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c:(J CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: If I / oU>o 1 PCN H ~l,. "f-j-: If - iJJ/- C J 5: - JO '/0 PROJECT # ,J,fm ittlf' STATUS: Af'f'r4IVEl:::, PROJECT NAME:8oVII/TD'I./tsE4{ff !J:tllLOfJA])E_ STATUS DATE: /)1-. I/" .lc;,1,f-' PROJECT TYPE: J,w ~ 0 G-12,I/-#1 DESTRUCTION DATE: ,x/ ADDRESS: 90 (' ;tI (l f) /./ I-,{: ESS, J, L- o Miscellaneous GCommercial o Residential o New o Addition 0 Renovation @Revision SitA//1t-L ~-t>/-<,e ,J INDEX OF DRAWINGS: SHEET # SHEET TITLE (pLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) (ljJlil/-f'lIo v4L , /,f-. IV' /1 t--i: 20. S:IPlanninglFile lists.fiIe procednreslProcednreslFILING PROCEDURESlp&z TITLE FORM.doc