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CITY OF BOYNTON BEACH PLANNING & ZONING 0?-3 TITLE FORM DATE: I)-tj- cJoo(, PCN iJtf3-LjS- /.f-03-~oO-o2o/ PROJECT ## I;!/;r ((7((,[ /1c/O STATUS: &/lI2c;;(i) PROJECT NAME: 1-~~ blly (l/leL STATUS DATE: -A-~-(f'j[) -cC: PROJECT TYPE: G./VDrOo/IJAL tlJC DESTRUCTION DATE: /1/ ADDRESS: /71 0 /V~ tJt7f];- (~il\lTO~ ~A-j_~.b Miscellaneous , C \="A n-\( ~1\L<-T X BCommercial 0 Residential []JNew 0 Addition 0 Renovation 0 Revision INDEX OF DRAWINGS: SHEET II (ex, Sheet A-I) I. 1/- t 2. 1f-'7 SHEET TITLE (PLEASE PRINT LEGmLY) (ex: Floor PIa.) f !to C LE VI!;7 oAl-s I -vi; CLLiATI{)N-f \.(;II2(/f'j - f(--~- f'1'10 U<'/~~[~ - ~ - 02$'-19'10 ..; ~{ , ;. C( - 1$ - .2 3 - fer '\ \ ( nNAL-) 20. \lCIlIMAlNISHRDA T AID...lopm..IIP....lt Appllcadol GrolplTmE FORM.dodll2lll1