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CITY OF BOYNTON BEACH PLANNING & ZONING 01.1 TITLE FORM DATE: /; -J.. -Leo'" PCN tJl'--i3-<l-5: 2.7- Oz.-aDo-ooZe PROJECT # IV JtlJ fJ (J 3.- 0-<-6 PROJECT NAME: ~D,/tlI77JiV /.t.~ ~ PROJECT TYPE: All' tv J' ,r~ /l-A-AJ ADDRESS: 3/0 N (lA;tt/(,J!i:J S C!l"6ommercial 0 Residential c:gN'ew STATUS: A ;1f'~v€..b -cc- , STATUS DATE: t'ct. - 03 - .:2.cx:4 DESTRUCTION DATE: tV Avt-- D Miscellaneons D Addition D Renovation D Revision INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) (1,0'-0/2.. r-l-WA.-T7oAJ 20. +- Io.J/{A &4J:>(1t! /i1J..Vf F,u DIP vl!!.tJN S:IPlanninglFile Iists.file procednreslProcednreslFIL1NG PROCEDURESlp&z TITLE FORM.doc