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PLANS . S.LN3Wn::>OO 03ZIS1I3AO/SNYld ;... ~,<j,j}o'.'~ ", .,1,: ie' . ,'\ I} '\'!"4 \7~~tj~1 \~,~__._;" 1- /:h~ . ,;..),...~' /?J ......~~/ q<,J CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 3- Ir- <iZ..oc.r PROJECT # tlI PIYl"P 0 0..( _ .0 '3 PROJECT NAME:CI''I''Il.lU G.L.C~ PROJECT TYPE: 1YIA~n.L ~AJw..obll::'LCAno.v ADDRESS: I '" ~ f:~Uc.l,., ilL c...L o CommerclaI ~esideaUal 0 New INDEX OF DRAWINGS: !mT.ET # (ex: Sheet A-I) 1_~ 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 111. PCN ols"-U.<4-,(-It'_IO-OOO- OOtQ STATUS: fppfl.d.J V> STATUS DATE: 0"'1-/3 _ z..a.'f DESTRUCTION' DATE: )4../ o MlscAllaneoas o Addition 0 Renovation [3"Revlsion_ ~... ~li:n6Ik.('S ~lIIlT.T TITLE lPLEASE PRINT LEGlBLYI (ex: lIIoor PIa) j)\4~l? ~ \J. f/...MJ f'2-\.1'"A1ftf' of. -o(j -.:un'f 20. S:II'IuIIlac\Fl1e IIstI.ftle P~.~UI'el\FlLING PROCEDURES\pIa TITLE FORM.cIoe