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CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 'r:,p-~ 9' PROJECT # PCN STATUS: !/I't-?(l.olleb- f{:D t!OI/Q.n PROJECT NAME: !fUf.JTVlS ~A.l - 7iAcr J PROJECT TYPE: tVeIAJ .s-,TL fZ.:4'V' STATUS DATE: c2- /'1-- 19 ;-9 DESTRUCTION DATE: N ADDRESS: D Miscellaneous D Commercial ~sidential ~w D Addition D Renovation D Revision INDEX OF DRAWINGS: SHEET # (ex: Sheet A-I) 1. / -J: r=- \J SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Floor Plan) .......(]~j"oJ€b .2 - IV. -1"7 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. ;b~f/;:;~ ~U~e~~. 18. 19. 20. S:\Planning\File lists.file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM. doc