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DATE: E~ /O-otoo7 PCN #1-<l.5'-<lS":..jO -61- tJO,3- 00/0 PROJECT # Sf' l"l"lt STATUS: ;!-t9I'/l..gV~O _cc.. PROJECTNAME:~/II(/f.R<Hl) ;JCD-~IIIc€. \.h/i',v" STATUS DATE: t-c?- I''i~ PROJECT TYPE: f'JEu> S \,-~ fL,4N' DESTRUCTION DATE: ADDRESS: If.]/ ttJ 60'1"77'''; ~H 8u/.1:. 0 Miscellaneous ~ew ~ommercial CITY OF BOYNTON BEACH PLANNING & ZONING P(.G TITLE FORM o Residential o Addition D Renovation o Revision_ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LECffiLY) (ex: Sheet A-I) (ex: Floor Plan) Jn1fl1f'JC--b tJ' -02. -/972- 20, S:\Planning\File lists.fiIe procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc