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CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 02- '1. ~o 7 PROJECT # N ws. f' q 1- 0 t'1 l^i\1=.13AIt pI,,( I) PROJECT'NAME: I VI A- /-"ll6-A-rJO PROJECT TYPE: SI.t- fl-A-tV ADDRESS: 1'+00 Y;A hVr,.A~o G.e.. o Commercial ~esidential G'New PCN Ol(-'+3. ~5:"_ , \\,-[q- 001-0000 STATUS: Uvl'; STATUS DATE: U~ ~ DESTRUCTION DATE: /'-) o Miscellaneous o Addition 0 Reuovation 0 Revision INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. 101= ~ - .=4FL. 2. SHEET TITLE (PLEASE PRINT LEGmL Y) (ex: Floor Plan) J::>lA.lt..b'OV&- ~t'I'IE.IVSIOI-J,l.-L.. $;'ITe. s.~" ?,..:L"1-I'\'\t (~L-btrl f/..4r.J 3. 4. 5. 6. 7. ( 'Pk:u". ~ ~ ~~1-.) 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:IPlanninglFile lists.fiIe procedureslProcedureslFILING PROCEDURESlp&z TITLE FORM.doc