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CITY OF BOYNTON BEACH PLANNING & ZONING ~1 TITLE FORM DATE: 12.-- 't- ~I PCN 0 ~. 'f-'3- +$ _ c &-'# IS. 000. 0c>2.0 PROJECT TYPE: ('AO Nb 'T"10~A-L- L( "L STATUS: C'\.. 2..c>- lQct'.( STATUS DATE: ----ttfl,o~Ve:b DESTRUCTION DATE: N PROJECT # C-o l.ls. CI.'-1-oo4 PROJECT NAME: I'Y\ (1t11l.\ S,,<-tAS ADDRESS: 47<1.:1. /II {!OIV?-..e.aJS AvL o Miscellaneous ~ommercial o Residential [!(,.., ew o Addition 0 Renovation 0 Revision INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) I. J - .3 &L.oi2- ELf' IJMr oN 2. 3. 4. 5. 6. 7. 8. 9. 10. II. 12. 13. 14. 15. 16. 17. 18. 19. 20. S:IPlanninglFile Iists.fiIe procednreslProcedureslFILING PROCEDURESlp&z TITLE FORM.doc