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CITY OF BOYNTON BEACH PLANNING & ZONING {/I(~/'J, / /.;1,"/ ~1 A?,,~-,' /../' TITLE FORM DATE: k. /J. .)(o} . PCN oj', :/_-1' Af.J~ /1- /rJ-i; ,!(! '0 ,,/f, 2-. STATUS:/I//'/-'.i:4'c 6 STATUS DATE: {H/_ ('1-/ y-t 9 PROJECT # \tfl1/ 1J I PROJECT NAME: \f11 i f.-t,/ ~{~iI/L' J PROJECT TYPE: ,J, 1E ii4/l. / DESTRUCTION DATE: / ;G ADDRESS: '>GIG ,4L-f'tlA 0,(2. . o Miscellaneous Qiommercial o Residential o New o Addition 0 Renovation [].-IGvisionV~ (C INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) (. ctZ-t2i'( T1PI"-' - ~1I11Ei" ::.( 01\,:" 20. S:\Planning\File Iists.fiIe procedures\Procedures\FILlNG PROCEDURES\p&z TITLE FORM.doc