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CITY OF BOYNTON BEACH PLANNING & ZONING DATE: 1-.3C>-~ool PROJECT # N/.I.)S,f qer-o Z.L H \(;..1'+ 1<1t:i>-~C 0'1'11\ Ee.Lf: P/lel<) PROJECTNAME:--f6-U ItJL PROJECT TYPE: C::;,r," ft. .4./..J ADDRESS: ~I CO mrl\E~E.. (0:, TITLE FORM PCN tJrf. t.f 3~ ~ J": Of/- :U~ 002-. OoS-o STATUS: At~tl4';1i.jj , STATUS DATE: e)(./-- Zo-l<t'f? DESTRUCTION DATE: ;J D Miscellaneous ~ommercial D Residential ~w D Addition D Renovation D Revision _ INDEX OF DRAWINGS: SHEET # SHEET TITLE (PLEASE PRINT LEGIBLY) (ex: Sheet A-I) (ex: Floor Plan) 1. 1-'1 0 p. 't 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. \\CH\MAIN\SHRDATA\Development\Permit Application Group\TITLE FORM.doc.6/12/01