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Background Currently, a public medical clinic known as the Gifford Health Clinic is operated on land east of the subject property on the east side of 28th Avenue. That clinic is housed in a building owned by the Indian River County School District and leased by the Indian River County Hospital District. The clinic is operated by the Indian River Health Department. The School District has informed the clinic that the clinic must vacate the existing facilities by December 2003. On Tuesday, August 21, 2001, the Board of County Commissioners voted 5 to 0 to authorize staff to take the following actions: • Negotiate with the Hospital District for the Hospital District to lease or purchase the subject property for a clinic; and • Initiate a land use amendment to allow a medical clinic on the site. The existing M-2 land use designation does not allow medical clinics. Comprehensive Plan Amendment Review Procedures The state allows local governments to use alternative adoption procedures for "small scale" plan amendments that meet certain criteria. Section 163.3187(1)(c) of the Florida Statutes sets the following criteria for small scale amendments: The proposed amendment involves 10 or fewer acres; The cumulative effect of the acreage for all small scale amendments in the jurisdiction does not exceed 80 acres in a calendar year; The proposed amendment does not involve the same property granted a land use designation change within the prior 12 months; 4. The proposed amendment does not involve the same owner's property within 200 feet of property granted a land use designation change within the prior 12 months; 5. The proposed amendment does not involve a change to the comprehensive plan's text; 6. The subject property is not within an area of critical state concern, and 7. The proposed amendment does not involve increasing residential density above 10 units/acre. Small scale plan amendments are deemed to have fewer impacts than typical plan amendments and are eligible for a streamlined adoption process. In contrast to typical plan amendments which require review and approval by the Florida Department of Community Affairs (DCA), local governments may adopt small scale plan amendments without review or approval by DCA. In this case, the procedures for reviewing the subject comprehensive plan amendment will be as follows. First, the Planning and Zoning Commission conducts a public hearing to review the request. The Commission has the option to recommend approval or denial of the comprehensive plan amendment request to the Board of County Commissioners. Following Planning and Zoning Commission action, the Beard takes final action to approve or deny the land use amendment request. January 15, 2002