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CITY OF BOYNTON BEACH PLANNING & ZONING -<'I TITLE FORM DATE: /4 - 1- oZdz; 7 PROJECT NAME: !J1//vleo tliIA-;ro~ SIT(.. PROJECT TYPE: ~ /{"I./ /liD I:Jf~(C4-n. tv' ADDRESS: for tV &w~.l:S ?!vL , PROJECT # WCommercial 1i1S~m oS"_oo( PCN pi- ~3- 'tf:- f9- O.s- Of>-()o/O STATUS: 4f?~~ vu. , STATUS DATE: ~-f'l. ~cN DESTRUCTION DATE: AI' o Miscellaneous 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) (10/....0/2.- Et-Ev4-noN - (;.Ilr;:.~ ReVIVAl.-- 20. S:IPlanninglFile Iists.fiIe procednreslProcednreslFILlNG PROCEDURESlp&z TITLE FORM.doc