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CITY OF BOYNTON BEACH PLANNING & ZONING ~i TITLE FORM DATE: {-II -0&><1 S- PROJECT # (" 0 u. s. 4'--\ - 00 2- PROJECT NAME: S ,Jo "c:Pd ~ PROJECT TYPE: COt-lbITIOr-JAL- Us. iL ... PCN 0 fl. L{ 3-iJiR. 0:). 6() -<-'00-(0'/0 STATUS: Af'PR-cJiU> APPROVAL PATE: i.r; - 2-1- 1<( <( ~ DESTRUCTION DATE: ADDRESS: 32>00 s .s:EA-Ce..E.n- E3LV D o Miscellaneous o Commercial INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. /1. 1 2. .A-4 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. o Residential o New o Addition 0 Renovation 0 Revision SHEET TITLE (PLEASE PRINT LEGmLYl (ex: Floor Plan) f'R-e,,'lLf:t/}<---:Y rlPA~ - (! OhO~ (2(',1 p~~-y~ c;n~~~-- 20. IIC111MA1N\SHRDA T AIDevelopmenllPermlt Application GrouplTITLE FORM.d0c.6112101