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CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: .2- to .:too, PCN VI y. 4.$- l/./--tJ 9-N) - ~()(} - 7070 PROJECT # (1 ell.!. 6 I q &-'1 (~~A) PROJECT NAME:_~AAE:... ~O~TH-("f\:tl.tn4.AJ PROJECT TYPE: {!Ot.J'i:>tTlorJlf.-L t(J €- ADDRESS: 1S'f.1.. Hf6-ff /(''''''(,.6 /?z, o Commercial 0 Residential ~ STATUS: ;fflILoV&.b STATUS DATE: .j-.,7/-/9d-'1 DESTRUCTION DATE: ;1/ o Miscellaneous ~ition 0 Renovation 0 Revision_ INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1.~ SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) 7S0tHJt>~ ~P() Svt-IJ.tj 2. 3. 4. 5. 6. 7. 8. 9. 10. II. 12. 13. 14. 15. 16. 17. 18. 19. 20. \\CH\MAIN\SHRDATA\Development\Permit Application Group\TITLE FORM.doc.6112/0t