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3i CITY OF BOYNTON BEACH PLANNING & ZONING TITLE FORM DATE: 1-.J.D' ~ e PCN Oi'~ ~3-q.~- (<.~ 3Z~DOO-OP'So PROJECT # UW.f"1::1 0'5 - oz..-3 STATUS: j"l~tJe.'t> - D,ltCcf7J/~ PROJECT NAME: qUAll.rrt.{W\ f A(U(,. ~1L1-At.-L f...Jc)~"11- STATUS DATE: ()2 -12 _ 200c.f l(fu.6 I.. \ )C.) PROJECT TYPE: \J.E..w 5 t'r L ft..4,j DESTRUCTION DATE: IV ADDRESS: lo,..s ~3-I'S o Miscellaneous B'Commercial o Residential ~w o Addition 0 Renovation 0 Revision_ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) f 2-- ~ 1.k(tK. f? rf)(~M q Co \J1: . I I \ -to ;4 ?' ...P.. LIl<. 1. I. 2..(. cF .:1.(, 2. - 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. ,.. 2-0. Zuocf It LA-Nt) t.CAf'IUc,- /lANs.. ) ./ .s. l r ~ C \ U \. t.. I':i rE.."J r- Lntf 'k IE: N .,-- 20. S:\Planning\File lists. file procedures\Procedures\FILING PROCEDURES\p&z TITLE FORM.doc