sealed) for Special Exceptions and Parking Waivers. Ten (10) copies for a Rezoning. Surveys shall be dated within the past thirty (30) days 7. Ten (10) copies of a site plan (for Special Exceptions and Limited Parking Waivers only). 8. Completed Public Hearing Affidavit. 9. Complete Public Notification Affidavit. 10. Appropriate review fee. 11. Completion of Public Notification process. (Submittal of an affidavit for property owners within a 400 foot radius of said property from a planning and zoning consultant, real estate research company, land surveyor, etc.) A map of the notified parties (jpg.file) INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.

DESIGNATION OF AGENT FOR QUASI-JUDICIAL PROCEEDINGS DATE: CASE NO.: IN THE MATTER OF: ANY PERSON APPEARING ON YOUR BEHALF, IN YOUR ABSENCE, MUST BE DESIGNATED AS YOUR AGENT ON THIS FORM OR SUCH PERSON WILL NOT BE ENTITLED TO SPEAK AT THE QUASI-JUCIDIAL HEARING AND THE MATTER MAY BE DETERMINED WITHOUT THE BENEFIT OF THEIR TESTIMONY., WILL ATTEND THE QUASI-JUDICIAL (insert name of Agent) HEARING TO BE HELD IN MY ABSENCE. IN ADDITION, HAS MY PERMISSION TO ACT AS MY AGENT IN ALL MATTERS RELATING TO ANY PROCEEDINGS RELATED TO. (Address of subject property) THIS FORM MUST BE RETURNED PRIOR TO THE QUASI-JUDICIAL HEARING. SIGNATURE OF OWNER: (Print Name of Owner) STATE OF FLORIDA: COUNTY OF BROWARD: NAME/ADDRESS AND PHONE NO. OF DESIGNATED AGENT: (Print Name of Designated Agent) Phone: Fax: The foregoing instrument was acknowledged before me this day of, 200, by, owner of property, who is personally known to me or has produced identification ( )and (type of identification) who (did/did not) take an oath. Notary Public State of Florida My Commission Expires: (Type or print name of Notary)

PUBLIC NOTICE SIGN REQUIREMENTS EACH LETTER ON THE SIGN SHALL BE AT LEAST FOUR INCHES (4 ) IN HEIGHT. THE SIGN MUST BE ATTACHED TO A POST WHICH IS IMPLANTED IN THE GROUND. THE FREE STANDING SIGN SHALL BE THREE FEET BY THREE FEET (3 X 3 ) IN SIZE AND POSTED CONSPICUOUSLY AT LEAST TWO FEET (2 ) ABOVE GRADE ON THE PROPERTY, AT LEAST FIFTEEN (15) DAYS PRIOR TO THE PUBLIC HEARING. THE LANGUAGE TO BE INCLUDED ON THE SIGN SHALL READ AS FOLLOWS: A LAND DEVELOPMENT PERMIT IS BEING SOUGHT FROM THE CITY OF TAMARAC FOR THIS PROPERTY. PLEASE CALL THE COMMUNITY DEVELOPMENT DEPARTMENT AT (954) 597-3530 FOR FURTHER INFORMATION.

STATE OF FLORIDA COUNTY OF BROWARD AFFIDAVIT I,, do swear and affirm: 1. That I have posted a Notice of Public Hearing on the property on, 200, for a hearing to be held before the City of Tamarac s City Commission, Planning Board, Board of Adjustment (circle one) on, 200. 2. That the Notice was placed at the location set forth below: 3. That the location where the Notice was placed allowed the Notice to be readable from the adjoining roadway. 4. That I have revisited the property on, 200, and the Notice was still there and in readable condition. SEAL 5. Further affiant sayeth not. Affiant Signature Sworn to and subscribed before me this day of, 200. My commission expires: Notary Public

COMMUNITY DEVELOPMENT REVIEW FEE SCHEDULE (Pursuant to Resolution No. R-2004-134) Land Use Planning: Large Scale $ 5,000 Small Scale $ 3,000 Reserve Units $ 500 Platting: Plats $ 3,000 Delegation Request $ 1,500 Vacation of Easements/Rights-of-Way $ 1,000 Rezoning: Rezoning $ 1,500 Special Exception $ 2,000 Sign Waiver: $ 200 Site Planning: Site Plan (New) $ 3,000 Site Plan Revision (Major) $ 3,000 Site Plan Revision (Minor) $ 1,250 Site Plan Revision (Administrative) $ 250 Site Plan Extension $ 1,000 Model Sales $ 1,000 Parking Waiver $ 2,500 Transportation Action Plan $ 1,000 Variance $ 1,000 Renaming of Street $ 200 Staff Research: Research Hourly Rate $ 75 Zoning Verification $ 200 formscommunitydevelopmentreviewfeeschedule

Sec. 10-49. Traffic Consultants Fee (Limited Parking Waiver applications) Recovery of cost of an outside Traffic Consultant for review of development permits: (1)There is hereby imposed a fee for the review and processing of a proposed development by the City of Tamarac s outside Traffic Consultant, when deemed necessary by the Director of Community Development. Such fee shall be equal in amount to the actual costs, in terms of time expanded by the City s outside Traffic Consultant. THIS FORM MUST BE RETURNED AT THE TIME OF SUBMITTAL. NAME/ADDRESS AND PHONE NO. OF DESIGNATED AGENT: (Print Name of Designated Agent) Phone: Fax: STATE OF FLORIDA: COUNTY OF BROWARD: The foregoing instrument was acknowledged before me this day of, 200, by, property owner, who is personally known to me or who has produced identification ( ) (type of identification) and who (did/did not) take an oath. Notary Public State of Florida: _ My Commission Expires: _ Type or print name of Notary: _

STATE OF COUNTY OF FLORIDA BROWARD AFFIDAVIT I,, do swear and affirm: That I have mailed to the adjacent property owners within four hundred (400 ) feet of the project on, 200, for a hearing to be held before the City of Tamarac s Planning Board and City Commission (circle one) on, 200. SEAL Further affiant sayeth not. Affiant Signature Sworn to and subscribed before me this day of, 200. My commission expires: Notary Public

7525 NW 88th Avenue Phone (954) 597-3530 Tamarac, Florida 33321-2401 Fax (954) 597-3540 APPLICATIONS FOR PUBLIC HEARING SCHEDULE 2009 SUBMITTAL DIRECT MAIL AD AD TO RUN IN TENTATIVE PUBLIC TENTATIVE DEADLINE PUBLIC SUBMITTAL SUN-SENTINEL PLANNING NOTIFICATION CITY NOTIFICATION TO CLERK S BOARD COMMISSION OFFICE MEETING MEETING Monday Wednesday Wednesday Wednesday Wednesday Wednesday Wednesday DEC 15 DEC 24 08 DEC 23 08 DEC 28 08 JAN 07 JAN 14 JAN 28 JAN 12 JAN 21 JAN 20 JAN 25 FEB 04 FEB 11 FEB 25 FEB 09 FEB 18 FEB 17 FEB 22 MAR 04 MAR 11 MAR 25 MAR 09 MAR 18 MAR 17 MAR 22 APR 01 APR 08 APR 22 APR 13 APR 22 APR 21 APR 26 MAY 06 MAY 13 MAY 27 MAY 11 MAY 20 MAY 19 MAY 24 JUN 03 JUN 10 JUN 24 JUN 08 JUN 17 JUN 16 JUN 21 JUL 01 AUG 12 AUG 26 JUL 13 JUL 22 JUL 21 JUL 26 AUG 05 AUG 12 AUG 26 AUG 10 AUG 19 AUG 18 AUG 23 SEPT 02 SEPT 09 SEPT 23 SEPT 14 SEPT 23 SEPT 22 SEPT 27 OCT 07 OCT 14 OCT 28 OCT 12 OCT 21 OCT 20 OCT 25 NOV 04 NOV 11 NOV 25 NOV 09 NOV 18 NOV 17 NOV 22 DEC 02 JAN 2010 JAN 2010 DEC 14 DEC 23 DEC 22 DEC 27 JAN 06 10 JAN 2010 JAN 2010 Applications Include: Variances, Sign Waivers, Special Exceptions, etc. THE CITY OF TAMARAC COMPLIES WITH THE PROVISIONS OF THE AMERICANS WITH DISABILITY ACT. IF YOU ARE A DISABLED PERSON REQUIRING ANY ACCOMMODATIONS OR ASSISTANCE, PLEASE NOTIFY THE CITY OF SUCH NEED AT LEAST 72 HOURS (3 DAYS) IN ADVANCE. ADDITIONALLY, IF YOU ARE HEARING OR SPEECH IMPAIRED AND NEED ASSISTANCE, YOU MAY CONTACT THE FLORIDA RELAY SERVICE AT EITHER OF THE FOLLOWING NUMBERS: 1-800-955-8770 OR 1-800-955-8771. **Holiday -Tentative meeting dates to be cancelled** (All submitted applications will be placed on the next meeting agenda) APPLICANT MUST BE PRESENT FOR ITEMS TO BE HEARD. THE CITY OF TAMARAC IS AN EQUAL OPPORTUNITY EMPLOYER AND DOES NOT DISCRIMINATE ON THE BASIS O