PLANS
or,
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
DATE:
-5---~/'J . ~ r
PROJECT #
1111f1.J// 0 tf-o.3 if
PCN () J. 4.3. '1..t: 01 r- . 00 -()()O - ~
STATUS: ,J(J"~VLA
PROJECT NAME: t:.- 1n~6tt-L
PROJECT TYPE: ht/lJo/Z. #lo6IRCA-n()~ JrL ~
STATUS DATE: o~-13 - 200'f
DESTRUCTION DATE: /V"
ADDRESS:
~DnDnerCial
Sf r 0 c.&/AI Ave
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o Residential
o Miscellaneous
@Addition 0 Renovation 0 Revision_
~\JIPI'\\~1 ~N'--rt f1afV~. f~
SHEET TITLE (PLEASE PRINT LEGIBLY)
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o New
INDEX OF DRAWINGS:
SHEET #
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17.
18.
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