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PLANS jITL]J: FORM DATE: _12-1 Lf."tool. PCN 05l-<l--a-lfS"- 3o~o/-ooo-oooo PROJECT 1# !oJ lOot f q~_ 0 tf STATUS; 4fff.DVS' b ( PROJECTNAME;T~ t:A.k'-S. (l..ll<,A 13EL\'U..C>N') STATUS DATE: :2-..2.0" 1"l9r.. PROJECTTYPE: SI"f'- fL:/.1..I DESTRUCTION DATE: .,.J o'l l\JiO~ 0.~. ,;1- ~~j'J~ ~,S ,,;:. ,i~':; '<> '0- ,). . . /'" CITY OF BOYNTON BEACH PLANNING & WNING ADDRESS: ,<IJU~gp o Commerelal [31(esldentlal 8. 9. 10. II. 12. 13. 14- 15. 16. 1'1. 18. 19. 20. \'tCII\MAIN\SHRDA TAIDewlopmeal'l'_1I Appll..~.. Group\TJTU: FORM.doc""2I01 INDEX OF DRAWINGS: !IIR1iT.T 1# (ex: Sheet A-I) I. J -023oF ""3 2. j..-~ 3. -A...-1-- 4. A.1.,. . So 6. '1. o Miscellaneous o Addition 0 Renovation 0 Revision ~ "p:;a.. So 1/4.-P\. JO .1<1" '(I ~~'D I2IiYI..t ~ 1::> 12E-'Hle.D ~ I -I "'2... - t q "I c.. {>'c'".....r- ~ t'oLo(l /'<L.E!..\IAno..,( ~~J..~~) C-6 c..o€.- E.u 1/fl-1"l() I\) ~ t.o L-<>e... E. L..E. VA- n ow (I SJ:lT.F.T TITLE (PLEASE PRINT LEGmLYI (ex: Floor Plan) Il<;v