PLANS
~~s
CITY OF BOYNTON BEACH
PLANNING & ZONING
TITLE FORM
DATE: 03- lD - 2.q-r,q
PCN
OSl. 43~,,-\S.U~6"'1~oo3- {2!>o
PROJECT # N \.U S f 0 S - c 3 0
PROJECT NAME: Dc 5.A-.v ~"" :LE. Lu:-s r
PROJECT TYPE: NE.l.U s:.1\L fl..A~
STATUS: AIp,ot-oJEC> - C L-
STATUS DATE: O(-D 3 - 2oo~
DESTRUCTION DATE: t-J
D Commercial
~o I rJ ~~:A-~~-r ~\II> 0 Miscellaneous
~sidential ~w D Addition 0 Renovation 0 Revision _
ADDRESS:
INDEX OF DRAWINGS:
SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY)
(ex: Sheet A-I) (ex: Floor Plan)
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r/ 2... J \A-Wt
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