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CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 4-~' ,,(00 7 PROJECT # 111/N;r7 01- 0(.1 . PCN o&-"~' </~ "'/- 3 2 .0<:>\ - OCkI STATUS: 4fP~V~b PROJECT NAME: yYl ~ \IV\. ApPLIANCL PROJECT TYPE: V'rtIlJoi2.. 1Yl1ih1f'ICAIION ~ ITL ~N STATUS DATE: Ib-l <t -4,00 I DESTRUCTION DATE: N ADDRESS: ~ommerCial q IS "-l "Fe:t>e;e..AL.. I+Wj o Residential o New o Addition o Miscellaneous ~enovation 0 Revision ~ INDEX OF DRAWINGS SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) S'TE ~t.AN \'<IObli=ICAnClrl pz. ST,4NP &-'"1. ~ol ---:::r=;p- ~\..Dv- 4l>OlTCoN ___ b,^lYIPtrE.e. 'KilO(,A..:r-roN 20. S:lPlanninglFile lists.fiIe procedureslProcedureslFILlNG PROCEDURESlp&z TITLE FORM.doc