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PLANS ~.~~ ;Sf~ CITY OF ~~~WB A.C~ PLANNING & ZONING # ~ r?7-- ;et!~-r'-?- 23 TITLE FORM DATE: 10. -?". 2..ec'"1 PROJECT # PI( L \) j '1."'11 PROJECT NAME:~ACk PROJECT TYPE:J1,l.2KINV- lo, ~ArL.iANCL ADDRESS: 3& S:2- S, S,EAO:.r:.s:., 6\.--11 PCN 6&-'-1",-4<.. O'-l-6<(-{"X.'<f-CXJ?-D STATUS: A f fi'-o\Jf..b , STATUS DATE: o?.,-/;> - l191 . DESTRUCTION DATE: D Miscellaneous ffiommercial D Residential GfNew D Addition D Renovation D Revision INDEX OF DRAWINGS: SHEET # lex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) lex: Floor Plan) 1-. '<\>-lhScM& 'RArJ <;"TL PLA-r0 20. S:IPlanninglFile lists.file procedureslProcedureslF1LING PROCEDURESlp&z TITLE FORM.doc