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23 CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: .If /.Xtrcl 7 PROJECT # ,,(.,/ 1; PROJECT NAME: IrJE~rl /~/)/{S'/2ifll.. df i{ PROJECT TYPE: /.;JIJDSrfJfJf: Af'/~4t-. PCN If- 43 ,-/f-}d - 7tJ - JO()-O/(O STATUS: J/f'~Vr..j) ! STATUS DATE: tJ'l-12 -/'111 DESTRUCTION DATE: AJ ADDRESS: doc Ii) IAJ])W.Jil2tlll 4vr. D Miscellaneous ci' Commercial D Residential DNew D Addition D Renovation Ii2rRevision _ /A,4,V DS:cA-f\'. i'I~Co () INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) ()P<ou Snc;,Q.I\G-E-- ~K.CLk C 20. S:IPlanninglFile Iists.file procedureslProcedureslFILlNG PROCEDURESlp&z TITLE FORM. doc