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620 Beach Avenue ZVAR-2008-01 Exhbiit 4_Signatures (wrong appl)4 1t`UCC 111' 1 IF IN . I M ii -I CI D { 1 {f� i J I IEIRI Section 24-46(d) permits the City Commission to authorize limited Waivers, on a case-by-case basis, from a specific provision(s) of these Land Development Reg- ulations when it is demonstrated that compliance with such provision(s) would be unreasonable, in conflict with the public interest, or a practical impossibility. A Waiver from these Land Development Regulations may be approved only upon showing of good cause, and upon evidence that an alternative to a specific pro- visions) of this Chapter shall be provided, which conforms to the general intent and spirit of these Land Development Regulations. In considering any request for a Waiver from these Land Development Regulations, the City Commission may require conditions as appropriate to ensure that the intent of these Land Development Regulations Is enforced. A Waiver shall not modify any require- ment or term customarily considered as a Variance or any requirement or term prohibited as a Variance, and shall be considered only in cases where alternative administrative procedures are not set forth with the City Code of Ordinances. X 1. APPLICANTS NAME City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 (P) 904.247.5826 (F) 904.247.5845 www.coab.us DATE FILE # RECEIPT 112. APPLICANTS ADDRESS 3. PROPERTY LOCATION 4. PROPERTY APPRAISER'S REAL ESTATE NUMBER 1-10 j 9L3 occ)C) 5. CURRENT ZONING CLASSIFICATION 6. FUTURE LAND USE DESIGNATION 7. LDR provisions) from which waiver is sought: a�-- trD"1 CC) Gor,t er 1t& 4P'vM 8. SIZE OF PARCEL- ; � PARCEL FRONTAGE On PARCEL DEPTH 9. UTILITY PROVIDER PARCEL AREA 1,541 j 'y 100 10. Statement of facts and any special reasons for the requested Waiver, which demonstrates compliance with Section 24-46(d) of the Zoning and Subdivision and Land Development Regulations, and specifically describing how the request complies with the Conditions necessary for the City Commission to approve this request. Please use second page if additional space is necessary. &z4PwuL_ 50VIT " f �' -kvice. ON PloP'4� 11%ue, ON v�6fmxt. F&cz woold 6t)v-r iOt IN hGoA fr3prkt k'e nti ©cvw 61op ivy q,V,Ng AW Zy"ilet 51y' �t -rn�"( �r� ,--C 6 �A�I Aso, /'��t t.5 li J, Dye 6� 124yk oG W 6 5f �� &,e L44A 14AU(CQ ft� U 6vr4r 6D 'K&J- 44 tWce__ WOuO 6c- to SC�7.Qe tr�t� ;rA;� e�3 #dam Ce�n. 4e /1414rt- 0-�_ CVAJ WAP 64- (AvcLb C'Nj d) A10 CAeA56L S�+�w �f '�i► tom, _ '-� page 1 of 2 11. Provide the following information. Applications will not be considered complete and will not processed until all items have been received: a. Proof of ownership (deed or certificate by lawyer or abstract company or title company that verifies record owner as above). If the applicant is not the owner, a letter of authorization from the owner(s) for the applicant to represent the owner for all purposes related to this application must be provided. b. Survey and legal description of property. c. Required number of copies (2). d. Application Fee ($150.00). City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 (P) 904.247.5826 (F) 904.247.5845 www.coab.us 1 HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. Signature of owner(s) or authorized person if owner's letter of authorization is attached: }PRINTED OR TYPED NAME(S) '�y K�� 1, EA�A r —lam �aZ SIGNATURE(S) CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION: NAME Gh (z15 (c; ADDRESS c�f� � �� Au--- u4-, MAJ6c. &AA FL 3,99-33 PHONE FAX � � , _ q -7 ►i CK CELL 3L419 _ E-MAIL %c -Al 0) ' ` h k ADDITIONAL SPACE FOR QUESTION 10: r IA --D �I� 5 �wn.rd� ° 1 wh��. «tet 4z�1.� 1 dcp%�J � ` (L2 d v c.Q S 4k -c �21ie(of !A�� 4(- V21UAutti page 2 of 2