ATA2018-03001PETITION FOR ANNEXATION
CITY OF CLEARWATER INITIATED ANNEXATIONS
PURSUANT TO AGREEMENTS TO ANNEX (ATAs)
PLANNING & DEVELOPMENT DEPARTMENT
100 S MYRTLE AVENUE, 2" d FLOOR
CLEARWATER, FL 337584748
PHONE (727) 562-45791 FAX (727) 562-4865
CASE: ATA2018-03001
APPLICANT NAME: City of Clearwater
MAILING ADDRESS: 100 South Myrtle Avenue, Clearwater, FL
PHONE NUMBER: 727-5624626
FAX NUMBER: 727-5624865
PROPERTY OWNER / PROPERTY ADDRESS:
Charles J. Thorpe (1500 Country Lane West)
Jacqueline C. Rowe Living Trust (1505 Country Lane East)
PROPOSED DEVELOPMENT INFORMATION:
LOCATION: On the south side of Country Lane West and Country Lane East, approximately 525 feet
south of SR 590 and 'h mile east of US Highway 19 North
LEGAL DESCRIPTION: Lots 9 and 11 and parts of vacated lake, Country Lane Subdivision
1500 COUNTRY LANE
ATA2018-03001
Cnun
try Lane Properties
Zoning: LMDR - Low Medium Atlas #: 273B
Pagel of 2
PARCEL NUMBER(S):
08-29-16-18630-000-0110 (1500 Country Lane West)
08-29-16-18630-000-0090 (1505 Country Lane East)
EXISTING CATEGORIES: ZONING: R-3 Single Family Residential
LAND USE: Residential Low (RL)
PROPOSED CATEGORIES: ZONING: Low Medium Density Residential (LMDR)
LAND USE: Residential Low (RL)
EXISTING USE / SIZE:
PROPOSED USE / SIZE:
SIZE OF SITE:
Single Family / 0.800 Acres
Single Family / 0.800 Acres
0.800 Acres
I (we), the undersigned, acknowledge that all
representations made in this application are true
and accurate to the best of my knowledge.
Si �afure of City Official or representative
STATE OF FLORIDA, COUNTY OF PINELLAS
Sworn to and subscribed before me this6� day of
MAnk-- A.D., 2018, to me
who ' ersonal
known by me or has produced as
identification.
Notary public,
my commission expires:
KIMBERLY J FEENEY
:'a�,�Y pie`•. Notary Public State of Florida
• Commission 0 GG 059543
a My Comm. Expires Jan 6, 2021
•%OF F�•�, Bondedthrough National Notary Assn.
Page 2 of 2
76exation Map Reques
Planner Name: Kyle Brotherton
Case Number: ATA2018-03001
Date Request Submitted: 3/1/18
Date Requested for: 3/15/18
Maps Needed
® Location Map
® Aerial Photograph
® Proposed Annexation
® Future Land Use Map
® Zoning Map
® Existing Surrounding Uses Map
® 2" x 2" PDF Map (for Newspaper)
Required Documents
❑ Legal Descriptiowarranty dee or survey) - to be hand delivered
® Map with Propose g ighted
® EDR - no hard copies submitted - all submission material is accessible through Accela
Location & Right-of-Way Language (for Ordinance Titie)
Location: On the south side of Country Lane West and Country Lane East, approximately 525
feet south of SR 590 and'/2 mile east of US Highway 19 North
Right-of-Way: [ENGINEERING INSERT ROW DESCeRIPTION OR N/A HERE]
PROVIDED LEGAL DESCRIPTION VERIFIED BY:
Thomas Mahony, PSM, Ge rap is Technology Manager
MAP NAME
Owner(s): Charles J. Thorpe
Jacqueline C. Rowe Living Trust
Case:
ATA2018-03001
Property
0.801
Site: 1500 Country Lane West
Size(Acres):
1505 Country Lane East
ROW (Acres):
Land Use Zoning
PIN:
08-29-16-18630-000-0110
R-3 Single Family
III 08-29-16-18630-000-0090
From : Residential Low (RL) Residential
Low Medium
Atlas Page:
i 273B
To: Residential Low (RL) Density Residential
LMDR
❑ Return Receipt (hardcopy) $
❑ Return Receipt (electronic) $ _ Postmark
❑Certified Mail Restricted Delivery $ Here
❑ Adult Signature Required $
❑Adult Signature Restricted Delivery $
3
Certified Mail service provides the following benefits:
■ A receipt (this pordon of the Certified Mail label),
for an electronic return receipt, see a retail
■ A unique identifier for your mailpiece.
associate for assistance. To receive a duplicate
■ Electronic verification of delivery or attempted
return receipt for no additional fee, present this
delivery.
USPS® -postmarked Certified Mail receipt to the
■ A record of delivery (including the recipient's
retail associate.
signature) that is retained by the Postal Service'
Restricted delivery service, which provides
for a specified period.
delivery to the addressee specified by name, or
to the addressee's authorized agent.
Important Reminders.
Adult signature service, which requires the
■ You may purchase Certified Mail service with
signee to be at least 21 years of age (not
First -Class Mail®, First -Class Package Service®,
available at retail).
or Priority Mail® service.
Adult signature restricted delivery service, which
in Certified Mail service Is notavailable for
requires the signee to be at least 21 years of age
international mail.
and provides delivery to the addressee specified
■ Insurance coverage is notavallable for purchase
by name, or to the addressee's authorized agent
with Certified Mail service. However, the purchase
(not available at retail).
of Certified Mail service does not change the
■ To ensure that your Certified Mail receipt is
insurance coverage automatically included with
accepted as legal proof of mailing, it should bear a
certain Priority Mail items.
USPS postmark. If you would like a postmark on
■ For an additional fee, and with a proper
this Certified Mail receipt, please present your
endorsement on the mailpiece, you may request
Certified Mail item at a Post Office' for
the following services:
postmarking. if you don't need a postmark on this
- Return receipt service, which provides a record
Certified Mail receipt, detach the barcoded portion
of delivery (including the recipient's signature).
of this label, affix it to the mailpiece, apply
You can request a hardcopy return receipt or an
appropriate postage, and deposit the mailpiece.
electronic version. For a hardcopy return receipt,
.
complete PS Form 3811, Domestic Retum
Receipt, attach PS Form 3811 to your mailpiece;
IMPORTANT' Save this receipt for your records.
Ps Forth 3800, April 2015 (Reverse) PSN 7530-02-000.9047
❑ Return Receipt (hardcopy) $
❑
Return Receipt (electronic) $ Postmark
❑ Certified Mail Restricted Delivery $ Here
[]Adult Signature Required $
❑ Adult Signature Restricted Dellvery $
rwc,A-e-r. FL 33 511
Certified Mail service provides the following benefits:
■ A receipt (this portion of the Certified Mail label).
for an electronic return receipt, see a retail
■ A unique identifier for your maiipiece.
associate for assistance. To receive a duplicate
■ Electronic verification of delivery or attempted
return receipt for no additional fee, present this
delivery.
USPSB-postmarked Certified Mail receipt to the
■ A record of delivery (including the recipient's
retail associate.
signature) that is retained by the Postal Service-
Restricted delivery service, which provides
for a specified period.
delivery to the addressee specified by name, or
to the addressee's authorized agent
Important Reminders.
Adult signature service, which requires the
■ You may purchase Certified Mail service with
signee to be at least 21 years of age (not
First -Class Mail®, First -Class Package Service®,
available at retail).
or Priority Mail® service.
Adult signature restricted delivery service, which
■ Certified Mail service is notavailable for
requires the signee to be at least 21 years of age
international mail.
and provides delivery to the addressee specified
■ Insurance coverage is notavailable for purchase
by name, or to the addressee's authorized agent
with Certified Mail service. However, the purchase
(not available at retail).
of Certified Mail service does not change the
■ To ensure that your Certified Mail receipt is
Insurance coverage automatically included with
accepted as legal proof of mailing, it should bear a
certain Priority Mail items.
USPS postmark. If you would like a postmark on
■ For an additional fee, and with a proper
this Certified Mail receipt, please present your
endorsement on the maiipiece, you may request
Certified Mail Rem at a Post Office -for
the following services:
postmarking. If you don't need a postmark on this
- Return receipt service, which provides a record
Certified Mail receipt, detach the barcoded portion
of delivery (including the recipient's signature).
of this label, affix it to the maiipiece, apply
You can request a hardcopy return receipt or an
appropriate postage, and deposit the mailpiece.
electronic version. For a hardcopy return receipt,
complete PS Form 3811, Domestic Return
Receipt; attach PS Form 3811 to your mailpiece;
IMPORTANT. Save this receipt for your records.
Form 3800, Apra lois (Reverse) PSN 7s3o-o2-000eoa7
USPS TRACKING # _
First= lass Mail
Postage & Fees Paid
USPS
a ' Permit No. G-10
9590 9402FIR.% 7124 7814 90
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Sender: Please print. your name, address, and ZIP+4® in this box*
City of Clearwater
Planning & Development Dept.
P.O. Box 4748
Clearwater, FL 33758-4748
o Complete items 1, 2, and 3.
G Print your name and address on the reverse
so that we can return the card to you.
17 Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
CYtarltS T 7vto'-pe
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❑ Agent
❑ Addre
Ofinted Name) C. Date Del
D. Is delivery address different from item 1? 13 Ye:
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
13 Adult Signature
❑ Registered Mal
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MIT
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❑ Adult Signature Restricted Delivery13Registered
Mail Restricted
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Certified Made
Delivery
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4 Collect on Deliveryandise
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Collect on Delivery Rgst(igted Delivery i.7 Signature Confi mation"O
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7 015 0640 0002 7826
7030-
di Restricted Delivery
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt