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6'1 N"l' ./.~~~ ~, .... 'OJ o . t/.."' ""'<~:-,' ~~ff~.b. /'.:r'---~ . ').') . . . ~~ CITY OF BOYNTON BEACH PLANNING & ZONING ~~ TITLE FORM DATE: \ ()..- <22 - ~c tQ PROJECT # />1 )1 PROJEcr NAME~o.s.. T fA rt1'll:::>( tJ(".- PROJEcr TYPE: lr4lJbSC-A Pi (\J&-' PCN oX- 43-4<: ra-- O'-DOO-OO(O STATUS: ~PtUJIILb , d,1 04.-1.) C 0 ~ v I2E s. ~ ~~Idential 0 New ttvL STATUS DATE: 10-30 - ~ DESTRUCTION DATE: tI ADDRESS: o Miscellaneous o Commercial o Addition 0 Renovation 0 Revlsion_ INDEX OF DRAWINGS: SHEET II (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGmLYl (ex: Floor Plln) l fl.{\) !I. 'Sc..ArJL ~ L t Lrl+TII\) (r- ~_t4 rv' 'T ~ PiC ~4- L- ~ l- OCr- 1-.-1+IV Ds:.CA-Pf III c- I. \ 2. 2- 3. 4. 5. 6. ,. 8. ,. 10. II. 12. 13. 14. IS. 16. 17. 18. 19. c~~ 61) (JrfPUl- 20. '6CII\MAIN\SHl\DA TA\Demop.eat\PenMt AppHCltIoa GrtIp\1TJU fORM.doc.6Il2ltl