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a!Ot~ ~~}J ",---' . . -~./.' l/ CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: O.3~t>S - 0U:0<l7 PROJECT # ~"'SP O~ PROJECT NAME:--->>tof'>lL. PROJECT TYPE: .J)\HJO(l..t?tOtlooIFI.lA'T"IO~ ~,rl. fuw ADDRESS: 1(.01 S t="'Ebd,4-L #CUJ ~mmereial 0 Residential 0 New INDEX OF DRAWINGS: SHEET # lex: Sheet A-I) I. ---ft-.3 2. 3. 4. 5. 6. 7. 8. 9. 10. ll. 12. 13. 14. 15. 16. 17. 18. 19. PCN Of-<l3-"IS-?>J- tJ~-OOO-(o'/ STATUS: )fJfJ~vU . STATUS DATE: Oc.- ZJ- ;fool DESTRUCTION DATE: j./ o Miscellaneous o Addition o Renovation o Revision_ SHEET TITLE (PLEASE PRINT LEGmLYI lex: Floor PI..) (t!OLtua ) ELLt/A.rtlAl r:- #AN~o(' 20. S:\PI...lnglFlle lI.ts.f1le proeedurea\ProcedureslFlLING PROCEDURESlp&z TITLE FORM.doc