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B,6(...r CITY OF BOYNTON BEACH PLANNING & ZONING DATE: 01. - ~ - .R...oo 7 TITLE FORM PCN tll-~3- c.j t. :I...'}. ~pO- dOO () A~/toVED < STATUS DATE: O.J:. <<'-/-1'1'1'0 DESTRUCTION DATE: /II STATUS: PROJECT # A 1/ HR... / er l' 0 PROJECT NAME: /~~TON 8FAr"R 61-IID T/MbEI<.J/Nl>S) PROJECT TYPE:/,4I11t> tNE ~N /:> ~';LoN/N(,- ~ D Commercial D Residential ~ew D Miscellaneous ADDRESS: D Addition D Renovation D Revision INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) I. lor\(,SK2-) 2. /..F-( 3. 16F( 4. SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) L.A-KE.. l3o,-/,.;nt-J oc_Cr-PM.c.-~ L :rl,3 t". '-1- t '('It> :rISe. r,t:l.JC- MA-to I.f'.. <H - ..2..",. q!u-( ICH-r If-3. '-I < -..t 0 - ~1t~!t9..ri ( 3o~J(. ) (.; 0 ld:J 5. 6. 7. 8. 9. 10. II. 12. 13. 14. IS. 16. 17. 18. 19. 20. \\CH\MAIN\SHRDA T A\Development\Permit Application Group\TITLE FORM.doc.6/12/01