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SPECIAL EXCEPTION SITE PLAN APPLICATION SUBMISSION CHECKLIST <br />MATERIAL (note N/A where applicable) YES NO <br />1. EVIDENCE OF PRE APP CONFERENCE IF PROJECT OVER V <br />20 UNITS OR 40,000 SQ. FT. NEW IMPERVIOUS SURFACE ap'Pile W/ Co v4A . b" <br />2. Fee: Administrative Approval $200.00 <br />Minor $650.00 <br />Major <br /><or = 5 acres: $1000.00 <br />> 5 but < 10 acres: $.1200.00 <br />= or > 10 acres: $1400.00 <br />V'ee L x t( be- (e+rVJ <br />Frov, 05ppaLi <br />4XXOwa+ 'to ca*"•004• <br />Special Exception Use fees required in addition to above site plan fees: <br />$975.00 less than 40 acres <br />$1075.00 40 -100 acres <br />$1275.00 over 100 acres <br />+$ 50.00 for each additional 25 acres over 100 acres <br />3. Completed Application Form, and if pre -app conference already -held, then <br />a pre -application conference discrepancy letter response or summary of <br />plan revisions <br />4. <br />S. <br />6. <br />7. <br />8. <br />9. <br />10. <br />11. <br />Ten (10) Copies of the Site Plan <br />Two (2) Sealed Site Surveys <br />Two (2) aerials of site with project overlaid, showing surrounding 200 feet <br />One (1) Copies of the Owner's Deed <br />Letter of Authorization (if applicant is not owner) <br />One (1) Copy of the Drainage Report <br />Completed Tree Removal Permit Application OR Signed Exemption Form <br />Completed Land Clearing Permit Application OR Signed Exemption Form <br />We p,Z)WAJy 50bAaW <br />V <br />ye w .Sr -10, pt" sv6A4i <br />y' tau scf a Flaw sCZM,ffi <br />NSA► <br />N iA <br />a/A <br />12. Three (3) sets signed, conceptual floor plans and elevations prepared by architect <br />or engineer (when project is required by Florida law to have such architectural or N %A <br />engineering drawings) <br />13. Environmental Survey if all or portion of project in environmentally sensitive are V <br />14. Concurrency Application or Acknowledgement Form NIA, <br />15. Written statement and photograph of posted sign <br />(Needed if Planning & Zoning approval required) <br />co Is f '+l`Q,J<-, ar +1> aDrfZulm -Kt"e <br />T RAI 77A gtmwt VPM RParh RT.'A7Q(,n Attachment 1 <br />P139 <br />